ANDREA LOUISE AMICO


Address: 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594
Phone: 7737021000

ANDREA LOUISE AMICO (NPI# 1417182858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417182858
Entity Type Individual
Full Name ANDREA LOUISE AMICO
Credential M.D.
Practice Address 180 Harvester Dr
Suite 110
Burr Ridge
IL 60527-7594
Mailing Address 5841 S Maryland Ave # Mc2115
Chicago
IL 60637-1447
Practice Telephone 7737021000
Mailing Telephone 7737025405
Enumeration Date 2009-05-28
Last Update Date 2015-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
036129648 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 180 HARVESTER DR
SUITE 110
City BURR RIDGE
State IL
Zip Code 60527-7594

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386611903 Bryan N Becker Internal Medicine 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2006-03-02
1144639527 Andrew Richardson Nurse Practitioner 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2014-08-11
1720403843 Joyce Eapen Nurse Practitioner 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2014-02-26
1902234941 Brittany Beach Internal Medicine 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2013-10-30
1164850244 Kimberly Salminen Physician Assistant 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2013-10-28
1992139281 Kristine Marie Bowersox Physician Assistant 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2013-08-22
1255771093 Eric Shappell Emergency Medicine 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527 2013-06-25
1467895805 Monica Rojas Dietitian, Registered 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2013-04-16
1699011189 Leticia Lemus Nurse Practitioner 180 Harvester Dr, Burr Ridge, IL 60527-7594 2013-01-02
1487990156 University of Chicago Physicians Group Clinic/Center 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2012-12-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023635364 Crystal Mary Dirks Occupational Therapy Assistant 211 75th St, Burr Ridge, IL 60527 2020-07-02
1386276350 Valerie Moreno-tucker Counselor 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 2020-02-07
1831734763 Annette Maria Zajac Occupational Therapist 16 91st St., Burr Ridge, IL 60527 2019-11-14
1568023109 Jennifer Rogers Counselor 277 83rd St., Ste. D, Burr Ridge, IL 60527 2019-06-25
1710458526 Dima Sibai Dds PC Clinic/Center 940 Plianfield Rd., Willowbrook, IL 60527 2018-12-06
1558850495 Jeanie C. Lucy PC Optometrist 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 2018-05-07
1538664032 Athletico,ltd Physical Therapist 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 2018-03-27
1003314832 Ams Wellness Pllc Psychologist 277 83rd St Ste D, Burr Ridge, IL 60527 2018-01-26
1023564671 Natasa Manasovska Dentist 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 2016-09-01
1669927893 Marie Ann Korallus Nurse Practitioner 7055 High Grove, Burr Ridge, IL 60527 2016-08-17
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649633918 Mouhammed Kelta Internal Medicine 1 Andrew Ct, Burr Ridge, IL 60527-8128 2016-04-03
1902234941 Brittany Beach Internal Medicine 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2013-10-30
1558666214 Michael R Bishop Internal Medicine 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2011-01-11
1467629006 Erica Michelle Stringer-reasor Internal Medicine 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 2008-05-13
1093989196 Jason Luke Internal Medicine 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 2008-04-18
1225191737 Dorothy Sipkins Internal Medicine 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 2006-12-18
1386707800 Todd M Zimmerman Internal Medicine 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 2006-12-18
1235292749 Richard L Schilsky Internal Medicine 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 2006-12-18
1194888610 Thomas F Gajewski Internal Medicine 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 2006-12-18
1255494779 Mark J Ratain Internal Medicine 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 2006-12-18
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Competitor

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City BURR RIDGE
Zip Code 60527

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Dataset Information

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.

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