PROVENA MERCY MEDICAL CENTER (NPI# 1366727935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366727935 |
Entity Type | Organization |
Organization Name | PROVENA MERCY MEDICAL CENTER |
Other Organization Name | OB LABORISTS |
Practice Address |
1325 N Highland Ave Aurora IL 60506-1449 |
Practice Telephone | 6308592222 |
Mailing Telephone | 6308592222 |
Enumeration Date | 2011-10-14 |
Last Update Date | 2011-10-14 |
Authorized Official Name | MICHELLE REMSEN (MANAGER) |
Authorized Official Telephone | 6308012027 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Ob Laborists | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912253568 | Provena Mercy Medical Center | General Acute Care Hospital | 136 Spuhler Dr, Batavia, IL 60510-1625 | 2012-08-01 |
1336285527 | Provena Mercy Medical Center | General Acute Care Hospital | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2007-01-29 |
1639221377 | Provena Mercy Medical Center | Psychiatric Unit | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2007-01-16 |
Street Address |
1325 N HIGHLAND AVE |
City | AURORA |
State | IL |
Zip Code | 60506-1449 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053310417 | Aurora Radiology Consultants, S.c. | Radiology | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2005-07-19 |
1790307999 | Dorota Teresa Kruczek | Counselor | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2020-05-11 |
1255967709 | Kathryn Ann Mckenna | Social Worker | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2020-03-17 |
1134778152 | Robert W Healy | Social Worker | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2019-09-11 |
1548721673 | Kristina Thomas | Social Worker | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2019-03-29 |
1811454333 | Meagan Gabrielle Knight | Counselor | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2019-02-21 |
1194298463 | Sarah Kestner | Dietitian, Registered | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2019-01-09 |
1306318027 | Tianna Miulli | Counselor | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2018-12-19 |
1831649029 | Jatame Carden | Physician Assistant | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2016-10-11 |
1881141125 | Tracy Butler | Nurse Practitioner | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2016-09-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
Find all providers in zip 60506 |
Taxonomy Code | 207VX0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Obstetrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003082777 | Yuhang Shek Mdsc | Obstetrics & Gynecology | 1315nhighland Avenue, 104, Aurora, IL 60506 | 2008-05-02 |
1437595840 | Lindsay Brubaker | Obstetrics & Gynecology | 1635 Aurora Ct Fl 3, Aurora, CO 80045-2541 | 2013-05-13 |
1013018340 | Rush-copley Medical Group | Obstetrics & Gynecology | 2040 Ogden Ave, Suite 201, Aurora, IL 60504-7222 | 2006-09-26 |
1376643767 | Rush-copley Medical Group | Obstetrics & Gynecology | 2020 Ogden Avenue, Suite 225, Aurora, IL 60504 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104471622 | Mount Sinai Community Foundation Dba Sinai Medical Group | Obstetrics & Gynecology | 645 S Central Ave Fl 6, Chicago, IL 60644-5059 | 2019-08-02 |
1396100384 | Tatiana Araujo | Obstetrics & Gynecology | 1500 S Fairfield Ave Ste F-206, Chicago, IL 60608-1782 | 2015-12-18 |
1245633726 | Saints Mary and Elizabeth Medical Center | Obstetrics & Gynecology | 651 S Sutton Rd, Suite 260, Streamwood, IL 60107-2366 | 2014-09-29 |
1982982096 | Kanika Sood | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2011-07-25 |
1245433093 | Marko Lekovic, M.d.,s.c. | Obstetrics & Gynecology | 6433 Pulaski Road, Chicago, IL 60629 | 2007-06-08 |
1407065154 | Eiman El-tag | Obstetrics & Gynecology | 11330 S Harlem Ave, Worth, IL 60482-2060 | 2007-05-21 |
1841419207 | West Suburban Medical Center | Obstetrics & Gynecology | Box 4063 Women's Health Center, Carol Stream, IL 60122-0001 | 2007-04-24 |
1245454222 | V Greene Md PC | Obstetrics & Gynecology | 1322 E 47th St, Chicago, IL 60653-4508 | 2007-04-12 |
1003932765 | Pana Ob-gyn | Obstetrics & Gynecology | 115 E Pleasant St, Taylorville, IL 62568-1560 | 2007-03-22 |
1659449106 | Somboon Sriaroon | Obstetrics & Gynecology | 2820 W Peterson Ave, Chicago, IL 60659-3803 | 2006-12-01 |
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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.