RAHIL BAXAMUSA DPM (NPI# 1265411813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265411813 |
| Entity Type | Organization |
| Organization Name | RAHIL BAXAMUSA DPM |
| Practice Address |
460 Coventry Lane Ste 103 Crystal Lake IL 60014-7561 |
| Practice Telephone | 8154553788 |
| Practice Fax Number | 8154554657 |
| Mailing Telephone | 8154553788 |
| Mailing Fax Number | 8154554657 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2007-10-12 |
| Authorized Official Name | DR. RAHIL BAXAMUSE (OWNER) |
| Authorized Official Telephone | 8154553788 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | IL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
460 COVENTRY LANE STE 103 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-7561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780757955 | Joseph Francis Antolak | Dentist | 460 Coventry Lane, Suite 104, Crystal Lake, IL 60014 | 2006-11-16 |
| 1700970480 | Clifford E Hunn Jr. | Dentist | 460 Coventry Lane, Ste. 201, Crystal Lake, IL 60014 | 2006-10-03 |
| 1265411839 | Robert F Patte Dpm | Podiatrist | 460 Coventry Lane, Ste 103, Crystal Lake, IL 60014-7561 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770592636 | Tracy Ellington | Podiatrist | 650 Dakota, Suite B, Fox Valley Podiatry of Mchenry Country, Crystal Lake, IL 60012 | 2006-08-07 |
| 1437138088 | Rahil Baxamusa | Podiatrist | 411 E Congress Pkwy Ste B, Crystal Lake, IL 60014 | 2006-01-12 |
| 1447259080 | Timothy T Jantz | Podiatrist | 388 W Terra Cotta Ave, Crystal Lake, IL 60014-3512 | 2005-07-15 |
| 1467972497 | Joseph George Wilson | Podiatrist | 750 E Terra Cotta Ave Ste C, Crystal Lake, IL 60014-3621 | 2017-06-21 |
| 1083702146 | Cheryl R Brown, PC | Podiatrist | 1520 Carlemont Dr Ste M, Crystal Lake, IL 60014-1836 | 2006-10-11 |
| 1851405716 | Fox Valley Podiatrists of Mchenry County | Podiatrist | 650 Dakota St, Suite B, Crystal Lake, IL 60012-3744 | 2006-08-18 |
| 1265411839 | Robert F Patte Dpm | Podiatrist | 460 Coventry Lane, Ste 103, Crystal Lake, IL 60014-7561 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1306452099 | Podiatric Management Systems LLC | Podiatrist | 2 W Talcott Rd Ste 23, Park Ridge, IL 60068-5558 | 2020-09-18 |
| 1073129763 | Podiatric Management Systems LLC | Podiatrist | 4310f W Crystal Lake Rd # F, Mchenry, IL 60050-4208 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1689145898 | S Thomas Sehy D P M L L C | Podiatrist | 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 | 2018-12-16 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1932693744 | Giovanni Incandela | Podiatrist | 700 E Algonquin Rd Unit 2313, Schaumburg, IL 60173-3835 | 2018-06-15 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
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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.