ADVANTAGE MEDICAL GROUP S.C. (NPI# 1336225317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336225317 |
Entity Type | Organization |
Organization Name | ADVANTAGE MEDICAL GROUP S.C. |
Practice Address |
12770 S Harlem Ave Palos Heights IL 60463-2145 |
Mailing Address |
12770 S. Harlem Avenue Palos Heights IL 60463-2145 |
Practice Telephone | 7089230636 |
Practice Fax Number | 7089230669 |
Mailing Telephone | 7089230636 |
Mailing Fax Number | 7089230669 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2020-08-22 |
Authorized Official Name | KEVIN HAUSER (PRESIDENT) |
Authorized Official Telephone | 7089230636 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | IL | Allopathic & Osteopathic Physicians |
Street Address |
12770 S HARLEM AVE |
City | PALOS HEIGHTS |
State | IL |
Zip Code | 60463-2145 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
Find all providers in zip 60463 |
Taxonomy Code | 204D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine & OMM |
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639436330 | Christopher Sugihara Ngo | Neuromusculoskeletal Medicine & OMM | 2135 Dorothy Dr Ste 6, Belleville, IL 62223-7751 | 2012-04-19 |
1770749434 | Cheryl B Schwartz | Neuromusculoskeletal Medicine & OMM | 240 Saunders Road, Riverwoods, IL 60015-3835 | 2008-08-01 |
1114063989 | Gajda Sports Medical Center Ltd | Neuromusculoskeletal Medicine & OMM | 400 Lake Cook Road Suite 200c, Deerfield, IL 60015 | 2007-01-29 |
1750453858 | Carol Calhoun Williams | Neuromusculoskeletal Medicine & OMM | 124 E 8th St, Gibson City, IL 60936-1455 | 2006-11-14 |
1851485346 | Bernadette Goheen Kohn | Neuromusculoskeletal Medicine & OMM | 5404 W. Elm Street, Suite Q, Mchenry, IL 60050-4052 | 2006-10-02 |
1558462531 | Kurt P Heinking | Neuromusculoskeletal Medicine & OMM | 26520 Network Pl, Chicago, IL 60673-1265 | 2006-09-25 |
1669429908 | Lee Peter Bee | Neuromusculoskeletal Medicine & OMM | 107 W Franklin St, Sesser, IL 62884-1456 | 2006-05-30 |
1245293794 | James Randall Sigler | Neuromusculoskeletal Medicine & OMM | 909 W 3rd St, Mount Carmel, IL 62863-1718 | 2006-04-07 |
1841250339 | Edward A Trudeau | Neuromusculoskeletal Medicine & OMM | 319 E Madison St Ste 2a, Springfield, IL 62701-1035 | 2006-03-27 |
1356315246 | Mark Jennings | Neuromusculoskeletal Medicine & OMM | Pediatric Neurology, 515 Ne Glen Oak #308, Peoria, IL 61603 | 2006-02-15 |
Find all providers with the same taxonomy |
City | PALOS HEIGHTS |
Zip Code | 60463 |
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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.