GRETCHEN L. CROMER, MD PC (NPI# 1174739122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174739122 |
| Entity Type | Organization |
| Organization Name | GRETCHEN L. CROMER, MD PC |
| Practice Address |
3302 41st St Moline IL 61265-7830 |
| Practice Telephone | 3097643912 |
| Practice Fax Number | 3097361804 |
| Mailing Telephone | 3097643912 |
| Mailing Fax Number | 3097361804 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GRETCHEN L CROMER (PRESIDENT) |
| Authorized Official Telephone | 3097643912 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
IL | Behavioral Health & Social Service Providers |
| Street Address |
3302 41ST ST |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-7830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336117571 | Julie A Weger | Psychologist | 3302 41st St, Moline, IL 61265-7830 | 2006-03-14 |
| 1013986975 | Rudolph Michael Weger | Psychologist | 3302 41st St, Moline, IL 61265-7830 | 2006-03-14 |
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|---|---|---|---|---|
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| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
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| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
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| 1215330022 | Accessmydoc Inc | Psychologist | 1900 E Golf Rd, Suite 950, Schaumburg, IL 60173-5834 | 2014-10-07 |
| 1831511690 | The Chicago Integrative Center for Psychiatry LLC | Psychologist | 900 North Shore Dr, Suite 120, Lake Bluff, IL 60044-2243 | 2014-01-14 |
| 1083841076 | Aeries Healthcare of Illinois Physician Group | Psychologist | 8311 W Roosevelt Rd, Forest Park, IL 60130 | 2009-06-17 |
| 1548408586 | Meryl Lipton | Psychologist | 4711 Golf Rd, Suite 1100, Skokie, IL 60076-1224 | 2009-01-29 |
| 1558539387 | Nehal Psychiatric Group, Inc | Psychologist | 7425 Janes Ave, Suite 200, Woodridge, IL 60517-2356 | 2008-02-14 |
| 1679772479 | Miroslaw Walo, Md Sc | Psychologist | 4905 Old Orchard Ctr, Ste 428, Skokie, IL 60077-1458 | 2007-07-12 |
| 1447472493 | Richard P Weber Psy.d. | Psychologist | 1105 W Park Ave, Suite 2, Libertyville, IL 60048-2567 | 2007-05-02 |
| 1992923304 | Rush North Shore Pain Center | Psychologist | 9701 Knox Ave, Suite 103, Skokie, IL 60076-1256 | 2007-04-23 |
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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.