ILLINOIS/INDIANA EM-I MEDICAL SERVICES, SC


Address: 1400 W Park St, Urbana, IL 61801-2334
Phone: 2173372000

ILLINOIS/INDIANA EM-I MEDICAL SERVICES, SC (NPI# 1457503591) 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) 1457503591
Entity Type Organization
Organization Name ILLINOIS/INDIANA EM-I MEDICAL SERVICES, SC
Practice Address 1400 W Park St
Urbana
IL 61801-2334
Mailing Address Po Box 37757
Philadelphia
PA 19101-5057
Practice Telephone 2173372000
Practice Fax Number 2173372930
Mailing Telephone 8007321066
Mailing Fax Number 6309414333
Enumeration Date 2008-10-21
Last Update Date 2015-07-22
Authorized Official Name DR. DOUGLAS P WEBSTER (OWNER)
Authorized Official Telephone 8007321066
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant IL Physician Assistants & Advanced Practice Nursing Providers
Y 363L00000X Nurse Practitioner IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619379534 Illinois/indiana Em-i Medical Services, Sc Physician Assistant 1324 N Sheridan Rd, Waukegan, IL 60085-2161 2014-09-23
1841511995 Illinois/indiana Em-i Medical Services, Sc Nurse Practitioner 2100 Madison Ave, Granite City, IL 62040-4701 2010-06-11
1700114824 Illinois/indiana Em-i Medical Services, Sc Nurse Practitioner 1451 N Gardner St, Scottsburg, IN 47170-7751 2009-12-01

Office Location

Street Address 1400 W PARK ST
City URBANA
State IL
Zip Code 61801-2334

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801862461 Shamim Sadiq Internal Medicine 1400 W Park St, Urbana, IL 61801-2334 2006-02-24
1548873938 Audra Leigh Cisna Dietitian, Registered 1400 W Park St, Urbana, IL 61801-2334 2020-08-26
1689200750 Holly Tompkins Dietitian, Registered 1400 W Park St, Urbana, IL 61801-2334 2020-03-20
1417419045 Latifa Omran Technician/Technologist 1400 W Park St, Urbana, IL 61801-2334 2019-04-02
1588134084 Lauren Dowd Dietitian, Registered 1400 W Park St, Urbana, IL 61801 2018-11-28
1053801514 Sarah Kristine Farison Speech-Language Pathologist 1400 W Park St, Urbana, IL 61801-2334 2018-05-10
1316437882 Tian Lan Physical Therapist 1400 W Park St, Urbana, IL 61801-2334 2018-05-10
1659884476 Osf Healthcare System General Acute Care Hospital 1400 W Park St, Urbana, IL 61801 2017-11-15
1093228835 Osf Healthcare System Ambulance 1400 W Park St, Urbana, IL 61801 2017-11-15
1649783473 Osf Healthcare System General Acute Care Hospital 1400 W Park St, Urbana, IL 61801 2017-11-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417566084 Avani Sushilkumar Mohta Internal Medicine Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 2020-07-29
1922617133 Recovery Concepts Urbana, LLC Clinic/Center 710 W. Killarney St., Urbana, IL 61801 2020-07-24
1447877089 Muhammad Khalid Abbas Internal Medicine 611 W Park St Urbana, Urbana, IL 61801 2020-06-30
1003430166 Conlan Joseph Pierce Surgery 601 W Park St, Urbana, IL 61801 2020-06-04
1568090900 Luke Andrew Fenlon Student in an Organized Health Care Education/Training Program Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 2020-03-31
1912559691 Ali Baltaji Internal Medicine 101 N Busey Apt 7, Urbana, IL 61801 2019-07-12
1821510918 Pallavi Pradeep Internal Medicine Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 2017-07-11
1093236002 Angela Lynn Devaney Speech-Language Pathologist 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 2017-06-29
1346775236 Jennifer Garcia Student in an Organized Health Care Education/Training Program Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 2017-04-27
1467992537 Amber Kristine Davis Speech-Language Pathologist 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 2017-03-08
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679030852 Braden J Shaffer Nurse Practitioner 1400 W Park St Ste 424b, Urbana, IL 61801-2334 2019-02-25
1396138830 Noemi Shilts Nurse Practitioner 610 N. Lincoln Ave, Urbana, IL 61801-2500 2015-03-09
1003165564 Lindy Drollinger Nurse Practitioner 610 N. Lincoln Ave., Neurosurgery, Urbana, IL 61801-2500 2012-08-30
1659407088 Peggi J White Nurse Practitioner 204 West University, Carle Addiction Recovery Center, Urbana, IL 61801 2007-02-27
1861578320 Martha A Guyon Nurse Practitioner 602 W, University Avenue, Ob/gyn, Urbana, IL 61801 2006-10-27
1265032221 Lindsay Roberts Nurse Practitioner 1818 E Windsor Rd, Urbana, IL 61802-9566 2020-10-29
1730786161 Donnetta Burgess Nurse Practitioner 509 W University Ave, Urbana, IL 61801-1645 2020-10-08
1134730310 Whitney Waterman Nurse Practitioner 1818 E Windsor Rd, Urbana, IL 61802-9566 2020-08-12
1851918874 Jeffrey Flach Nurse Practitioner 611 W Park St, Urbana, IL 61801-2529 2020-06-26
1134758758 Ellen R Leskovisek Nurse Practitioner 611 W. Park St., Urbana, IL 61801 2020-04-06
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Competitor

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City URBANA
Zip Code 61801

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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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