ILLIANA SURGERY AND MEDICAL CENTER (NPI# 1134175490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134175490 |
| Entity Type | Organization |
| Organization Name | ILLIANA SURGERY AND MEDICAL CENTER |
| Other Organization Name | ILLIANA REHABILITATION SERVICES |
| Practice Address |
110 Ridge Rd Munster IN 46321-1520 |
| Mailing Address |
701 Superior Ave Munster IN 46321-4037 |
| Practice Telephone | 2198527189 |
| Practice Fax Number | 2198362656 |
| Mailing Telephone | 2199224205 |
| Mailing Fax Number | 2199229681 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JEFFREY YESSENOW (CEO) |
| Authorized Official Telephone | 2199221205 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Illiana Rehabilitation Services | Doing Business As Name - Organization |
| Street Address |
110 RIDGE RD |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250576 | Madhavi K. Cherukuri | Obstetrics & Gynecology | 110 Ridge Rd, Munster, IN 46321-1574 | 2005-07-29 |
| 1356573778 | Northwest Indiana Pain Services | Anesthesiology | 110 Ridge Rd, Suite # 3, Munster, IN 46321-1574 | 2009-08-18 |
| 1104093640 | Womens Medical Care LLC | Obstetrics & Gynecology | 110 Ridge Rd, Munster, IN 46321-1574 | 2008-05-14 |
| 1184830168 | Manmohan Singh M.d. P.C. | Orthopaedic Surgery | 110 Ridge Rd, Suite 11, Munster, IN 46321-1520 | 2007-05-15 |
| 1912992033 | Griffin Broadmoor Pharmacy Inc | Pharmacist | 110 Ridge Rd, Munster, IN 46321-1520 | 2005-09-14 |
| 1437159563 | Durga R. Kanuru | Obstetrics & Gynecology | 110 Ridge Rd, Munster, IN 46321-1574 | 2005-07-29 |
| 1477553501 | Henry M. Zuniga | Obstetrics & Gynecology | 110 Ridge Rd, Suite 2, Munster, IN 46321-1574 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1265934533 | Pamelanie Pacatang Radaza | Physical Therapist | 759 45th Ave Ste 202, Munster, IN 46321-2939 | 2018-03-02 |
| 1487902060 | Bradley L. Allison | Physical Therapist | 9200 Calumet Ave Ste 300, Munster, IN 46321-2885 | 2012-08-29 |
| 1649540212 | Cheryl Biederstadt | Physical Therapist | 1650 45th Ave Ste 2d, Munster, IN 46321-3960 | 2012-01-12 |
| 1073891602 | Katherine Daniels Buyniski | Physical Therapist | 1440 Fisher St, Munster, IN 46321-2607 | 2011-08-01 |
| 1396033049 | Deanna Wisowaty | Physical Therapist | 9950 Calumet Avenue, Munster, IN 46321-9274 | 2011-07-15 |
| 1891096715 | Muhammad Jawad Khan | Physical Therapist | 1838 Bluebird Lane, Munster, IN 46321-3967 | 2010-11-09 |
| 1447579875 | Gregorio Aquino | Physical Therapist | 341 Milford Haven Way, Munster, IN 46321-9150 | 2010-05-25 |
| 1003047192 | Matthew Morley I | Physical Therapist | 7967 Calumet Ave, Munster, IN 46321-1215 | 2009-08-06 |
| 1295992485 | Scott O'brien | Physical Therapist | 8317 Calumet Ave Ste B, Munster, IN 46321-1748 | 2008-05-16 |
| Find all providers in MUNSTER | ||||
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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.