DR. GRETTEL C. DONAHUE (NPI# 1477605913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477605913 |
Entity Type | Individual |
Full Name | DR. GRETTEL C. DONAHUE |
Other Name | DR. GRETTEL C. JARA |
Credential | MD, MPH |
Practice Address |
1111 W Lake St Addison IL 60101-1101 |
Practice Telephone | 6306281811 |
Practice Fax Number | 6306281501 |
Mailing Telephone | 6306281811 |
Mailing Fax Number | 6306281501 |
Enumeration Date | 2007-01-17 |
Last Update Date | 2012-05-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036108129 | IL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036108129 | 05 |
Street Address |
1111 W LAKE ST |
City | ADDISON |
State | IL |
Zip Code | 60101-1101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538768387 | Sara Prill | Counselor | 1111 W Lake St, Addison, IL 60101-1197 | 2020-10-22 |
1619599206 | Maricela Ibarra | Community Health Worker | 1111 W Lake St, Addison, IL 60101-1101 | 2020-05-18 |
1982237616 | Jennifer M Martinez | Counselor | 1111 W Lake St, Addison, IL 60101-1101 | 2020-02-21 |
1043842651 | Guadalupe Vianey Barajas | Registered Nurse | 1111 W Lake St, Addison, IL 60101-1101 | 2020-02-11 |
1184255648 | Eddy Santos | Community Health Worker | 1111 W Lake St, Addison, IL 60101-1197 | 2020-02-03 |
1972144491 | Kaithynn Sanchez-guzman | Registered Nurse | 1111 W Lake St, Addison, IL 60101-1101 | 2019-10-06 |
1063061521 | Alexia Vergara Barrientos | Case Manager/Care Coordinator | 1111 W Lake St, Addison, IL 60101-1101 | 2019-09-08 |
1144889015 | Cassandra Marie Quinn | Case Manager/Care Coordinator | 1111 W Lake St, Addison, IL 60101-1101 | 2019-06-13 |
1548828585 | County of Dupage Department of Health | Clinic/Center | 1111 W Lake St, Addison, IL 60101-1101 | 2019-06-04 |
1457812406 | Jessica Cortez | Registered Nurse | 1111 W Lake St, Addison, IL 60101-1101 | 2019-03-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
Find all providers in zip 60101 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124009360 | Ricardo Martinez, Md, PC | Clinic/Center | 1201 W Army Trail Blvd, Addison, IL 60101-3152 | 2005-11-05 |
1730517681 | Midwest Primary Care Associates,ltd | Clinic/Center | 1845 W Army Trail Rd, Addison, IL 60101-1901 | 2013-10-30 |
1396085247 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Drive, Suite 1200 West, Addison, TX 75001-4648 | 2013-02-28 |
1699027052 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Drive, Suite 1200 West Tower, Addison, TX 75001-4648 | 2012-10-10 |
1568710267 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Drive, Suite 1200 West Tower, Addison, TX 75001-4648 | 2012-08-28 |
1124380852 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2012-06-08 |
1689949117 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2012-03-16 |
1730459348 | Concentra Primary Care of Ohio Pa Co | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2012-01-12 |
1649540659 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2012-01-06 |
1811267396 | Concentra Primary Care of Illinois PC | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2011-12-30 |
Find all providers in ADDISON |
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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.