ADEL F MINA (NPI# 1316962749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316962749 |
| Entity Type | Individual |
| Full Name | ADEL F MINA |
| Credential | M.D. |
| Practice Address |
112 Ne Crescent Ave Peoria IL 61606-1901 |
| Practice Telephone | 3096724670 |
| Mailing Telephone | 3096724670 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036111050 | IL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036111050 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
036111050 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE | 036111050 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2525 S Michigan Ave, Chicago, IL 606162333 | 3125672000 |
| Street Address |
112 NE CRESCENT AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61606-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265485973 | Heartland Home Health Care Inc. | Prosthetic/Orthotic Supplier | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2006-05-17 |
| 1265070494 | Aaron M Owens | Nurse Practitioner | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2019-12-18 |
| 1881151538 | Heather Franklin | Nurse Practitioner | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2019-02-28 |
| 1558830851 | Courtney D Edsall | Nurse Practitioner | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2018-11-15 |
| 1285142281 | Matthew Culp | Nurse Practitioner | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2018-01-12 |
| 1063936573 | Cheryl Herrmann | Clinical Nurse Specialist | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2017-07-27 |
| 1225566334 | Jodi Nutter | Nurse Practitioner | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2017-06-02 |
| 1063720993 | Pawan Damodhar Sarda | Internal Medicine | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2010-09-14 |
| 1053563643 | Nicholas Warnecke | Physician Assistant | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2008-10-15 |
| 1194974964 | Tahir Ilahi | Internal Medicine | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2008-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292334 | Kelley Stork | Speech-Language Pathologist | 807 W Columbia Terrace, Peoria, IL 61606 | 2018-10-25 |
| 1689140519 | Emma Cristine Tully | Speech-Language Pathologist | 1619 W. Fredonia Ave, Peoria, IL 61606 | 2018-10-18 |
| 1316492432 | Jennifer Greenwood | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2016-08-18 |
| 1104944974 | Robert I Martin | Preventive Medicine | 1127 N North Street, Peoria, IL 61606 | 2007-03-27 |
| 1023062312 | Saint Francis Medical Center | Physical Medicine & Rehabilitation | 100 Ne Randoph Street, Peoria, IL 61606 | 2006-05-20 |
| 1174573307 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 741 West Main Street, Peoria, IL 61606 | 2006-05-10 |
| 1174025357 | Amy M Durst | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2018-03-05 |
| 1538471099 | Jacob Royle Hopping | Surgery | 1001 Main St Ste 300, Peoria, IL 61606 | 2010-07-12 |
| 1881906410 | Heather Jefford | Clinical Nurse Specialist | 1001 Main St, 3rd Floor, Peoria, IL 61606 | 2010-07-12 |
| 1306874128 | David L Crawford | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
| Find all providers in zip 61606 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1275176091 | Honorhealth Ambulatory | Internal Medicine | 10230 W Happy Valley Pkwy Ste 200, Peoria, AZ 85383-4255 | 2019-10-24 |
| 1124249560 | Paul D Haas | Internal Medicine | 13460 N 94th Dr Ste J1, Peoria, AZ 85381-4246 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508363185 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1340 Il Highway 1 Ste A, Carmi, IL 62821 | 2018-04-10 |
| 1568637833 | Krishnaswami Sriram | Internal Medicine | 611 Hunter Ln, Lake Forest, IL 60045-4905 | 2008-04-28 |
| 1083712467 | Ohio Valley Heartcare Inc | Internal Medicine | 1405 Locust St, Eldorado, IL 62930-1629 | 2006-09-20 |
| 1912917030 | Martin C Burke | Internal Medicine | 1006 S Michigan Ave, Suite 501, Chicago, IL 60605-2254 | 2006-08-09 |
| 1316998578 | West Suburban Cardiologists, Ltd. | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2006-05-13 |
| 1952359242 | Samer Dibs | Internal Medicine | 2222 W Division St Ste 340, Chicago, IL 60622-2995 | 2006-05-05 |
| 1164483145 | Mehran Jabbarzadeh | Internal Medicine | 900 Technology Way Ste 220, Libertyville, IL 60048-5364 | 2006-03-30 |
| 1497754634 | Rebecca Sue Riepshoff | Internal Medicine | Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 | 2005-07-19 |
| 1093712481 | Erica D Engelstein | Internal Medicine | 7447 W Talcott Ave Ste 222, Chicago, IL 60631-3713 | 2005-06-30 |
| 1861007239 | Marian Heart Rhythm Consultants Sc | Internal Medicine | 2222 W Division St Ste 205, Chicago, IL 60622-3094 | 2020-09-13 |
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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.