MR. THEODORE SCOTT LANDERS (NPI# 1346450129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346450129 |
| Entity Type | Individual |
| Full Name | MR. THEODORE SCOTT LANDERS |
| Credential | O.T.C. |
| Practice Address |
901 Biesterfield Rd Suite 300 Elk Grove Village IL 60007-3392 |
| Mailing Address |
157 Santa Fe Ln Willow Springs IL 60480-1624 |
| Practice Telephone | 8474379889 |
| Practice Fax Number | 8473012829 |
| Mailing Telephone | 7084670467 |
| Mailing Fax Number | 8153271614 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
901 BIESTERFIELD RD SUITE 300 |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007-3392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770580672 | Mohamed A Rahman | Internal Medicine | 901 Biesterfield Rd, Suite 310, Elk Grove Village, IL 60007-3392 | 2005-07-07 |
| 1760938898 | Stefan Michael Schumer | Dentist | 901 Biesterfield Rd, Suite 111, Elk Grove Village, IL 60007-3392 | 2016-08-29 |
| 1801251376 | Tg Therapy Ltd. | Counselor | 901 Biesterfield Rd, Ste 109, Elk Grove Village, IL 60007-3392 | 2015-12-28 |
| 1558748046 | Kimberly Sue Dennis | Advanced Practice Midwife | 901 Biesterfield Rd, Elk Grove Village, IL 60007-3392 | 2015-05-04 |
| 1467730192 | Khurram Saleem | Internal Medicine | 901 Biesterfield Rd, S-310, Elk Grove Village, IL 60007-3392 | 2011-07-29 |
| 1578851051 | Diane Marie Fuller | Physical Therapist | 901 Biesterfield Rd, Suite 306, Elk Grove Village, IL 60007-3392 | 2011-07-18 |
| 1063705572 | Ross Matthew Robarts | Physician Assistant | 901 Biesterfield Rd, Suite #300, Elk Grove Village, IL 60007-3392 | 2011-05-17 |
| 1427222876 | Hameedk Md Sc | Internal Medicine | 901 Biesterfield Rd, Suite 111, Elk Grove Village, IL 60007-3392 | 2008-04-16 |
| 1720276553 | Infants & Childrens Clinic | Pediatrics | 901 Biesterfield Rd, Suite 200, Elk Grove Village, IL 60007-3392 | 2007-10-05 |
| 1376739276 | Laura Christine Kramarz | Counselor | 901 Biesterfield Rd, Suite 109, Elk Grove Village, IL 60007-3392 | 2007-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634045 | Electrolysis By Kelly Inc | Specialist/Technologist, Other | 715 Lake St Ste 300, Oak Park, IL 60301-1412 | 2020-06-25 |
| 1295384337 | Stacey Gail Lucterhand | Specialist/Technologist, Other | 133 Ridge Rd, Highland Park, IL 60035-4338 | 2019-09-11 |
| 1740783117 | Ericka Nicole Curry | Specialist/Technologist, Other | 8635 S 87th Ave, Justice, IL 60458-2005 | 2018-03-13 |
| 1316462807 | Hrisanthi Zhupa | Specialist/Technologist, Other | 7253 W Touhy Ave, Chicago, IL 60631-4326 | 2017-08-07 |
| 1013442045 | Kyle Marcus Thorson | Specialist/Technologist, Other | 267 South Chestnut St, Apt 3, Chebanse, IL 60922 | 2017-04-27 |
| 1255866646 | Matthew Kovarik | Specialist/Technologist, Other | 221 3rd St, Libertyville, IL 60048-2303 | 2017-04-24 |
| 1275068660 | Marissa Nicole Maeder | Specialist/Technologist, Other | 205 S 6th St, Malta, IL 60150-9703 | 2017-04-24 |
| 1629503016 | Amber Beasley | Specialist/Technologist, Other | 2808 Grouse Ct, Rolling Meadows, IL 60008-2601 | 2017-04-24 |
| 1073048468 | Nicole Lynn Fatka | Specialist/Technologist, Other | 318 N Thomas St, Gilman, IL 60938-1352 | 2017-04-24 |
| 1982139374 | Nicholas Escondo | Specialist/Technologist, Other | 1407 Churchill Ln, Grayslake, IL 60030-3754 | 2017-04-24 |
| Find all providers with the same taxonomy | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
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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.