FIDAI MEDICAL CENTER S.C. (NPI# 1548444540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548444540 |
| Entity Type | Organization |
| Organization Name | FIDAI MEDICAL CENTER S.C. |
| Practice Address |
1710 N Randall Road Suite 230 Elgin IL 60123 |
| Mailing Address |
1710 N Randall Rd Suite 380 Elgin IL 60123-9400 |
| Practice Telephone | 8479318575 |
| Practice Fax Number | 8479318581 |
| Mailing Telephone | 8477419800 |
| Mailing Fax Number | 8477413058 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | SHAZLEEN SHALWANI (OFFICE MANAGER) |
| Authorized Official Telephone | 8477419800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
1710 N RANDALL ROAD SUITE 230 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561767 | Shital Tanna | Family Medicine | 1710 N Randall Road, Suite 200, Elgin, IL 60123-4717 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285845461 | Desiree Peitchinsky | Clinic/Center | 219b S Main St, Elgin, TX 78621-2941 | 2007-05-27 |
| 1992165609 | Mme Servies, Ltd | Clinic/Center | 1140 N Mclean Blvd, Elgin, IL 60123-1782 | 2016-02-24 |
| 1932598422 | Moffett Physical Therapy, Inc. | Clinic/Center | 2410 Alft Ln, Suite 100, Elgin, IL 60124-7843 | 2015-01-21 |
| 1841571999 | Rockford Orthopedic Associates, Ltd | Clinic/Center | 1435 N Randall Rd, Suite 105, Elgin, IL 60123 | 2011-09-02 |
| 1467742437 | Midwest Physical Therapy Center, Ltd | Clinic/Center | 1435 N Randall Rd, Suite 105, Elgin, IL 60123-2306 | 2011-04-12 |
| 1538485537 | American Physiotherapists LLC | Clinic/Center | 1750 N Randall Rd Ste 280, Elgin, IL 60123-7901 | 2010-04-15 |
| 1831339373 | Integrated Ancillary Services | Clinic/Center | 750 Fletcher Dr, Suite 105, Elgin, IL 60123-4703 | 2009-02-24 |
| 1356528483 | Drs Garb & Mcguire Ltd | Clinic/Center | 1710 N Randall Rd, Suite 230, Elgin, IL 60123-9400 | 2008-01-31 |
| 1518142181 | Signature Medical Associates | Clinic/Center | 1710 N Randall Rd, Suite 230, Elgin, IL 60123-9400 | 2008-01-02 |
| 1174708739 | Fox Valley Hematology, Inc | Clinic/Center | 1710 N Randall Rd, Suite 230, Elgin, IL 60123-9400 | 2008-01-02 |
| Find all providers in ELGIN | ||||
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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.