DR. MARY M DISOMMA (NPI# 1396806840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396806840 |
| Entity Type | Individual |
| Full Name | DR. MARY M DISOMMA |
| Credential | DPM |
| Practice Address |
1100 Lake St Suite 248 Oak Park IL 60301-1015 |
| Practice Telephone | 7083835554 |
| Practice Fax Number | 7083839321 |
| Mailing Telephone | 7083835554 |
| Mailing Fax Number | 7083839321 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0160045851 | 05 |
| Street Address |
1100 LAKE ST SUITE 248 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283803 | Forrest J Robinson | Family Medicine | 1100 Lake St, Oak Park, IL 60302 | 2005-05-23 |
| 1306384284 | Agruss Center for Health and Wellness LLC | Social Worker | 1100 Lake St, Suite 201, Oak Park, IL 60301-1015 | 2017-02-10 |
| 1689116261 | Sara Marie Rusk | Psychologist | 1100 Lake St, Ste. 230, Oak Park, IL 60301-1015 | 2016-11-14 |
| 1013377928 | Amy Schigelone Phd Lcsw LLC | Social Worker | 1100 Lake St, Suite 35, Oak Park, IL 60301-1015 | 2016-03-04 |
| 1912366295 | Wellcomemd Medical PC | Family Medicine | 1100 Lake St, Suite 125, Oak Park, IL 60301-1015 | 2016-02-16 |
| 1811394802 | Amy Schigelone | Social Worker | 1100 Lake St, Ll35, Oak Park, IL 60301-1015 | 2014-11-19 |
| 1629491394 | Kate Giandonato & Associates | Social Worker | 1100 Lake St, Suite 201, Oak Park, IL 60301-1015 | 2014-01-30 |
| 1619301546 | Courtney Clark | Social Worker | 1100 Lake St, Suite 201, Oak Park, IL 60301-1015 | 2013-08-27 |
| 1629413166 | We Care Health Service Inc. | In Home Supportive Care | 1100 Lake St, Oak Park, IL 60301-1015 | 2013-05-09 |
| 1760761621 | Natalia Kleinaitis | Acupuncturist | 1100 Lake St, Suite 102, Oak Park, IL 60301-1015 | 2011-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1578093795 | Sharif M Denden | Podiatrist | 610 S Maple Ave Ste 2550, Oak Park, IL 60304-2807 | 2017-06-20 |
| 1437237534 | Mercado Center for Foot & Ankle Surgery | Podiatrist | 6545 North Ave, Oak Park, IL 60302-1020 | 2006-11-02 |
| 1114039369 | Todd M Mack | Podiatrist | 18 Chicago Ave, Oak Park, IL 60302 | 2006-08-31 |
| 1891805222 | Mercado Foot Clinic Ltd | Podiatrist | 6545 W. North Ave, Oak Park, IL 60302-1020 | 2006-08-30 |
| 1962995753 | Michal Zemela | Podiatrist | 610 S Maple Ave Ste 2550, Oak Park, IL 60304 | 2018-06-07 |
| 1104085083 | Center for Reconstructive Surgery of The Foot Ankle & Leg, Pllc | Podiatrist | 13855 W 9 Mile Rd, Suite C, Oak Park, MI 48237-2775 | 2008-06-05 |
| 1205985108 | S.a.wright Dpm PC | Podiatrist | 24601 Coolidge Hwy, Oak Park, MI 48237-1449 | 2007-01-09 |
| 1184795239 | Mary Ann Bender | Podiatrist | 6931 North Ave, Oak Park, IL 60302-1053 | 2006-11-12 |
| 1851401293 | Orlando A Mercado | Podiatrist | 6545 North Ave, Oak Park, IL 60302-1020 | 2006-08-30 |
| Find all providers in OAK PARK | ||||
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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.