ADVANCED OCCUPATIONAL MEDICINE SPECIALISTS (NPI# 1215273834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215273834 |
| Entity Type | Organization |
| Organization Name | ADVANCED OCCUPATIONAL MEDICINE SPECIALISTS |
| Practice Address |
2615 Harrison St Bellwood IL 60104 |
| Practice Telephone | 7084930299 |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |
| Authorized Official Name | DR. RAJEEV KHANNA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7084930299 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
085004020 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NPI | 1457344657 | 01 |
| Street Address |
2615 HARRISON ST |
| City | BELLWOOD |
| State | IL |
| Zip Code | 60104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457344657 | Occu - Sports Med Corp | Specialist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2005-08-24 |
| 1558842773 | Nicholas Michael Mchugh | Physician Assistant | 2615 Harrison St, Bellwood, IL 60104-2450 | 2018-08-25 |
| 1770086480 | Occupational Health Centers of Illinois PC | Clinic/Center | 2615 Harrison St, Bellwood, IL 60104-2450 | 2018-03-09 |
| 1164925871 | American Current Care of Illinois PC | Clinic/Center | 2615 Harrison St, Bellwood, IL 60104-2450 | 2018-03-09 |
| 1497206676 | Joel Starzyk | Physical Therapy Assistant | 2615 Harrison St, Bellwood, IL 60104-2450 | 2016-10-21 |
| 1861941163 | U.S. Healthworks Medical Group of Illinois, PC | Preventive Medicine | 2615 Harrison St, Bellwood, IL 60104-2450 | 2016-09-27 |
| 1821414939 | Elis X Rodriguez | Specialist/Technologist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2014-03-13 |
| 1104259126 | Brian B Minardi | Physician Assistant | 2615 Harrison St, Bellwood, IL 60104-2450 | 2013-08-13 |
| 1134551518 | Joe Mattingly | Specialist/Technologist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2013-08-07 |
| 1073813507 | Julie Grobbelaar Fernandes | Specialist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2010-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538682232 | Juanita Erica Williams | Non-emergency Medical Transport (VAN) | 622 Bohland Ave, Bellwood, IL 60104 | 2017-07-25 |
| 1548680887 | Edward Erlikh | Family Medicine | 456 25th Ave, Bellwood, IL 60104 | 2014-04-25 |
| 1649472333 | American Family Dental Care P.c | Dentist | 4209.st.charles Road, Bellwood, IL 60104 | 2007-06-04 |
| 1235291287 | Lary Michael Pane | Dentist | 4420 St Charles Road, Bellwood, IL 60104 | 2006-12-15 |
| 1356411136 | Westchester Family Dental Ltd | Dentist | 4 Westbrook Corporate Center Ste 102, Westchester, IL 60104 | 2006-11-08 |
| 1750450128 | Sethurama Muthuramaswami | Dentist | 4209.st. Charles Road, Bellwood, IL 60104 | 2006-11-07 |
| 1508966466 | Universal Transportation II | Secured Medical Transport (VAN) | 2843 Washington Blvd, Bellwood, IL 60104 | 2006-09-22 |
| 1437103512 | Modupe Oladeinde | Family Medicine | 619 South 25th Avenue, Bellwood, IL 60104 | 2006-05-21 |
| 1811533953 | United Methodist Homes and Services | Physical Therapist | 439 Bohland Ave, Bellwood, IL 60104 | 2019-11-25 |
| 1740690668 | Hiram Kirkendall Jr. | Counselor | 510 Geneva Ave, Bellwood, IL 60104 | 2014-04-30 |
| Find all providers in zip 60104 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659874261 | Relive Physician Services LLC | Internal Medicine | 333 Waukegan Rd Ste G, Glenview, IL 60025-5122 | 2018-03-10 |
| 1003171596 | Midamerica Orthopaedics, S.c. | Internal Medicine | 1419 Peterson Rd, Libertyville, IL 60048-1001 | 2012-07-10 |
| 1528255049 | Naveed H Elahi Dc Sc | Internal Medicine | 1037 E Woodfield Rd, Schaumburg, IL 60173-4706 | 2007-09-28 |
| 1245359041 | Michael Phillip Fragen | Internal Medicine | 1615 S Norbury Ave, Lombard, IL 60148-6182 | 2007-03-29 |
| 1922157635 | Stephen Adams | Internal Medicine | 259 E Erie St # 100, Chicago, IL 60611-2930 | 2007-01-10 |
| 1023020989 | Ronald Anthony Hickombottom | Internal Medicine | 728 W Jackson Blvd Apt 306, Chicago, IL 60661-5405 | 2006-08-12 |
| 1285612259 | Kathleen M. Weber | Internal Medicine | 1611 W. Harrison, Suite 400, Chicago, IL 60612 | 2006-01-09 |
| 1275195059 | Sure Work Health Clinic Ltd | Internal Medicine | 830 N Ashland Ave, Chicago, IL 60622-5684 | 2019-07-02 |
| 1386102903 | Sure Work Health Clinic | Internal Medicine | 6222 S Pulaski Rd, Chicago, IL 60629-4610 | 2019-03-04 |
| 1235557877 | Angelo M. Savino | Internal Medicine | 720 Florsheim Dr, Libertyville, IL 60048 | 2014-04-01 |
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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.