MR. WILFREDO RENDON (NPI# 1124108832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124108832 |
| Entity Type | Individual |
| Full Name | MR. WILFREDO RENDON |
| Credential | MD |
| Practice Address |
9730 S Western Ave Suite 428 Evergreen Park IL 60452 |
| Practice Telephone | 7084994100 |
| Practice Fax Number | 7084994132 |
| Mailing Telephone | 7084994100 |
| Mailing Fax Number | 7084994132 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225077944 | Wilfredo L Rendon | Emergency Medicine | Ave Ponce De Leon, 715, Pda 37, Hato Rey, PR 00919 | 2006-06-06 |
| Street Address |
9730 S WESTERN AVE SUITE 428 |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515035 | Anita Iyer | Obstetrics & Gynecology | 9730 S Western Ave, Ste 100, Evergreen Park, IL 60805-2814 | 2005-08-17 |
| 1043790017 | Tammie Denise Walker | Social Worker | 9730 S Western Ave, Evergreen Park, IL 60805-2814 | 2018-08-18 |
| 1306385398 | Samantha Louise Allen | Social Worker | 9730 S Western Ave, Evergreen Park, IL 60805 | 2017-02-23 |
| 1700266566 | Central Regional Laboratories, LLC | Clinical Medical Laboratory | 9730 S Western Ave, Suite 706, Evergreen Park, IL 60805-2814 | 2015-06-05 |
| 1669805933 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 9730 S Western Ave, Evergreen Park, IL 60805-2814 | 2013-08-09 |
| 1457529943 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 9730 S Western Ave, Ckd Services of Evergreen Park, Evergreen Park, IL 60805-2814 | 2008-02-19 |
| 1629254156 | Ari Financial Services | Home Health | 9730 S Western Ave, 712, Evergreen Park, IL 60805-2814 | 2008-01-15 |
| 1396938783 | Optimum Home Health Care Inc | Home Health | 9730 S Western Ave, Suite 710, Evergreen Park, IL 60805-2672 | 2007-08-20 |
| 1881717288 | Vida Bernadette Dyson | Psychologist | 9730 S Western Ave, Suite 627, Evergreen Park, IL 60805-2814 | 2007-04-09 |
| 1821122029 | Valentin Berman Md PC | Psychologist | 9730 S Western Ave, Suit 729, Evergreen Park, IL 60805 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713098 | Oak Family Dental | Dentist | 6056 W. 159th Ave., Oak Forest, IL 60452 | 2020-06-03 |
| 1457982340 | Cook County | Family Medicine | 15900 S. Cicero, Oak Forest, IL 60452 | 2020-01-29 |
| 1265942718 | Suzanne Ankarlo | Speech-Language Pathologist | 3545 West Victoria Drive, Oak Forest, IL 60452 | 2017-10-10 |
| 1154855112 | True Laboratories LLC | Clinical Medical Laboratory | 5320 159th St Ste 505, Oak Forest, IL 60452 | 2017-04-17 |
| 1902347297 | Mena Loka Sr. | Physical Therapy Assistant | 6404 Nature Dr, Oak Forest, IL 60452 | 2017-03-20 |
| 1447797097 | Angelique Mayes-lamon | Clinic/Center | 15900 S Cicero Avenue, Building E, Oak Forest, IL 60452 | 2017-01-20 |
| 1265980759 | Surinder Sharma I | Pharmacist | 15900 So Cicero Ave, 15900 So Cicero Ave Bldg F, Oak Forest, IL 60452 | 2016-09-14 |
| 1326596800 | Gervaise Hunter-morris | Pharmacist | 15900 S. Cicero Avenue, Oak Forest, IL 60452 | 2016-09-14 |
| 1538519111 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 15350 Oak Park Ave., Oak Forest, IL 60452 | 2016-06-15 |
| 1760836720 | Thh Acquisition LLC I | Durable Medical Equipment & Medical Supplies | 4149 166th St, Oak Forest, IL 60452 | 2016-04-15 |
| Find all providers in zip 60452 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982085247 | Timothy Brian Johnson | Obstetrics & Gynecology | 9730 S Western Ave Ste 100, Evergreen Park, IL 60805-2853 | 2015-06-12 |
| 1093151573 | Puja Sheth Gogawale | Obstetrics & Gynecology | 2850 W 95th St Ste 203, Evergreen Park, IL 60805-2734 | 2013-05-10 |
| 1780637827 | Monica M Christmas | Obstetrics & Gynecology | 2800 W. 95th St, 3rd Floor Tower, Evergreen Park, IL 60805 | 2006-05-18 |
| 1174515035 | Anita Iyer | Obstetrics & Gynecology | 9730 S Western Ave, Ste 100, Evergreen Park, IL 60805-2814 | 2005-08-17 |
| 1306156500 | Jessica L Bender | Obstetrics & Gynecology | 2850 W 95th St, Suite 103, Evergreen Park, IL 60805-2735 | 2010-10-21 |
| 1467608513 | Pooja Jain Doshi | Obstetrics & Gynecology | 2850 W 95th St, Suite 203, Evergreen Park, IL 60805-2735 | 2008-08-08 |
| 1376669770 | Little Company of Mary Hospital Inc | Obstetrics & Gynecology | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2007-03-21 |
| 1669508446 | Pablo Antonio Garzon | Obstetrics & Gynecology | 2850 W 95th St, Suite 203, Evergreen Park, IL 60805 | 2007-02-26 |
| 1487745915 | Emuata Ufok Bassey | Obstetrics & Gynecology | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2006-09-28 |
| 1073521779 | Women's Healthcare of Illinois, Ltd | Obstetrics & Gynecology | 9730 S Western Ave, Suite 100, Evergreen Park, IL 60805-2814 | 2006-08-04 |
| Find all providers in EVERGREEN PARK | ||||
| City | EVERGREEN PARK |
| Zip Code | 60452 |
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| 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.