DR. GRACE MURICKEN THUNDIYIL (NPI# 1184614026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184614026 |
| Entity Type | Individual |
| Full Name | DR. GRACE MURICKEN THUNDIYIL |
| Credential | M.D |
| Practice Address |
4402 N Main St Rockford IL 61103-1278 |
| Mailing Address |
3619 Stubai Trl Rockford IL 61114-7336 |
| Practice Telephone | 8159877032 |
| Practice Fax Number | 8159877670 |
| Mailing Telephone | 8159877032 |
| Mailing Fax Number | 8159877670 |
| Enumeration Date | 2005-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
4402 N MAIN ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356338198 | Illinois Department of Human Services | Psychiatric Hospital | 4402 N Main St, Rockford, IL 61103-1278 | 2005-10-05 |
| 1477838563 | Joan H Hosang | Pharmacist | 4402 N Main St, Rockford, IL 61103-1278 | 2011-10-20 |
| 1912031899 | Singer Mental Health Center | Psychiatric Unit | 4402 N Main St, Rockford, IL 61103-1278 | 2007-03-15 |
| 1639203433 | Singer Mental Health Center | Psychiatric Unit | 4402 N Main St, Rockford, IL 61103-1278 | 2007-03-15 |
| 1275666547 | Singer Mental Health Center | Psychiatric Unit | 4402 N Main St, Rockford, IL 61103-1278 | 2007-03-14 |
| 1861546699 | Singer Mental Health Center | Psychiatric Hospital | 4402 N Main St, Rockford, IL 61103-1278 | 2007-01-22 |
| 1780665133 | H. Douglas Singer Mental Health Center | General Acute Care Hospital | 4402 N Main St, Rockford, IL 61103-1278 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
| Find all providers in zip 61103 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386110708 | Jamie Therse Brewer | Psychiatry & Neurology | 1401 E State St Fl 4, Rockford, IL 61104-2315 | 2018-10-24 |
| 1447608492 | Jessica Stier | Psychiatry & Neurology | 1643 N Alpine Rd Ste 104-528, Rockford, IL 61107-1462 | 2016-06-01 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1689966756 | Gerald Keith Hoffman | Psychiatry & Neurology | 5906 Elaine Drive, Rockford, IL 61108-2467 | 2011-05-09 |
| 1740471317 | David Allen Wight | Psychiatry & Neurology | 7019 Rote Rd Ste 105, Rockford, IL 61107-2611 | 2007-08-07 |
| 1366641714 | Khatija Mohammad Vaid | Psychiatry & Neurology | 4960 E State St, Rockford, IL 61108-2268 | 2007-07-16 |
| 1639230303 | Susan Feder Slobard | Psychiatry & Neurology | 1021 N Mulford Rd, Ste 1, Rockford, IL 61107-3877 | 2006-12-13 |
| 1730257056 | Zaffar A Rizvi | Psychiatry & Neurology | 6078 Palo Verde Drive, Rockford, IL 61114 | 2006-12-04 |
| 1063504744 | Delsie Bella Gavali | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101-1214 | 2006-09-29 |
| Find all providers in ROCKFORD | ||||
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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.