ANNIE EMMICK (NPI# 1154328045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154328045 |
| Entity Type | Individual |
| Full Name | ANNIE EMMICK |
| Credential | M.D. |
| Practice Address |
472 Briargate Dr South Elgin IL 60177 |
| Mailing Address |
472 Briargate Dr South Elgin IL 60177-2225 |
| Practice Telephone | 6303151600 |
| Mailing Telephone | 6303151600 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036094762 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
472 BRIARGATE DR |
| City | SOUTH ELGIN |
| State | IL |
| Zip Code | 60177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235598566 | Medpro Vascular Institute | Surgery | 472 Briargate Dr, Unit 107, South Elgin, IL 60177-2225 | 2016-02-15 |
| 1982935482 | Robin Hoffman | Radiologic Technologist | 472 Briargate Dr, 107, South Elgin, IL 60177-2225 | 2010-01-22 |
| 1013916485 | Perniya Masood | Pediatrics | 472 Briargate Dr, South Elgin, IL 60177-2225 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
| 1730683582 | Pelvic Balance Physical Therapy, LLC | Physical Therapist | 10 N Collins St., South Elgin, IL 60177 | 2018-03-19 |
| 1437693504 | Olaide Olaigbe | Counselor | 690 Fielcrest Drive, Unit A, South Elgin, IL 60177 | 2016-12-08 |
| 1053869461 | Nicole Augustine | Counselor | 418 N. Center Street, South Elgin, IL 60177 | 2016-09-14 |
| 1013351733 | Rehabcare | Skilled Nursing Facility | 746 West Spring Street, South Elgin, IL 60177 | 2013-04-24 |
| 1356578942 | Athletico, Ltd | Physical Therapist | 722 N. Mclean Blvd, South Elgin, IL 60177 | 2009-06-22 |
| 1679708572 | Miller Dentistry LLC | Clinic/Center | 404 Randall Road, South Elgin, IL 60177 | 2009-05-20 |
| 1164666913 | Leah Jennifer Mccloskey | Massage Therapist | 1305 N. Lafox St, South Elgin, IL 60177 | 2009-04-23 |
| 1285898643 | Jennifer Deanne Mercier | Naturopath | 101 South Mclean Bvld, South Elgin, KANE COUNTY 60177 | 2008-07-15 |
| 1295956845 | Megan Ryan | Counselor | 1283 Angeline Dr., South Elgin, IL 60177 | 2007-05-01 |
| Find all providers in zip 60177 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619976560 | Jennifer L Schening | Pediatrics | 107 S Mclean Blvd, Ste B, South Elgin, IL 60177-1822 | 2005-07-21 |
| 1457997355 | Jesse Freidel | Pediatrics | 107 S Mclean Blvd Ste B, South Elgin, IL 60177-1822 | 2019-11-26 |
| 1760717318 | Next Generation Pediatrics, L.L.C. | Pediatrics | 101 S Mclean Blvd, Suite B, South Elgin, IL 60177-1830 | 2009-10-14 |
| 1013916485 | Perniya Masood | Pediatrics | 472 Briargate Dr, South Elgin, IL 60177-2225 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494364 | Mebe Illinois | Pediatrics | 825 S Waukegan Rd Ste A8, Lake Forest, IL 60045-2665 | 2020-10-15 |
| 1326656125 | Kids Pediatrics Ltd | Pediatrics | 288 W Loop Rd, Wheaton, IL 60189-2034 | 2020-07-17 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
| 1578186839 | Katie Michelle Stapleton | Pediatrics | Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2020-05-21 |
| 1467074492 | Kinnera Are | Pediatrics | 400 N 9th St Ste 4a, Springfield, IL 62702-5310 | 2020-05-13 |
| 1053932673 | Jain Pediatrics LLC | Pediatrics | 33 N Addison Rd Ste 106, Addison, IL 60101-3843 | 2020-05-05 |
| 1164050670 | Sruti Uppuluri | Pediatrics | 1675 Dempster St Ste 330, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH ELGIN |
| Zip Code | 60177 |
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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.