MARY D CODO (NPI# 1568504439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568504439 |
| Entity Type | Individual |
| Full Name | MARY D CODO |
| Credential | MD |
| Practice Address |
720 Brom Ct Suite 204 Naperville IL 60540-6531 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6308481332 |
| Practice Fax Number | 6308481344 |
| Mailing Telephone | 6304699200 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 036-082140 | IL | Other Service Providers |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036082140 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
720 BROM CT SUITE 204 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-6531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439234 | Colleen J Noonan | Family Medicine | 720 Brom Ct, Ste 203, Naperville, IL 60540-6531 | 2005-10-05 |
| 1255605580 | Michael J Karakourtis Dds Ltd. | Oral & Maxillofacial Surgery | 720 Brom Ct, Suite 103, Naperville, IL 60540-6595 | 2012-03-05 |
| 1114291895 | Donna D Van Dam | Advanced Practice Midwife | 720 Brom Ct, Suite 104, Naperville, IL 60540-6531 | 2012-02-28 |
| 1780957654 | Dr. Mary Deherrera-codo Md PC | Internal Medicine | 720 Brom Ct, Suit 204, Naperville, IL 60540-6531 | 2012-02-22 |
| 1215206842 | Willow Ridge Dental Group LLC | Dentist | 720 Brom Ct, Suite 105, Naperville, IL 60540-6531 | 2011-12-28 |
| 1063722379 | Rondinelli Nutrition Consulting, LLC | Dietitian, Registered | 720 Brom Ct, Naperville, IL 60540-6531 | 2010-10-20 |
| 1861663692 | Falguni Vasa Md Sc | Internal Medicine | 720 Brom Ct, Suite 204, Naperville, IL 60540-6531 | 2008-03-19 |
| 1861671372 | Naperville Family Practice Inc | Clinic/Center | 720 Brom Ct, 101, Naperville, IL 60540-6531 | 2007-10-31 |
| 1134248131 | Meghan M Flannery | Obstetrics & Gynecology | 720 Brom Ct, S-104, Naperville, IL 60540-6531 | 2007-03-29 |
| 1184741951 | Falguni R Vasa | Internal Medicine | 720 Brom Ct, Suite 204, Naperville, IL 60540-6531 | 2007-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588847461 | Arati A Reddy Md Sc | Internal Medicine | 720 S Brom Dr, Suite 204, Naperville, IL 60540-6534 | 2007-12-13 |
| 1780957654 | Dr. Mary Deherrera-codo Md PC | Internal Medicine | 720 Brom Ct, Suit 204, Naperville, IL 60540-6531 | 2012-02-22 |
| 1760625255 | Treatment Center for Metabolic Disorders and Research Institute Sc | Internal Medicine | 1555 Naperville Wheaton Rd, Suite 206, Naperville, IL 60563-1557 | 2009-04-13 |
| 1861663692 | Falguni Vasa Md Sc | Internal Medicine | 720 Brom Ct, Suite 204, Naperville, IL 60540-6531 | 2008-03-19 |
| 1184741951 | Falguni R Vasa | Internal Medicine | 720 Brom Ct, Suite 204, Naperville, IL 60540-6531 | 2007-03-24 |
| 1912963919 | Academic Endocrine Metabolism & Nutrition | Internal Medicine | 120 Spalding Dr, Suite 401, Naperville, IL 60540-6508 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961304 | Wahid Kassar Md Ltd | Internal Medicine | 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 | 2020-04-20 |
| 1245701812 | Chrysalis Health of Il P.C. | Internal Medicine | 402 Gardenia Ln, Buffalo Grove, IL 60089-1661 | 2018-12-07 |
| 1467920124 | Impact Physician Group, Illinois, LLC | Internal Medicine | 115 E South St Ste F, Plano, IL 60545-1595 | 2018-11-10 |
| 1538669510 | Oa Labs Clinic LLC. | Internal Medicine | 6321 Fairview Ave Ste B, Westmont, IL 60559-2886 | 2018-02-16 |
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1356861496 | Javier Alcid Duron Tabora | Internal Medicine | 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 | 2017-06-20 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1780135426 | Endocrine and Metabolic Center Inc | Internal Medicine | 280 Stonegate Rd, Algonquin, IL 60102-5600 | 2016-10-18 |
| 1174975601 | Bilal Shaikh | Internal Medicine | 1750 W Harrison St Ste 250, Chicago, IL 60612 | 2016-07-08 |
| 1316396294 | Melissa Faye Cohen | Internal Medicine | 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 | 2016-06-10 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
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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.