DIGITRACE CARE SERVICES, INC (NPI# 1487665402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487665402 |
| Entity Type | Organization |
| Organization Name | DIGITRACE CARE SERVICES, INC |
| Practice Address |
386 N York St Ste 207 Elmhurst IL 60126-2367 |
| Mailing Address |
99 Rosewood Dr Ste 245 Danvers MA 01923-4537 |
| Practice Telephone | 8476995176 |
| Practice Fax Number | 8479667316 |
| Mailing Telephone | 9785367400 |
| Mailing Fax Number | 9785359757 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | JEFFREY POWELL (GENERAL MANAGER) |
| Authorized Official Telephone | 8643638893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 01619296 | 01 |
| AETNA | 7618325 | 01 | |
| IL | CIGNA | 8011510 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851659494 | Digitrace Care Services, Inc | Clinic/Center | 9610 Deereco Rd, Timonium, MD 21093-2120 | 2012-05-02 |
| 1821245309 | Digitrace Care Services, Inc | Clinic/Center | 332 Pleasant St, Northampton, MA 01060 | 2008-08-26 |
| 1497887236 | Digitrace Care Services, Inc | Clinic/Center | 332 Pleasant Street, Northampton, MA 01060 | 2007-03-09 |
| 1053323857 | Digitrace Care Services, Inc | Clinic/Center | 2623 N Clark St, Chicago, IL 60614-1524 | 2006-08-12 |
| 1093745747 | Digitrace Care Services, Inc | Durable Medical Equipment & Medical Supplies | 2060 N Valley Mills Dr, Waco, TX 76710-2561 | 2006-07-04 |
| 1497797096 | Digitrace Care Services, Inc | Clinic/Center | 1010 Gar Hwy, 1st Floor Unit 2, Swansea, MA 02777-4566 | 2006-06-11 |
| 1902053481 | Digitrace Care Services, Inc | Clinic/Center | 1010 Gar Hwy, Unit 2, 1st Floor, Swansea, MA 02777 | 2008-08-26 |
| 1003063587 | Digitrace Care Services, Inc | Clinic/Center | 270 Communication Way, Suite 4b, Hyannis, MA 02601 | 2008-08-26 |
| 1255538195 | Digitrace Care Services, Inc | Clinic/Center | 2501 W Silver Spring Dr, Suite 5, Glendale, WI 53209-4217 | 2007-07-02 |
| 1851597512 | Digitrace Care Services, Inc | Durable Medical Equipment & Medical Supplies | 200 Medical Pkwy, Suite 109, Chesapeake, VA 23320-4911 | 2007-06-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | DIGITRACE CARE SERVICES, INC. | 200 Corporate Place, Suite 5b, Peabody, MA 01960 |
| New York State Corporations | DIGITRACE CARE SERVICES, INC. | 80 State Street, Albany, Ny 122072543 |
| Massachusetts Corporations | DIGITRACE CARE SERVICES, INC. | 200 Corporate Place, Suite 5b, Peabody, MA 01960 |
| Street Address |
386 N YORK ST STE 207 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609974286 | Merit Center for Sleep Health of Elmhurst, LLC | Clinic/Center | 386 N York St, Suite 205, Elmhurst, IL 60126-2363 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255784 | Portable Sleep Solutions LLC | Clinic/Center | 820 Sw Adams St, Peoria, IL 61602-1623 | 2019-06-22 |
| 1053977017 | Mrb Healthcare Services LLC | Clinic/Center | 5633 Lee St, Morton Grove, IL 60053-3116 | 2019-05-15 |
| 1225548753 | St Elizabeths Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 791 Wall St Ste 200, O Fallon, IL 62269-2087 | 2017-10-11 |
| 1760740278 | Future Sleep Solutions | Clinic/Center | 7392 Clem Dr, Gurnee, IL 60031-5193 | 2012-05-03 |
| 1437424389 | Mobile Medical Monitors, LLC | Clinic/Center | 1804 S 27th St, Herrin, IL 62948-4439 | 2012-03-11 |
| 1124316906 | Sleep Study Professionals LLC | Clinic/Center | 1901 Appaloosa Dr, Naperville, IL 60565-6714 | 2011-07-14 |
| 1962794222 | Sleep Diagnostics Ltd. | Clinic/Center | 205 W Grand Ave, Unit #104, Bensenville, IL 60106-3364 | 2011-05-05 |
| 1861799215 | Ottawa Regional Cardinal Sleep Center, LLC | Clinic/Center | 1601 Mercury Ct Ste 2, Ottawa, IL 61350-9333 | 2011-02-22 |
| 1164736005 | Village Sleep Center Inc | Clinic/Center | 1100 Lake St Ste Ll40, Oak Park, IL 60301-1066 | 2010-08-03 |
| 1598085706 | Sound Sleep Center Inc | Clinic/Center | 1600 S. Torrence Avenue, Lower Level, Calumet City, IL 60409-5430 | 2010-06-10 |
| Find all providers with the same taxonomy | ||||
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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.