JOHN G. SCARAMELLA, M.D.,S.C. (NPI# 1407044225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407044225 |
| Entity Type | Organization |
| Organization Name | JOHN G. SCARAMELLA, M.D.,S.C. |
| Practice Address |
4920 N Central Ave Suite 2b Chicago IL 60630-2338 |
| Mailing Address |
Po Box 7389 Prospect Heights IL 60070-7389 |
| Practice Telephone | 7732025959 |
| Practice Fax Number | 7732029144 |
| Mailing Telephone | 7732025959 |
| Mailing Fax Number | 7732029144 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | JOHN G SCARAMELLA (OWNER) |
| Authorized Official Telephone | 7732025959 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
4920 N CENTRAL AVE SUITE 2B |
| City | CHICAGO |
| State | IL |
| Zip Code | 60630-2338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023065984 | Andrzej P Indyk | Family Medicine | 4920 N Central Ave, Suite 2b, Chicago, IL 60630 | 2006-05-27 |
| 1619382348 | Joel R Anderson PC | Podiatrist | 4920 N Central Ave, Chicago, IL 60630-2338 | 2014-06-20 |
| 1447577994 | Fritzie Arenas Valera | Physical Therapist | 4920 N Central Ave, Chicago, IL 60630-2338 | 2010-04-23 |
| 1346571361 | Medical Integration Sc | Clinic/Center | 4920 N Central Ave, Suite 1a, Chicago, IL 60630-2338 | 2010-01-15 |
| 1881831733 | Mary Rose Ramos Alejo | Physical Therapist | 4920 N Central Ave, Chicago, IL 60630-2338 | 2009-01-14 |
| 1215116942 | Institute for Integrative Health and Wellness,s.c. | Clinic/Center | 4920 N Central Ave, 1a, Chicago, IL 60630-2338 | 2007-10-30 |
| 1396967550 | Joel R. Anderson, PC | Podiatrist | 4920 N Central Ave, Ste 1a, Chicago, IL 60630-2338 | 2007-05-03 |
| 1407971708 | Antonio E Bifero | Chiropractor | 4920 N Central Ave, Suite 1a, Chicago, IL 60630-2338 | 2007-03-19 |
| 1043340532 | Marlene Olaso Santos | Physical Therapist | 4920 N Central Ave, Chicago, IL 60630-2338 | 2007-03-06 |
| 1700915634 | Martha Wiedlin | Physical Therapist | 4920 N Central Ave, Chicago, IL 60630-2338 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1811419476 | Jill Swartzmiller | Occupational Therapist | 5248 N Liano Ave, Chicago, IL 60630 | 2017-07-14 |
| 1588193908 | Vanessa Landa | Behavior Technician | 4831 N Mobile, Chicago, IL 60630 | 2017-06-08 |
| 1851753784 | Claudia Melendez | Counselor | 4935 N Kedvale Ave., 1st Flr., Chicago, IL 60630 | 2016-03-21 |
| 1174983795 | Cheryl Ann Howe | Speech-Language Pathologist | 4714 N. Laramie Ave., Chicago, IL 60630 | 2016-02-24 |
| 1740657055 | Nihar Shah | Pharmacist | 4010 W Lawrence, Chicago, IL 60630 | 2015-08-24 |
| 1326450966 | Robert E Placzek | Dentist | 5650 W. Lawrence Ave., Chicago, IL 60630 | 2014-06-02 |
| 1730426545 | Violet Bernadet Mcguane | Nurse Practitioner | 4801 N Central, Chicago, IL 60630 | 2013-01-14 |
| 1639455231 | Jinnah A Caluag | Pharmacist | 4010 W. Lawrence, Chicago, IL 60630 | 2011-10-26 |
| 1255616256 | Marcus Kim | Pharmacist | 4010 W. Lawrence Ave, Chicago, IL 60630 | 2011-10-21 |
| Find all providers in zip 60630 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 1407209208 | Mount Sinai Hospital Medical Center | Clinic/Center | 1501 S California Ave # L1026, Chicago, IL 60608-1732 | 2016-07-16 |
| 1487058731 | Encinas Medical Center | Clinic/Center | 4614 S Ashland Ave, Chicago, IL 60609-3251 | 2014-10-15 |
| 1366872061 | Lawndale Christian Health Center | Clinic/Center | 5122 S Archer Ave, Chicago, IL 60632-4508 | 2013-11-15 |
| 1083051643 | Oak Street Health Physicians Group, PC | Clinic/Center | 30 W Monroe St Ste 1200, Chicago, IL 60603-2420 | 2013-05-22 |
| 1043564529 | Triple S Medical Care S.c. | Clinic/Center | 6455 S Pulaski Rd, Chicago, IL 60629 | 2012-11-05 |
| 1548541022 | Valentinalb,s.c. | Clinic/Center | 5108 N Lincoln Ave, Chicago, IL 60625-7295 | 2011-08-29 |
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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.