MICHAEL JOHN CORCORAN (NPI# 1578571386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578571386 |
| Entity Type | Individual |
| Full Name | MICHAEL JOHN CORCORAN |
| Credential | MD |
| Practice Address |
400 South Kennedy Dr Bradley IL 60915 |
| Practice Telephone | 8159288050 |
| Practice Fax Number | 8005052218 |
| Mailing Telephone | 8159288050 |
| Mailing Fax Number | 8005052218 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2016-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036-95825 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-95825 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528463338 | Michael D. Corcoran | Counselor | 101 Lindenwood Dr Ste 225, Malvern, PA 19355-1762 | 2014-10-23 |
| 1679976302 | Michael Corcoran | Physical Therapy Assistant | 8148 Moro St, Philadelphia, PA 19136-2620 | 2014-10-08 |
| 1528374196 | Michael David Corcoran | Podiatrist | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2010-08-20 |
| 1043546203 | Michael Corcoran | Registered Nurse | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2009-10-22 |
| 1063478683 | Michael J Corcoran | Physical Medicine & Rehabilitation | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2006-04-22 |
| Street Address |
400 SOUTH KENNEDY DR |
| City | BRADLEY |
| State | IL |
| Zip Code | 60915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497839724 | Leslie D Yeates | Physician Assistant | 400 South Kennedy Dr, Bradley, IL 60915 | 2006-10-24 |
| 1447268289 | Eddie Jones | Orthopaedic Surgery | 400 South Kennedy Dr, Bradley, IL 60915 | 2006-08-04 |
| 1316955149 | Rajeev Damian Puri | Orthopaedic Surgery | 400 South Kennedy Dr, Bradley, IL 60915 | 2006-08-04 |
| 1295743953 | Juan Santiago-palma | Physical Medicine & Rehabilitation | 400 South Kennedy Dr, Bradley, IL 60915 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1679826309 | Heather Sevier | Specialist/Technologist | 328 S Dearborn Ave, Bradley, IL 60915 | 2012-10-18 |
| 1013266584 | Arlene De Leon Delacruz | Physical Therapist | 400 South Kennedy Dr., Bradley, IL 60915 | 2012-08-30 |
| 1023370699 | Jessica Sorensen | Physician Assistant | 350 N Kinzie Ave, Bradley, IL 60915 | 2012-06-11 |
| 1184993164 | Debra Malone | Behavioral Analyst | 136-142 1/2 South Clinton, Bradley, IL 60915 | 2011-12-21 |
| 1376840421 | Joshua R Johnson | Physician Assistant | 400 S. Kennedy, Bradley, IL 60915 | 2011-02-24 |
| 1801192133 | Eloise Adams | Behavioral Analyst | 136 142 1/2 South Clinton, Bradley, IL 60915 | 2011-02-03 |
| 1386948685 | Rico J Hale | Behavioral Analyst | 136 142 South Clinton, Bradley, IL 60915 | 2010-12-29 |
| 1558665851 | Joyce A Bollhorst | Behavioral Analyst | 136-142 South Clinton, Bradley, IL 60915 | 2010-12-29 |
| 1538469655 | Kankakee Valley Chiropractic | Chiropractor | 300 North Kennedy Drive, Suite 2, Bradley, IL 60915 | 2010-10-22 |
| Find all providers in zip 60915 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487662128 | Kermit S Muhammad | Orthopaedic Surgery | 400 South Kennedy, Bradley, IL 60915 | 2006-08-04 |
| 1184263055 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 | 2019-12-24 |
| 1881851210 | Tomasz Taduesz Antkowiak | Orthopaedic Surgery | 400 S Kennedy Dr, Suite 100, Bradley, IL 60915 | 2008-05-22 |
| 1720191091 | Orthopedic Associates of Kankakee Sc | Orthopaedic Surgery | 400 S Kennedy Dr, Suite 100, Bradley, IL 60915-2685 | 2006-08-17 |
| 1447268289 | Eddie Jones | Orthopaedic Surgery | 400 South Kennedy Dr, Bradley, IL 60915 | 2006-08-04 |
| 1659389450 | Wesley Eugene Choy | Orthopaedic Surgery | 400 S Kennedy Dr, Bradley, IL 60915-2682 | 2006-08-04 |
| 1316955149 | Rajeev Damian Puri | Orthopaedic Surgery | 400 South Kennedy Dr, Bradley, IL 60915 | 2006-08-04 |
| 1891703609 | Alexander Eugene Michalow | Orthopaedic Surgery | 400 S Kennedy Dr, Bradley, IL 60915-2682 | 2006-08-04 |
| 1750399390 | Milton John Smit | Orthopaedic Surgery | 400 S Kennedy Dr, Bradley, IL 60915 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
| 1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
| 1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
| 1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 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.