DR. DANIEL SHIBA (NPI# 1508022120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508022120 |
| Entity Type | Individual |
| Full Name | DR. DANIEL SHIBA |
| Credential | M.D. |
| Practice Address |
2284 County Line Rd Algonquin IL 60102-2561 |
| Mailing Address |
835 Judson Ave Apt 310 Evanston IL 60202-2431 |
| Practice Telephone | 8477236465 |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2011-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-126993 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 125055276 | IL | Student, Health Care |
| Street Address |
2284 COUNTY LINE RD |
| City | ALGONQUIN |
| State | IL |
| Zip Code | 60102-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411329 | Amber Nicole Bianchi | Massage Therapist | 265 Stonegate Road, Algonquin, IL 60102 | 2020-03-04 |
| 1255971156 | Cler Family Solutions LLC | Case Management | 12 Waterfront Ct, Algonquin, IL 60102 | 2020-01-09 |
| 1114577079 | Camp Chirotherapy LLC | Chiropractor | 3925 W Algonquin Rd, Algonquin, ID 60102 | 2019-09-12 |
| 1295380392 | Kevin Layton Sanderson | In Home Supportive Care | 9604 Zimmer Drive, Algonquin, IL 60102 | 2019-08-06 |
| 1669964300 | Favia Primary Care, Sc | Family Medicine | 1340 Ryan Parkway, Algonquin, IL 60102 | 2018-05-30 |
| 1285142745 | Melissa Sue Aeschliman | Speech-Language Pathologist | 8 White Chapel Ct., Algonquin, IL 60102 | 2018-01-18 |
| 1295251940 | Maria Melina Dominguez | Counselor | 1138 N. Main Street, Algonquin, IL 60102 | 2017-08-15 |
| 1578001830 | Advanced Dental and Implant Care PC | Dentist | 2310 Huntington Dr. N., Algonquin, IL 60102 | 2017-02-07 |
| 1871037861 | Rehabcare Group East, LLC | Clinic/Center | 212 Eastgate Ct, Algonquin, IL 60102 | 2016-12-09 |
| 1891172664 | Foot and Ankle Specialists of Illinois Ltd | Podiatrist | 2430 Esplanade Drive Suite A, Algonquin, IL 60102 | 2015-04-30 |
| Find all providers in zip 60102 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669964300 | Favia Primary Care, Sc | Family Medicine | 1340 Ryan Parkway, Algonquin, IL 60102 | 2018-05-30 |
| 1487088936 | Maria Cristina Ng | Family Medicine | 560 Lake Cornish Way, Algonquin, IL 60102-5028 | 2013-09-01 |
| 1659454619 | Jose R. Guevara | Family Medicine | 1486 Merchant Dr, Algonquin, IL 60102-5917 | 2006-10-23 |
| 1215925722 | Christine M Mueller | Family Medicine | 1482 Merchant Dr, Algonquin, IL 60102-5917 | 2005-10-10 |
| 1295729564 | Philip Favia | Family Medicine | 1340 Ryan Pkwy, Algonquin, IL 60102-4527 | 2005-09-01 |
| 1912991290 | Brent H Petersen | Family Medicine | 1345 Ryan Pkwy, Algonquin, IL 60102-4530 | 2005-09-01 |
| 1629076005 | Wayne P Carlson | Family Medicine | 600 S Randall Rd, Algonquin, IL 60102-5996 | 2005-07-11 |
| 1578920898 | High Touch Medicine Sc | Family Medicine | 1482 Merchant Dr, Algonquin, IL 60102-5917 | 2016-01-16 |
| 1235542077 | Sameena Jawed | Family Medicine | 1345 Ryan Pkwy, Algonquin, IL 60102-4530 | 2014-06-10 |
| 1043638042 | Haydee Cantu | Family Medicine | 1345 Ryan Pkwy, Algonquin, IL 60102-4530 | 2014-04-07 |
| Find all providers in ALGONQUIN | ||||
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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.