LAND MEDICAL ASSOCIATES SC (NPI# 1548687643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548687643 |
| Entity Type | Organization |
| Organization Name | LAND MEDICAL ASSOCIATES SC |
| Practice Address |
2875 W 19th St Chicago IL 60623-3501 |
| Practice Telephone | 7734844425 |
| Mailing Telephone | 7734844425 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |
| Authorized Official Name | DR. LAND A SPENCER (MD) |
| Authorized Official Telephone | 7734844425 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588947014 | Land Medical Associates Sc | Urology | 2875 W 19th St, Chicago, IL 60623-3501 | 2011-09-21 |
| Street Address |
2875 W 19TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723999 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2005-07-14 |
| 1922658772 | James Yuanxin Huang | Physical Therapist | 2875 W 19th St, Rehab Department, Chicago, IL 60623 | 2019-09-13 |
| 1033768726 | Christine Leung | Occupational Therapist | 2875 W 19th St, Chicago, IL 60623-3501 | 2019-09-05 |
| 1477102101 | Anna Ruth Alexander | Physical Therapist | 2875 W 19th St, Chicago, IL 60623-3501 | 2019-09-05 |
| 1154893063 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-12-18 |
| 1225509763 | Rashawn Alisia Sims | Physician Assistant | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-12-10 |
| 1619459302 | Saint Anthony Hospital | Clinical Medical Laboratory | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-30 |
| 1619456423 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-13 |
| 1245719327 | Bruni Hirsch | Advanced Practice Midwife | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-09 |
| 1972006229 | Katherine De Los Trinos-ocampo | Nurse Practitioner | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
| 1841774825 | Matthew E Huggins | Specialist | 4553 W 56th St Apt 204c, Chicago, IL 60629-5389 | 2018-09-17 |
| 1750860177 | Muhammad Asim Khan | Specialist | 60 E Delaware Pl, Chicago, Il 60611, 14th Floor Urology- Andrology Clinic, Chicago, IL 60611 | 2018-08-07 |
| 1922502657 | Shauntay Robertson | Specialist | 7342 S Richmond St, Chicago, IL 60629-3015 | 2018-03-19 |
| 1114448644 | Ageless Men's Health Holdings Inc | Specialist | 1729 N Clybourn Ave, Chicago, IL 60614-6503 | 2017-07-06 |
| 1447798871 | Andria Miller | Specialist | 840 N Western Ave, Chicago, IL 60622-4638 | 2017-02-06 |
| 1710425129 | Rtb Sc | Specialist | 5015 N. Paulina #225, Chicago, IL 60640 | 2017-02-06 |
| 1881137354 | Joy Deliverance Williamson | Specialist | 3863 W Flournoy St, Apt. 1w, Chicago, IL 60624-3617 | 2016-11-30 |
| Find all providers in CHICAGO | ||||
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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.