ELMHURST MEMORIAL HEALTHCARE (NPI# 1356661961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356661961 |
| Entity Type | Organization |
| Organization Name | ELMHURST MEMORIAL HEALTHCARE |
| Other Organization Name | ELMHURST CLINIC |
| Practice Address |
675 W North Ave Suite 416 Melrose Park IL 60160-1634 |
| Mailing Address |
172 Schiller St Elmhurst IL 60126-2816 |
| Practice Telephone | 6309935628 |
| Mailing Telephone | 6308341120 |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-12-27 |
| Authorized Official Name | DR. DONALD LURYE (CEO) |
| Authorized Official Telephone | 6308341120 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ELMHURST CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093996654 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 Berteau Ave., Elmhurst, IL 60126-2966 | 2007-11-23 |
| 1134311251 | Elmhurst Memorial Healthcare | Durable Medical Equipment & Medical Supplies | 471 W Army Trail Road, Bloomingdale, IL 60108-2673 | 2007-08-13 |
| 1063572683 | Elmhurst Memorial Healthcare | Clinic/Center | 236 E Irving Park Rd Ste C, Wood Dale, IL 60191-2020 | 2006-12-12 |
| 1396006524 | Elmhurst Memorial Healthcare | Chronic Disease Hospital | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2012-06-05 |
| 1497076392 | Elmhurst Memorial Healthcare | Internal Medicine | 172 E Schiller St, Elmhurst, IL 60126-2816 | 2010-06-15 |
| 1003046103 | Elmhurst Memorial Healthcare | Durable Medical Equipment & Medical Supplies | 303 W Lake St, Suite 202, Addison, IL 60101-2586 | 2009-07-23 |
| 1124206081 | Elmhurst Memorial Healthcare | Clinic/Center | 303 W Lake St, Addison, IL 60101-2586 | 2008-02-03 |
| 1154504702 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-12-06 |
| 1790968345 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-12-06 |
| 1609059252 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-12-06 |
| Street Address |
675 W NORTH AVE SUITE 416 |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134727 | Brad Anstadt | Ophthalmology | 675 W North Ave, Ste 107, Melrose Park, IL 60160-1622 | 2005-06-20 |
| 1578920484 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 675 W North Ave, Melrose Park, IL 60160-1634 | 2016-01-22 |
| 1356733034 | Jessica Lynn Dye | Physician Assistant | 675 W North Ave, Suite 607, Melrose Park, IL 60160-1634 | 2015-03-04 |
| 1861893463 | Paige D Formsma | Audiologist | 675 W North Ave, Suite 110, Melrose Park, IL 60160-1634 | 2014-09-15 |
| 1083014047 | Jennifer Morales | Psychologist | 675 W North Ave, Ste 306, Melrose Park, IL 60160-1634 | 2014-08-27 |
| 1538577754 | Elizabeth Bojarskyj | Pharmacist | 675 W North Ave, Melrose Park, IL 60160-1634 | 2014-07-31 |
| 1780091538 | Bryan David Erce | Dentist | 675 W North Ave, Suite 307, Melrose Park, IL 60160-1634 | 2014-07-14 |
| 1740619246 | Merissa Mann | Physician Assistant | 675 W North Ave, Suite 402, Melrose Park, IL 60160-1634 | 2013-11-05 |
| 1770916074 | Yonatan Rosenblum | Psychologist | 675 W North Ave, Suite 306, Melrose Park, IL 60160-1634 | 2013-08-10 |
| 1538509666 | Hai Solomon M.d.s.c. | Obstetrics & Gynecology | 675 W North Ave, Suite 512, Melrose Park, IL 60160-1634 | 2013-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
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| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
Please comment or provide details below to improve the information on ELMHURST MEMORIAL HEALTHCARE.
| 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.