SOUTHWEST DIABETES ENDOCRINOLOGY ASSOCIATES SC (NPI# 1164552550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164552550 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST DIABETES ENDOCRINOLOGY ASSOCIATES SC |
| Practice Address |
150 W High St Morris IL 60450-1463 |
| Practice Telephone | 8159422932 |
| Mailing Telephone | 8159422932 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | NABEEL JABRI (PRESIDENT) |
| Authorized Official Telephone | 2177844272 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
150 W HIGH ST |
| City | MORRIS |
| State | IL |
| Zip Code | 60450-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407197 | David D Vanderkin | Radiology | 150 W High St, Morris, IL 60450-1463 | 2005-06-15 |
| 1043856867 | Taelor Anne Stuedemann | Registered Nurse | 150 W High St, Morris, IL 60450-1463 | 2019-11-27 |
| 1770011397 | Ashley Blough | Nurse Practitioner | 150 W High St, Morris, IL 60450 | 2017-05-25 |
| 1548717333 | Elizabeth Behning | Dietitian, Registered | 150 W High St, Morris, IL 60450-1463 | 2016-09-08 |
| 1265988505 | Stacy Rivara | Nurse Practitioner | 150 W High St, Morris, IL 60450-1463 | 2016-08-28 |
| 1295197481 | Kanchan Tiwari | Internal Medicine | 150 W High St, Morris, IL 60450-1497 | 2016-03-25 |
| 1982061669 | Elizabeth Ann Cacello | Nurse Practitioner | 150 W High St, Morris, IL 60450-1463 | 2016-01-26 |
| 1851761886 | Cheryl Cullison | Dietitian, Registered | 150 W High St, Morris, IL 60450-1463 | 2015-10-02 |
| 1881073708 | Anurag Satsangi | Internal Medicine | 150 W High St, Morris, IL 60450-1497 | 2015-05-26 |
| 1821493768 | Noreen B Reaney | Nurse Practitioner | 150 W High St, Morris, IL 60450-1463 | 2014-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
| 1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
| 1780128249 | Lori Lynn Peterson | Nurse Practitioner | 8805 N Tabler Road, Health & Wellness Clinic, Morris, IL 60450 | 2016-12-18 |
| 1639613532 | Jodi Lynn Valencia | Licensed Practical Nurse | 114 E. Benton St., Morris, IL 60450 | 2016-12-12 |
| 1184001844 | Ashish G. Suthar | Pharmacist | 1600 West Route 6, Morris, IL 60450 | 2015-05-01 |
| 1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
| 1952682742 | Marie E Monhardt | Nurse Practitioner | 801 So Washington Str, Naperville, IL 60450 | 2011-09-07 |
| 1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
| 1063669182 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 201 East U.S. Route 6, Morris, IL 60450 | 2008-08-20 |
| Find all providers in zip 60450 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497958201 | Meiraj F Zuberi | Internal Medicine | 1367 N Division St, Morris, IL 60450-1444 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961304 | Wahid Kassar Md Ltd | Internal Medicine | 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 | 2020-04-20 |
| 1245701812 | Chrysalis Health of Il P.C. | Internal Medicine | 402 Gardenia Ln, Buffalo Grove, IL 60089-1661 | 2018-12-07 |
| 1467920124 | Impact Physician Group, Illinois, LLC | Internal Medicine | 115 E South St Ste F, Plano, IL 60545-1595 | 2018-11-10 |
| 1538669510 | Oa Labs Clinic LLC. | Internal Medicine | 6321 Fairview Ave Ste B, Westmont, IL 60559-2886 | 2018-02-16 |
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1356861496 | Javier Alcid Duron Tabora | Internal Medicine | 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 | 2017-06-20 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1780135426 | Endocrine and Metabolic Center Inc | Internal Medicine | 280 Stonegate Rd, Algonquin, IL 60102-5600 | 2016-10-18 |
| 1174975601 | Bilal Shaikh | Internal Medicine | 1750 W Harrison St Ste 250, Chicago, IL 60612 | 2016-07-08 |
| 1316396294 | Melissa Faye Cohen | Internal Medicine | 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 | 2016-06-10 |
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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.