DR. JEANENE MARIE CACCOPOLA (NPI# 1093704439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093704439 |
| Entity Type | Individual |
| Full Name | DR. JEANENE MARIE CACCOPOLA |
| Credential | D.O. |
| Practice Address |
550 Fox Glen Ct Barrington IL 60010-1833 |
| Practice Telephone | 8478680484 |
| Practice Fax Number | 8473051456 |
| Mailing Telephone | 8478680484 |
| Mailing Fax Number | 8473051456 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036109750 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 290 N Rand Rd, Suite A, Lake Zurich, IL 600472213 | 8474384028 |
| Street Address |
550 FOX GLEN CT |
| City | BARRINGTON |
| State | IL |
| Zip Code | 60010-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379450 | Heightened Health Sc | Family Medicine | 550 Fox Glen Ct, Barrington, IL 60010-1833 | 2018-06-07 |
| 1225574148 | Meagan M. Divito, Psy.d., P.C. | Community/Behavioral Health | 550 Fox Glen Ct, Barrington, IL 60010-1833 | 2017-01-17 |
| 1578013983 | Meagan Divito | Psychologist | 550 Fox Glen Ct, Barrington, IL 60010-1833 | 2016-10-10 |
| 1689061889 | Joel D Carnazzo, Psyd | Psychologist | 550 Fox Glen Ct, Barrington, IL 60010-1833 | 2015-04-25 |
| 1851545701 | Dale J. Giolas M.d., P.C. | Specialist | 550 Fox Glen Ct, Barrington, IL 60010-1833 | 2008-11-05 |
| 1811055205 | Elissa M Virruso | Psychologist | 550 Fox Glen Ct, Barrington, IL 60010-1833 | 2006-12-05 |
| 1013020452 | Joel Daniel Carnazzo | Psychologist | 550 Fox Glen Ct, Barrington, IL 60010-1833 | 2006-08-17 |
| 1417060120 | Dale J Giolas | Specialist | 550 Fox Glen Ct, Barrington, IL 60010-1833 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125425 | Cvs Aoc Services, L.L.C. | Optometrist | 101 South Northwest Highway, Store 7181, Barrington, IL 60010 | 2020-05-07 |
| 1497241707 | Sharon Kay Fu | Counselor | 1000 Hart Rd., Suite 201, Barrington, IL 60010 | 2018-07-10 |
| 1760977219 | Robert Scott Wertke | Student in an Organized Health Care Education/Training Program | 3147, 101 Lions Dr. #100, Barrington, IL 60010 | 2018-06-27 |
| 1548788169 | Integrated Care Inc. | Chiropractor | 22285 N. Pepper Rd. Suite 407, Lake Barrington, IL 60010 | 2017-09-04 |
| 1487174249 | Lucy Buhr | Physician Assistant | 1531 S Grove Ave Suite 101, Barrington, IL 60010 | 2017-06-22 |
| 1386180198 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 1531 S Grove Avenue, Suite 101, Barrington, IL 60010 | 2017-01-18 |
| 1649625872 | Hong Luo | Acupuncturist | 1525 S. Grove Ave, Suite 102, Barrington, IL 60010 | 2016-04-25 |
| 1508239724 | Taylor Sheahen | Counselor | 21925 W. Field Parkway, Suite 215, Deer Park, IL 60010 | 2015-11-10 |
| 1952780413 | Robert W. Davis | Massage Therapist | 110 S. Wynstone Park Drive Suite 105, N. Barrington, IL 60010 | 2015-05-29 |
| 1982082863 | Marilu Garza | Massage Therapist | 110 S. Wynstone Park Drive, Suite 105, N. Barrington, IL 60010 | 2015-05-12 |
| Find all providers in zip 60010 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689052623 | Bhavik Kiran Bhulabhai | Family Medicine | 8 Century Pines Dr Ste 2, Barrington, NH 03825 | 2015-05-11 |
| 1922273572 | Gail Gagnon | Family Medicine | 1250 S Grove Ave, Suite 200, Barrington, IL 60010-5091 | 2008-04-24 |
| 1306035779 | Barrington Family Medicine | Family Medicine | Barrington Family Medicine, 60 Bay Spring Ave, Unit B1, Barrington, RI 02806 | 2007-10-22 |
| 1013034016 | Lisa Rachelle Denny | Family Medicine | 6 Vincent Paul Dr, Barrington, RI 02806-4809 | 2007-03-23 |
| 1700953346 | Richard J Mcdonough | Family Medicine | 500 W Il Route 22, Barrington, IL 60010-2313 | 2006-11-29 |
| 1124109145 | Tracy Hamill | Family Medicine | 425 Rte 125, Barrington, NH 03825 | 2006-10-17 |
| 1306948286 | Budio J Thomas | Family Medicine | 15 Bay Spring Ave, Barrington, RI 02806 | 2006-09-02 |
| 1649386442 | Debra L. Roberts | Family Medicine | 60 Bay Spring Avenue, 6b, Barrington, RI 02806-1386 | 2006-08-22 |
| 1467461863 | Padmini Thakkar | Family Medicine | 300 Fox Gln, Barrington, IL 60010-1818 | 2006-08-05 |
| 1467469171 | Robert Michael Williams | Family Medicine | 100 Kingston Ave, Barrington, NJ 08007-1114 | 2006-08-02 |
| Find all providers in BARRINGTON | ||||
| City | BARRINGTON |
| Zip Code | 60010 |
Please comment or provide details below to improve the information on DR. JEANENE MARIE CACCOPOLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.