MS. EILEEN THERESE MCDERMOTT (NPI# 1407816440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407816440 |
| Entity Type | Individual |
| Full Name | MS. EILEEN THERESE MCDERMOTT |
| Credential | NP |
| Practice Address |
30 E 15th St Suite 207 Chicago Heights IL 60411 |
| Mailing Address |
10947 S Drake Ave Chicago IL 60655 |
| Practice Telephone | 7087565454 |
| Mailing Telephone | 7732597846 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2012-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209-003052 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336572106 | Eileen S. Mcdermott | Social Worker | 629 N Scotch Plains Ave, Westfield, NJ 07090-4452 | 2013-08-15 |
| 1871652511 | Eileen T Mcdermott | Physician Assistant | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2006-12-08 |
| Street Address |
30 E 15TH ST SUITE 207 |
| City | CHICAGO HEIGHTS |
| State | IL |
| Zip Code | 60411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376523647 | Ramesh Soundararajan | Internal Medicine | 30 E 15th St, Suite 201, Chicago Heights, IL 60411-3459 | 2006-01-20 |
| 1780167841 | Emerge Medstaffing LLC | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2018-09-13 |
| 1548638299 | Pushpa Soundararajan | Dietitian, Registered | 30 E 15th St, Suite 201, Chicago Heights, IL 60411-3459 | 2015-09-11 |
| 1629331087 | Richard Michael Louissaint | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2012-06-20 |
| 1457629966 | St James Hospital United States Catholic Conference | Internal Medicine | 30 E 15th St, Suite # 308, Chicago Heights, IL 60411-3459 | 2011-12-12 |
| 1871885731 | Amit Dhingra | Pharmacist | 30 E 15th St, Suite 204, Chicago Heights, IL 60411-3459 | 2011-05-11 |
| 1295055291 | Tilemahos D Spyratos | Internal Medicine | 30 E 15th St, Ste 207, Chicago Heights, IL 60411-3459 | 2010-06-02 |
| 1700013166 | Raghuvansh Kumar M.d;s.c | Physical Medicine & Rehabilitation | 30 E 15th St, Suite 312, Chicago Heights, IL 60411-3459 | 2009-06-12 |
| 1831324789 | Heather Ines Dieperink | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2009-05-21 |
| 1821237199 | Mdrx Medical,p.c. | Family Medicine | 30 E 15th St, Suite 308, Chicago Heights, IL 60411-3459 | 2009-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 1710592175 | Mary Maloney | Nurse Practitioner | 348 Westglen Dr, Glen Carbon, IL 62034-1002 | 2020-09-12 |
| 1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
| 1083222368 | Izolda Rosario | Nurse Practitioner | 501 W Lake St Ste 207, Elmhurst, IL 60126-1419 | 2020-07-22 |
| 1043832785 | Melanie Glander | Nurse Practitioner | 18357 Cowing Ct, Homewood, IL 60430-3332 | 2020-05-16 |
| 1699306902 | Ife Muyiwa-ojo | Nurse Practitioner | 729 E Carpenter St, Springfield, IL 62702-5321 | 2020-01-27 |
| 1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
| 1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
| 1891358222 | Kelly Jo Erke | Nurse Practitioner | 20830 N 1970 East Rd, Danville, IL 61834-6228 | 2019-04-22 |
| 1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
| Find all providers with the same taxonomy | ||||
| City | CHICAGO HEIGHTS |
| Zip Code | 60411 |
Please comment or provide details below to improve the information on MS. EILEEN THERESE MCDERMOTT.
| 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.