DAVID J. MIKOLAJCZAK (NPI# 1255368395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255368395 |
| Entity Type | Individual |
| Full Name | DAVID J. MIKOLAJCZAK |
| Credential | D.O. |
| Practice Address |
1900 Silver Cross Blvd Silver Cross Hospital New Lenox IL 60451-9509 |
| Mailing Address |
18021 South Hunt Club Drive Mokena IL 60448 |
| Practice Telephone | 8157401100 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2016-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036-073719 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | O36073719 | 05 |
| Street Address |
1900 SILVER CROSS BLVD SILVER CROSS HOSPITAL |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451-9509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407828882 | Nisha Patel | Radiology | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2006-02-01 |
| 1902412950 | Premier Suburban Medical Group, Pllc | Clinic/Center | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2020-09-16 |
| 1902425937 | Sara Doornbosch | Nurse Practitioner | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2020-04-09 |
| 1962038968 | Hollie Ann Nieland | Nurse Practitioner | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2020-03-21 |
| 1851926869 | Health Services Systems, Inc | Internal Medicine | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2020-03-10 |
| 1376177220 | Taylor Baldermann | Nurse Practitioner | 1900 Silver Cross Blvd, New Lenox, IL 60451 | 2020-03-01 |
| 1114559044 | Sara Milano | Nurse Practitioner | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2020-02-08 |
| 1003459199 | Connie Lynn Machetta | Dietitian, Registered | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2019-10-22 |
| 1972144715 | Rebecca Mireles | Nurse Practitioner | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2019-10-02 |
| 1124596408 | Cammie C Liu | Physician Assistant | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2018-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
| 1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
| Find all providers in zip 60451 | ||||
| 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 |
|---|---|---|---|---|
| 1881048163 | Sina Memari | Emergency Medicine | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2016-04-22 |
| 1518352400 | Aaron Tabor | Emergency Medicine | 1900 Silver Cross Blvd, New Lenox, IL 60451 | 2015-03-30 |
| 1780823724 | Adam Donovan Lee | Emergency Medicine | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2009-02-16 |
| 1679791834 | Em Strategies,ltd. | Emergency Medicine | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2007-04-23 |
| 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.