PAUL S MIKELSON (NPI# 1376753343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376753343 |
Entity Type | Individual |
Full Name | PAUL S MIKELSON |
Credential | OT |
Practice Address |
360 W Butterfield Rd #230 Elmhurst IL 60126 |
Mailing Address |
172 Schiller Elmhurst IL 60126-2885 |
Practice Telephone | 6308331800 |
Practice Fax Number | 6308331833 |
Mailing Telephone | 6307589934 |
Enumeration Date | 2007-05-22 |
Last Update Date | 2011-11-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
056003882 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | OT REGISTRATION NUMBER | 977378 | 01 |
IL | STATE LICENSE | 056003882 | 01 |
Street Address |
360 W BUTTERFIELD RD #230 |
City | ELMHURST |
State | IL |
Zip Code | 60126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669475794 | Raymond V Janevicius | Plastic Surgery | 360 W Butterfield Rd, Ste 230, Elmhurst, IL 60126-5000 | 2005-05-23 |
1700282803 | Susan R Jahn | Physician Assistant | 360 W Butterfield Rd, #160, Elmhurst, IL 60126-5068 | 2014-11-17 |
1114333861 | Achieve Recovery and Rehab, Inc. | Clinic/Center | 360 W Butterfield Rd, Elmhurst, IL 60126-5068 | 2014-07-02 |
1821401316 | Orthopedic Specialists, S.c. | Physician Assistant | 360 W Butterfield Rd, #160, Elmhurst, IL 60126-5068 | 2014-06-03 |
1730519141 | Adventist Health Partners, Inc | Family Medicine | 360 W Butterfield Rd, Ste 140, Elmhurst, IL 60126-5068 | 2013-11-21 |
1417385790 | Illinois Back & Neck Institute LLC | Clinic/Center | 360 W Butterfield Rd, Suite 100, Elmhurst, IL 60126-5068 | 2013-10-23 |
1245664598 | Steven Welch | Social Worker | 360 W Butterfield Rd, Suite 340, Elmhurst, IL 60126-5068 | 2013-08-22 |
1821353673 | Samantha B. Conrad M.d.s.c | Dermatology | 360 W Butterfield Rd, Suite 240, Elmhurst, IL 60126-5068 | 2012-07-09 |
1396002309 | American Diagnostic Mri LLC | Clinic/Center | 360 W Butterfield Rd, Suite 130, Elmhurst, IL 60126-5068 | 2012-04-13 |
1326313511 | Thomas L Nelson Dds Mba Ltd | Dentist | 360 W Butterfield Rd, Suite 180, Elmhurst, IL 60126-5068 | 2012-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
Find all providers in zip 60126 |
Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518357490 | Laura Walker | Occupational Therapist | 1200 S York St, Suite 3200, Elmhurst, IL 60126-5626 | 2015-01-29 |
1700051299 | Susan A Carter | Occupational Therapist | 200 Berteau Avenue, Elmhurst, IL 60126 | 2008-04-25 |
1164643060 | Faye Grand, Otr Cht PC | Occupational Therapist | 9131 Queens Blvd, Suite 310, Elmhurst, NY 11373-5555 | 2007-05-01 |
1306067103 | Faye Grand, Otr Cht PC | Occupational Therapist | 9131 Queens Blvd, Elmhurst, NY 11373-5555 | 2007-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013551142 | Brian P Karabin | Occupational Therapist | 901 Biesterfield Rd # 320, Elk Grove Vlg, IL 60007-3392 | 2019-11-01 |
1306403076 | Michael Cernivec | Occupational Therapist | 1009 State Route 22, Fox River Grove, IL 60021-1998 | 2019-05-28 |
1689169971 | Jill Hecht | Occupational Therapist | 901 Medical Park Dr Ste 100, Effingham, IL 62401-2191 | 2018-06-28 |
1508009762 | Hand Therapy of Lasalle County, Inc. | Occupational Therapist | 511 S Ottawa St, Earlville, IL 60518-8005 | 2009-04-16 |
1972764249 | Denise Renee Dumont-meyer | Occupational Therapist | 3739 W Elm St, Mchenry, IL 60050-4372 | 2008-06-19 |
1982886628 | Kimberly Ann Beaupre | Occupational Therapist | 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 | 2007-12-05 |
1487790994 | Deborah Jenski Lotta | Occupational Therapist | 515 W Algonquin Road Suite 110, Arlingotn Heights, IL 60005 | 2007-01-30 |
1194896050 | Arun Sharma | Occupational Therapist | 14466 Pinewood Dr, Orland Park, IL 60467-7112 | 2006-11-13 |
1790854693 | Barbara Jacobs Raff | Occupational Therapist | 77 North Airlite St, Elgin, IL 60123 | 2006-11-06 |
1376637595 | Arlene Marie Piper | Occupational Therapist | 2001 Midwest Road, Suite Ll44 Oakbrook Hand Rehabilitation, Oakbrook, IL 60523-1343 | 2006-10-03 |
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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.