CHILDREN'S PHYSICIAN GROUP (NPI# 1154597029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154597029 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S PHYSICIAN GROUP |
| Other Organization Name | ALGONQUIN CLINIC |
| Practice Address |
1473 Commerce Dr Algonquin IL 60102-5916 |
| Mailing Address |
9000 W Wisconsin Ave Ms 8000 Milwaukee WI 53226-4874 |
| Practice Telephone | 8476624380 |
| Practice Fax Number | 8476623557 |
| Mailing Telephone | 4142667615 |
| Mailing Fax Number | 4142663803 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | DR. THOMAS DUNIGAN (PRESIDENT, CHILDREN'S PHYSICIAN GRP) |
| Authorized Official Telephone | 4142667615 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S PHYSICIAN GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Algonquin Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124362306 | Children's Physician Group | Pediatrics | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2012-11-12 |
| 1245491851 | Children's Physician Group | Pediatrics | 1027 W Park Ave, Libertyville, IL 60048-2550 | 2008-06-17 |
| 1073774683 | Children's Physician Group | Psychiatry & Neurology | 135 N Arlington Heights Rd, #160, Buffalo Grove, IL 60089-8213 | 2008-06-17 |
| 1356517221 | Children's Physician Group | Dermatology | 2500 Ridge Ave, Suite 109, Evanston, IL 60201-2455 | 2008-05-01 |
| 1548436413 | Children's Physician Group | Dermatology | 2401 Ravine Way, Suite 101, Glenview, IL 60025-7645 | 2008-05-01 |
| 1598951394 | Children's Physician Group | Clinic/Center | 701 Woodlands Pkwy, Suite 100, Vernon Hills, IL 60061-3101 | 2007-09-14 |
| Street Address |
1473 COMMERCE DR |
| City | ALGONQUIN |
| State | IL |
| Zip Code | 60102-5916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411329 | Amber Nicole Bianchi | Massage Therapist | 265 Stonegate Road, Algonquin, IL 60102 | 2020-03-04 |
| 1255971156 | Cler Family Solutions LLC | Case Management | 12 Waterfront Ct, Algonquin, IL 60102 | 2020-01-09 |
| 1114577079 | Camp Chirotherapy LLC | Chiropractor | 3925 W Algonquin Rd, Algonquin, ID 60102 | 2019-09-12 |
| 1295380392 | Kevin Layton Sanderson | In Home Supportive Care | 9604 Zimmer Drive, Algonquin, IL 60102 | 2019-08-06 |
| 1669964300 | Favia Primary Care, Sc | Family Medicine | 1340 Ryan Parkway, Algonquin, IL 60102 | 2018-05-30 |
| 1285142745 | Melissa Sue Aeschliman | Speech-Language Pathologist | 8 White Chapel Ct., Algonquin, IL 60102 | 2018-01-18 |
| 1295251940 | Maria Melina Dominguez | Counselor | 1138 N. Main Street, Algonquin, IL 60102 | 2017-08-15 |
| 1578001830 | Advanced Dental and Implant Care PC | Dentist | 2310 Huntington Dr. N., Algonquin, IL 60102 | 2017-02-07 |
| 1871037861 | Rehabcare Group East, LLC | Clinic/Center | 212 Eastgate Ct, Algonquin, IL 60102 | 2016-12-09 |
| 1891172664 | Foot and Ankle Specialists of Illinois Ltd | Podiatrist | 2430 Esplanade Drive Suite A, Algonquin, IL 60102 | 2015-04-30 |
| Find all providers in zip 60102 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700226206 | Aliesje Sorgeloos | Psychiatry & Neurology | 4220 W 95th St Ste 210, Oak Lawn, IL 60453 | 2013-06-28 |
| 1851558001 | Lubov Romantseva | Psychiatry & Neurology | 1725 W Harrison St Ste 718, Department of Pediatrics, Section of Child Neurology, Chicago, IL 60612-3863 | 2008-05-16 |
| 1457484669 | Michelle Annette Melyn | Psychiatry & Neurology | 7777 West Lake St, River Forest, IL 60305 | 2007-03-14 |
| 1992856678 | Shakuntala Chhabria | Psychiatry & Neurology | 222s Greenleaf St 111, Gurnee, IL 60031-5705 | 2007-01-16 |
| 1053481929 | Rita Yadava M.d.s.c. | Psychiatry & Neurology | 1200 South York Rd, 4150, Elmhurst, IL 60126 | 2006-11-08 |
| 1356446306 | Leonard D Elkun Md Sc | Psychiatry & Neurology | 411 W Ontario St, Suite 402, Chicago, IL 60610-6945 | 2006-09-14 |
| 1023129145 | Leonard David Elkun | Psychiatry & Neurology | 411 W. Ontario St, Suite 402, Chicago, IL 60610-6945 | 2006-08-31 |
| 1184636805 | Shaku Chhabria Neurological Services Sc | Psychiatry & Neurology | 222 S Greenleaf St Ste 111, Gurnee, IL 60031-5705 | 2006-08-12 |
| 1811929003 | Charles Nash Swisher | Psychiatry & Neurology | 2515 N Clark Street, Suite, Chicago, IL 60614 | 2006-07-07 |
| 1972543080 | Hossam Hamdi Abdelsalam | Psychiatry & Neurology | 3040 W Salt Creek Ln, Arlington Heights, IL 60005-1069 | 2006-06-07 |
| 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.