ALVIN JOSEPH GONZALES DANDAN


Address: 1005 Broadway St, Quincy, IL 62301-2834
Phone: 2172238400

ALVIN JOSEPH GONZALES DANDAN (NPI# 1174835706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174835706
Entity Type Individual
Full Name ALVIN JOSEPH GONZALES DANDAN
Credential M.D.
Practice Address 1005 Broadway St
Quincy
IL 62301-2834
Practice Telephone 2172238400
Mailing Telephone 2172238400
Enumeration Date 2010-07-12
Last Update Date 2020-10-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
036151231 IL Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
MD43069 IA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1225 S Gear Ave Ste 254, West Burlington, IA 526551687 3197683240

Office Location

Street Address 1005 BROADWAY ST
City QUINCY
State IL
Zip Code 62301-2834

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194729087 Mary F Barthel Internal Medicine 1005 Broadway St, Quincy, IL 62301-2834 2005-06-08
1861093528 Kayla Cathleen Fletcher Pharmacist 1005 Broadway St, Quincy, IL 62301-2834 2020-11-07
1124629035 Carla Sue Smith Clinical Nurse Specialist 1005 Broadway St, Quincy, IL 62301-2834 2020-11-06
1164023636 Whitney Brock Nurse Practitioner 1005 Broadway St, Quincy, IL 62301-2834 2020-11-02
1851918635 Mitchell Andrew Coval Nurse Anesthetist, Certified Registered 1005 Broadway St, Quincy, IL 62301-2834 2020-06-29
1699392415 Jaryn S Black Nurse Practitioner 1005 Broadway St, Quincy, IL 62301-2834 2020-06-27
1326677535 Angie Rose Nurse Practitioner 1005 Broadway St, Quincy, IL 62301-2834 2020-04-08
1386274843 Lisa Marie Orton Nurse Practitioner 1005 Broadway St, Quincy, IL 62301-2834 2020-01-23
1497393847 Benjamin Nash Nurse Anesthetist, Certified Registered 1005 Broadway St, Quincy, IL 62301-2834 2019-12-17
1851938476 Nichole Suzanne Stanley Nurse Practitioner 1005 Broadway St, Quincy, IL 62301-2834 2019-12-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356969471 Lutheran Child and Family Service of Illinois Foster Care Agency 1400 N. 30th St, Quincy, IL 62301 2020-07-07
1134749716 Bethany Nicole Jumps Pharmacist Broadway St & N 11th St, Quincy, IL 62301 2020-04-23
1043844293 S.crider Construction An Supply Corp. Contractor 529 Woodbridge Dr., Quincy, IL 62301 2020-02-26
1245862002 Quincy Physicians & Surgeons Clinic, Sc Clinic/Center 3301 Broadway St., Quincy, IL 62301 2020-02-10
1043851488 West Central Illinois Nutrition In Home Supportive Care 639 York St. Room 333, Quincy, IL 62301 2019-10-07
1861986549 Quincy Physicians & Surgeons Clinic, Sc Internal Medicine 3347 Broadway St, Quincy, IL 62301 2018-06-18
1194255083 Michael Andrew Behrens Nurse Practitioner Broadway and 11th Street, Quincy, IL 62301 2017-06-14
1770987323 Kirsty Yvonne Reed Counselor 205 S. 24th Street, Chaddock, Quincy, IL 62301 2014-10-10
1114234499 Dale D. Shahan Dds Ltd Dentist 636 Hampshire Suite 102, Quincy, IL 62301 2010-09-08
1730314071 James D Kaufmann Pharmacist 14th & Broadway, Quincy, IL 62301 2009-05-15
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164429957 Venu Reddy Internal Medicine 927 Broadway St, Suite 204, Quincy, IL 62301-2719 2005-07-07
1063553303 Elie A Chbeir Internal Medicine 1025 Maine St, Quincy, IL 62301-4038 2007-02-09
1306958657 South Shore Pulmonary, Inc. Internal Medicine 500 Congress St, Suite 2f, Quincy, MA 02169-0908 2006-08-31
1396718797 Manoocher Nassery Internal Medicine 1025 Maine St, Quincy, IL 62301-4038 2006-02-08
1972504298 Kenneth Einstein Internal Medicine 500 Congress St, 3rd Floor, Quincy, MA 02169-0908 2005-08-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720636202 Pulmonary Associates Ltd Internal Medicine 71 W 156th St Ste 203, Harvey, IL 60426-4262 2019-08-28
1336516467 Hesham A. Hassaballa, Md, Ltd Internal Medicine 109 Symonds Dr Unit 684, Hinsdale, IL 60522-7304 2015-08-24
1497141394 Pulmonary and Critical Care Solutions, LLC Internal Medicine 6116 N 2200 East Rd, Downs, IL 61736-9459 2015-04-08
1558771220 Christopher Charles Sutton Internal Medicine 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 2014-05-05
1861835985 Christie Ann Brillante Internal Medicine 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 2013-04-08
1992050850 Thomas Christopher Draghi Internal Medicine 155 Linden Ave, Oak Park, IL 60302-2610 2012-07-17
1144586041 Robert T Zeck Internal Medicine 13141 Lake Mary Dr, Plainfield, IL 60585-2650 2012-04-04
1508160359 Aziz Rahman Md Facp PC Internal Medicine 1050 Martin Luther King Dr, Ste 109, Centralia, IL 62801 2011-01-07
1811211774 Vitalcare Medical Sc Internal Medicine 1146 S Waukegan Rd, Waukegan, IL 60085-6731 2010-03-22
1508095605 Farhan Zaidi Internal Medicine 444 N Northwest Hwy Ste 206, Park Ridge, IL 60068 2009-07-09
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Competitor

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City QUINCY
Zip Code 62301

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Dataset Information

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.

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