DR. MICHAEL KEVIN O'DONOGHUE (NPI# 1194748962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194748962 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL KEVIN O'DONOGHUE |
| Credential | M.D. |
| Practice Address |
2434 Wolf Rd Westchester IL 60154-5634 |
| Practice Telephone | 7085625430 |
| Mailing Telephone | 7085625430 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 03-113995 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2434 WOLF RD |
| City | WESTCHESTER |
| State | IL |
| Zip Code | 60154-5634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245289784 | Eric Spratford | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2006-05-10 |
| 1437508371 | Kevin Joseph Kalafut | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2016-06-10 |
| 1124356118 | John M Michet | Counselor | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2009-12-02 |
| 1467607069 | Lynn P Jonen | Psychologist | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2008-11-24 |
| 1255586152 | Lindsay A Norwood | Psychologist | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2008-11-20 |
| 1134396211 | Kathy G Supple | Nurse Practitioner | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2008-05-08 |
| 1699981332 | Tracy H. Koziol | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2007-05-16 |
| 1508995762 | Tdk Family Medical Centers LLC | Pharmacy | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2007-03-05 |
| 1700838745 | Kenneth Nelson | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2006-05-17 |
| 1770535973 | Thomas Nelson | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826144 | Vitucci Lcsw, PC | Family Medicine | One Westbrook Coporate Ctr, Suite 300, Westchester, IL 60154 | 2020-06-23 |
| 1861038200 | Ease of Mind Pllc | Psychologist | 10526 West Cermak Road, Suite 308aa, Westchester, IL 60154 | 2019-11-20 |
| 1275034738 | University Pain Physicians LLC | Psychologist | 2450 Wolf Road, Westchester, IL 60154 | 2018-02-21 |
| 1871029801 | Us Med, LLC | Durable Medical Equipment & Medical Supplies | One Westbrook Corporate Center Suite 300 Office 341, Westchester, IL 60154 | 2017-05-11 |
| 1639527831 | Rhonda Marion | Occupational Therapist | 2450 Wolf Rd Ste E, Westchester, IL 60154 | 2016-05-27 |
| 1841661774 | Petrak Family Chiropractic Center S.c | Chiropractor | 3070 South Wolf Rd, Westchester, IL 60154 | 2015-10-19 |
| 1154799179 | Felicia Owens | Counselor | 10310 Elizabeth St, Unit 2, Westchester, IL 60154 | 2015-09-08 |
| 1407239130 | Elizabeth Singler | Counselor | 9855 Roosevelt Rd, Westchester, IL 60154 | 2015-06-30 |
| 1730527896 | Care Bridge Health Services, Inc. | Registered Nurse | 9865 West Roosevelt Rd. Suite # 204, Westchester, IL 60154 | 2013-06-11 |
| 1295173466 | Arlinda Elezi | Internal Medicine | 3005 Wolf Rd, Westchester, IL 60154 | 2013-06-10 |
| Find all providers in zip 60154 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1063030252 | Vitalskin Medical Group Il Pllc | Dermatology | 1111 W Kenyon Rd, Urbana, IL 61801-1010 | 2020-07-14 |
| 1447873831 | Derick Dermatology, LLC | Dermatology | 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 | 2020-05-20 |
| 1346869393 | Julia Katsnelson Md Sc | Dermatology | 231 Olde Half Day Rd, Lincolnshire, IL 60069-2906 | 2020-04-10 |
| 1114551983 | Katherine Janezic | Dermatology | 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 | 2020-03-02 |
| 1013559400 | Orsini Surgical Dermatology Sc | Dermatology | 1519 Legacy Cir, Naperville, IL 60563-3161 | 2019-10-17 |
| 1124675244 | Kiracofe Md Medical, LLC | Dermatology | 719 South Blvd # 2903, Oak Park, IL 60302-2903 | 2019-08-22 |
| 1366009664 | Derick Dermatology | Dermatology | 1900 Spring Rd Ste 210, Oak Brook, IL 60523-9063 | 2019-05-22 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1891257853 | Maria Estela Martinez Escala | Dermatology | 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
| City | WESTCHESTER |
| Zip Code | 60154 |
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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.