TDK FAMILY MEDICAL CENTERS LLC (NPI# 1508995762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508995762 |
| Entity Type | Organization |
| Organization Name | TDK FAMILY MEDICAL CENTERS LLC |
| Other Organization Name | PRAIRIE MEDICAL GROUP |
| Practice Address |
2434 Wolf Rd Westchester IL 60154-5634 |
| Practice Telephone | 7085625430 |
| Practice Fax Number | 7085628330 |
| Mailing Telephone | 7085625430 |
| Mailing Fax Number | 7085628330 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-05-15 |
| Authorized Official Name | DR. THOMAS M NELSON (MANAGING PARTNER) |
| Authorized Official Telephone | 7085625430 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PRAIRIE MEDICAL GROUP | Doing Business As Name - Organization |
| Street Address |
2434 WOLF RD |
| City | WESTCHESTER |
| State | IL |
| Zip Code | 60154-5634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245289784 | Eric Spratford | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2006-05-10 |
| 1437508371 | Kevin Joseph Kalafut | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2016-06-10 |
| 1124356118 | John M Michet | Counselor | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2009-12-02 |
| 1467607069 | Lynn P Jonen | Psychologist | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2008-11-24 |
| 1255586152 | Lindsay A Norwood | Psychologist | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2008-11-20 |
| 1134396211 | Kathy G Supple | Nurse Practitioner | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2008-05-08 |
| 1699981332 | Tracy H. Koziol | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2007-05-16 |
| 1194748962 | Michael Kevin O'donoghue | Dermatology | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2006-07-25 |
| 1700838745 | Kenneth Nelson | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2006-05-17 |
| 1770535973 | Thomas Nelson | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826144 | Vitucci Lcsw, PC | Family Medicine | One Westbrook Coporate Ctr, Suite 300, Westchester, IL 60154 | 2020-06-23 |
| 1861038200 | Ease of Mind Pllc | Psychologist | 10526 West Cermak Road, Suite 308aa, Westchester, IL 60154 | 2019-11-20 |
| 1275034738 | University Pain Physicians LLC | Psychologist | 2450 Wolf Road, Westchester, IL 60154 | 2018-02-21 |
| 1871029801 | Us Med, LLC | Durable Medical Equipment & Medical Supplies | One Westbrook Corporate Center Suite 300 Office 341, Westchester, IL 60154 | 2017-05-11 |
| 1639527831 | Rhonda Marion | Occupational Therapist | 2450 Wolf Rd Ste E, Westchester, IL 60154 | 2016-05-27 |
| 1841661774 | Petrak Family Chiropractic Center S.c | Chiropractor | 3070 South Wolf Rd, Westchester, IL 60154 | 2015-10-19 |
| 1154799179 | Felicia Owens | Counselor | 10310 Elizabeth St, Unit 2, Westchester, IL 60154 | 2015-09-08 |
| 1407239130 | Elizabeth Singler | Counselor | 9855 Roosevelt Rd, Westchester, IL 60154 | 2015-06-30 |
| 1730527896 | Care Bridge Health Services, Inc. | Registered Nurse | 9865 West Roosevelt Rd. Suite # 204, Westchester, IL 60154 | 2013-06-11 |
| 1295173466 | Arlinda Elezi | Internal Medicine | 3005 Wolf Rd, Westchester, IL 60154 | 2013-06-10 |
| Find all providers in zip 60154 | ||||
| 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 |
|---|---|---|---|---|
| 1649688409 | Chicagoland Integrated Professionals, Inc | Family Medicine | 1132 Manchester Ave, Westchester, IL 60154-2723 | 2014-07-24 |
| 1891820692 | John Turon | Family Medicine | 11017 Lancaster St, Westchester, IL 60154-4911 | 2007-02-22 |
| 1730296641 | Resurrection Services | Family Medicine | 9855 W Roosevelt Rd, Westchester, IL 60154-2758 | 2006-08-24 |
| 1245289784 | Eric Spratford | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2006-05-10 |
| 1366491839 | Mehroo Mindoo Patel | Family Medicine | 11106 Lancaster Street, Westchester, IL 60154-4914 | 2006-05-10 |
| 1437508371 | Kevin Joseph Kalafut | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2016-06-10 |
| 1699981332 | Tracy H. Koziol | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2007-05-16 |
| 1700838745 | Kenneth Nelson | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2006-05-17 |
| 1770535973 | Thomas Nelson | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2006-05-16 |
| 1992756068 | Erin Vaughan | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2006-05-13 |
| Find all providers in WESTCHESTER | ||||
| City | WESTCHESTER |
| Zip Code | 60154 |
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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.