ALLIANCE MEDICAL PARTNERS, LLC (NPI# 1194357954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194357954 |
| Entity Type | Organization |
| Organization Name | ALLIANCE MEDICAL PARTNERS, LLC |
| Practice Address |
200 E Fairman Ave Watseka IL 60970-1644 |
| Mailing Address |
1 Indiana Sq Ste 2060 Indianapolis IN 46204-2020 |
| Practice Telephone | 8154325841 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | DR. ANDRE CREESE (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3176728600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
200 E FAIRMAN AVE |
| City | WATSEKA |
| State | IL |
| Zip Code | 60970-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748040 | Vijay Desai | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2005-08-30 |
| 1861015232 | Holly Isaac | Dietitian, Registered | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2020-05-20 |
| 1891326286 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2020-02-04 |
| 1942857222 | Tracy Packer | Nurse Practitioner | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2019-08-21 |
| 1003396318 | Aaron Daniel Mccray | Nurse Practitioner | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2018-08-16 |
| 1144760836 | Rebecca Koerner | Nurse Practitioner | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2017-03-01 |
| 1083066674 | Iroquois Memorial Hospital | Surgery | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2016-07-07 |
| 1376929174 | Brotula Emergency Physicians LLC | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2015-08-04 |
| 1093191173 | Amy Johandes | Nurse Practitioner | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2015-07-30 |
| 1770982464 | Jessica A. Morales | Registered Nurse | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2014-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189167 | Malinda S Mustered | Occupational Therapist | 825 S Belmont Ave, Watseka, IL 60970 | 2019-11-27 |
| 1558889188 | K-shayla Lafayette | Nurse Practitioner | 200 E. Fairman Ave., Watseka, IL 60970 | 2017-09-04 |
| 1144354879 | Pamela H. Beall | Counselor | 1801 N. State Route 1, Suite 2, Watseka, IL 60970 | 2007-03-15 |
| 1528111879 | Spine Clinics of America Sc | Chiropractor | 425 E. Walnut Street, Watseka, IL 60970 | 2007-01-19 |
| 1699833970 | Shakeel Sher Khan Sandozi | Surgery | 625 S Fifth Street, Watseka, IL 60970 | 2006-12-05 |
| 1790859866 | David Charles Nagele | Dentist | 130 N Littelfuse Ln, Suite 101, Watseka, IL 60970 | 2006-11-20 |
| 1942389259 | John M Rose | Dentist | 316 E Lincoln Ave, Watseka, IL 60970 | 2006-11-06 |
| 1952324279 | Bonita Jean Rajala | Counselor | 617 East Grant St., Watseka, IL 60970 | 2006-07-26 |
| 1396978177 | Allison Shindelar | Social Worker | 323 Wmulberry St, Watseka, IL 60970-0332 | 2009-08-27 |
| 1356441539 | Petersen Health Operations, LLC | Skilled Nursing Facility | 900 N Market St, Watseka, IL 60970-1048 | 2006-09-25 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748040 | Vijay Desai | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2005-08-30 |
| 1376929174 | Brotula Emergency Physicians LLC | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2015-08-04 |
| 1972521839 | Iroquois Emergency Medicine Specialists, Ltd. | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2006-07-18 |
| 1891789244 | Pradip Shah | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2005-08-31 |
| 1245224641 | John A. Timmons | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2005-08-31 |
| 1942293469 | Issac G. Plamoottil | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2005-08-30 |
| 1235122706 | Kathleen O. Halleran | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503394 | Susan Lochhead | Emergency Medicine | 1930 N Fremont St, Chicago, IL 60614-5017 | 2020-09-19 |
| 1851900344 | Cepamerica Illinois PC | Emergency Medicine | 2112 S Michigan Ave, Chicago, IL 60616-1704 | 2020-07-30 |
| 1225650773 | Evan Alexander Jenkins | Emergency Medicine | 701 N 1st St Ste 220, Springfield, IL 62702-3757 | 2020-05-07 |
| 1962030775 | Ramya Kondaveeti | Emergency Medicine | 4440 W 95th St Ste 106s, Oak Lawn, IL 60453-2600 | 2020-03-28 |
| 1972157097 | Francesca Taylor | Emergency Medicine | 20930 W Verona Ave, Lake Villa, IL 60046-7606 | 2019-07-26 |
| 1538622287 | Brandon Fen Chang | Emergency Medicine | 820 S Wood St Ste 100, Chicago, IL 60612-4325 | 2019-04-10 |
| 1053872630 | Oretunlewa Soyinka | Emergency Medicine | 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | 2019-03-27 |
| 1457818098 | Innovative Iv Care, Pllc | Emergency Medicine | 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 | 2019-03-01 |
| 1013414077 | Lauran Wirfs | Emergency Medicine | 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 | 2018-04-06 |
| 1518461987 | David Bennett Feiger | Emergency Medicine | 211 E Huron St, Suite 200, Chicago, IL 60611-3055 | 2018-03-21 |
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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.