DR. PETER J HULICK (NPI# 1568443752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568443752 |
| Entity Type | Individual |
| Full Name | DR. PETER J HULICK |
| Credential | MD |
| Practice Address |
1000 Central St Suite 620 Evanston IL 60201-1777 |
| Practice Telephone | 8475701029 |
| Practice Fax Number | 8477335318 |
| Mailing Telephone | 8475701029 |
| Mailing Fax Number | 8477335318 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2009-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
036121377 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528065448 | Peter R Hulick | Radiology | 16219 Mabry Mill Dr, Midlothian, VA 23113-6372 | 2005-07-07 |
| Street Address |
1000 CENTRAL ST SUITE 620 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-1777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907247 | Ella Komarovsky | Psychiatry & Neurology | 1000 Central St, Evanston, IL 60201-1777 | 2005-07-28 |
| 1194247726 | Steve Uliana | Speech-Language Pathologist | 1000 Central St, Evanston, IL 60201-1777 | 2017-07-14 |
| 1275066060 | Shayna Purcell | Genetic Counselor, MS | 1000 Central St, Suite 620, Evanston, IL 60201-1777 | 2017-04-07 |
| 1013361807 | Brittany Jo Madden | Genetic Counselor, MS | 1000 Central St, Suite #620, Evanston, IL 60201-1777 | 2016-04-18 |
| 1124489794 | Amy Michele Robke | Speech-Language Pathologist | 1000 Central St, Suite 101, Evanston, IL 60201-1777 | 2016-03-10 |
| 1245690742 | Elizabeth Hodits | Speech-Language Pathologist | 1000 Central St, Evanston, IL 60201-1777 | 2016-02-26 |
| 1235598038 | Meghann Olive | Speech-Language Pathologist | 1000 Central St, Evanston, IL 60201-1777 | 2016-02-22 |
| 1588083257 | Shilpa Shankar | Pediatrics | 1000 Central St, Evanston, IL 60201-1777 | 2014-04-10 |
| 1164848040 | Adele Maday | Physical Therapist | 1000 Central St, Evanston, IL 60201-1777 | 2014-03-15 |
| 1003230251 | Erin Mohip | Specialist | 1000 Central St, Suite 101, Evanston, IL 60201-1777 | 2014-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043474893 | Serendestiny Enterprise LLC | Medical Genetics | 3555 Vanilla Grass Dr, Naperville, IL 60564-8331 | 2008-07-10 |
| 1164447413 | Lee Shulman | Medical Genetics | 675 N St Clair Street, Galter Suite 14-200, Chicago, IL 60611-5966 | 2006-07-13 |
| 1962466375 | Joel Martin Charrow | Medical Genetics | Ann& Robert H. Lurie Children's Hospital of Chicago #59, 225 E Chicago Ave, Chicago, IL 60611-2991 | 2006-04-13 |
| 1427026897 | Brad Angle | Medical Genetics | 1875 Dempster St Ste 285, Park Ridge, IL 60068-1157 | 2006-03-10 |
| 1629051289 | Rhonda Spiro | Medical Genetics | 1801 W Taylor St Ste 2e, Chicago, IL 60612-4795 | 2005-11-28 |
| 1134534597 | Joshua Baker | Medical Genetics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2014-06-24 |
| 1306108105 | Josue Flores Daboub | Medical Genetics | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2012-06-08 |
| 1972883254 | Gifty Bhat | Medical Genetics | 1801 W Taylor St Ste 2e, Ui Health Occ, Chicago, IL 60612-4795 | 2011-08-18 |
| 1043410772 | Neuromed Clinic LLC | Medical Genetics | 25 N Winfield Rd, Ste 500, Winfield, IL 60190-1222 | 2007-07-20 |
| 1669595872 | Darrel Waggoner | Medical Genetics | 5841 S Maryland Ave, Mc 0077 Room O-500, Chicago, IL 60637-1447 | 2007-04-10 |
| 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.