DR. GRETTEL C. DONAHUE


Address: 1111 W Lake St, Addison, IL 60101-1101
Phone: 6306281811

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
036108129 IL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL 036108129 05

Office Location

Street Address 1111 W LAKE ST
City ADDISON
State IL
Zip Code 60101-1101

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City ADDISON
Zip Code 60101

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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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