FENIX FAMILY HEALTH CENTER INC. (NPI# 1124356431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124356431 |
| Entity Type | Organization |
| Organization Name | FENIX FAMILY HEALTH CENTER INC. |
| Practice Address |
130 Washington Ave Highwood IL 60040-1122 |
| Practice Telephone | 8479092004 |
| Practice Fax Number | 8472660961 |
| Mailing Telephone | 8479092004 |
| Mailing Fax Number | 8472660961 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | DR. LOUISE BERNER-HOLMBERG (DIRECTOR) |
| Authorized Official Telephone | 8479092004 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036082171 | IL | Ambulatory Health Care Facilities |
| Y | 207Q00000X | Family Medicine | 336-044483 | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NPI | 1679788772 | 01 |
| Street Address |
130 WASHINGTON AVE |
| City | HIGHWOOD |
| State | IL |
| Zip Code | 60040-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639275506 | Carlos M Boileve | Chiropractor | 130 Washington Ave, Highwood, IL 60040-1122 | 2006-09-16 |
| 1699134973 | Brandon Amadeo Berkley-vigil | Physician Assistant | 130 Washington Ave, Highwood, IL 60040-1122 | 2016-02-16 |
| 1386029676 | Jennifer Marie Poliwka | Registered Nurse | 130 Washington Ave, Highwood, IL 60040-1122 | 2015-07-28 |
| 1194102053 | Jacki Ames | Nurse Practitioner | 130 Washington Ave, Highwood, IL 60040-1122 | 2015-04-29 |
| 1851791719 | Jacqueline Garcia | Nurse Practitioner | 130 Washington Ave, Highwood, IL 60040-1122 | 2014-08-28 |
| 1649476714 | Elite Health Providers, Sc | Pain Medicine | 130 Washington Ave, Highwood, IL 60040-1122 | 2007-06-25 |
| 1679788772 | Louise Berner-holmberg | Family Medicine | 130 Washington Ave, Highwood, IL 60040-1122 | 2007-05-11 |
| 1770611386 | Joint & Spine Rehabilitation of Northern Illinois | Clinic/Center | 130 Washington Ave, Highwood, IL 60040-1122 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861977274 | Sophie Streveler | Specialist/Technologist | 220 Oakridge Ave, Highwood, IL 60040 | 2018-10-02 |
| 1356723985 | Hilary Sartain Grimm | Dentist | 410 Green Bay Rd, Highwood, IL 60040 | 2015-06-19 |
| 1891196580 | Pvr Dental PC | Dentist | 410 Greenbay Rd., Suite #1, Highwood, IL 60040 | 2014-09-12 |
| 1841359759 | Morton Miller | Internal Medicine | 5310 N Sheridan, Chicago, IL 60040 | 2006-12-06 |
| 1447735923 | Chau Minh Ha | Nurse Practitioner | 50 Pleasant Ave, Highwood, IL 60040 | 2018-10-01 |
| 1609315449 | Femcare Ob-gyn Ltd | Obstetrics & Gynecology | 396 Remington Blvd Ste 250, Bolingbrook, IL 60040 | 2017-02-13 |
| 1154521631 | Karen Raden | Dietitian, Registered | 200 Green Bay Rd Ste 200, Highwood, IL 60040 | 2007-07-23 |
| 1467732966 | Ismael Gerald Salvador | Dentist | 616 Sheridan Rd, Unit 2b, Highwood, IL 60040-1051 | 2011-08-29 |
| 1487703419 | Movement Possibilities | Physical Therapist | 324 Ashland Ave, Highwood, IL 60040-1104 | 2007-01-09 |
| 1154470102 | John Statza | Physical Therapist | 324 Ashland Ave, Highwood, IL 60040-1104 | 2007-01-09 |
| Find all providers in zip 60040 | ||||
| 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 |
|---|---|---|---|---|
| 1679788772 | Louise Berner-holmberg | Family Medicine | 130 Washington Ave, Highwood, IL 60040-1122 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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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.