PETERSON OCCUPATIONAL HEALTH SERVICES, SC (NPI# 1588785380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588785380 |
Entity Type | Organization |
Organization Name | PETERSON OCCUPATIONAL HEALTH SERVICES, SC |
Other Organization Name | PETERSON OCCUPATIONAL MEDICINE, SC |
Practice Address |
2300 W Peterson Ave Chicago IL 60659-5203 |
Mailing Address |
2320 W Peterson Ave Chicago IL 60659-5242 |
Practice Telephone | 7735089800 |
Practice Fax Number | 7735081796 |
Mailing Telephone | 7735089800 |
Mailing Fax Number | 7735081796 |
Enumeration Date | 2007-04-02 |
Last Update Date | 2008-06-17 |
Authorized Official Name | DR. AREF SENNO (OWNER) |
Authorized Official Telephone | 7735089800 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Peterson Occupational Medicine, SC | Former Legal Business Name - Organization |
Street Address |
2300 W PETERSON AVE |
City | CHICAGO |
State | IL |
Zip Code | 60659-5203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609955475 | Peterson Medical Surgicenter | Clinic/Center | 2300 W Peterson Ave, Chicago, IL 60659-5203 | 2006-11-03 |
1437578168 | Osama Tagiuri | Specialist/Technologist, Other | 2300 W Peterson Ave, Chicago, IL 60659-5203 | 2014-04-09 |
1376986547 | Muhanned Ghirri | Specialist/Technologist, Other | 2300 W Peterson Ave, Chicago, IL 60659-5203 | 2013-04-08 |
1770769390 | Advanced Diagnostics Professional Services, Sc | Radiology | 2300 W Peterson Ave, Chicago, IL 60659-5203 | 2008-01-14 |
1407055288 | Celso D Delmundo | Internal Medicine | 2300 W Peterson Ave, Chicago, IL 60659-5203 | 2007-07-12 |
1609905637 | Peterson Surgicenter Anesthesia Services Sc | Clinic/Center | 2300 W Peterson Ave, Chicago, IL 60659-5203 | 2007-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
Find all providers in zip 60659 |
Taxonomy Code | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427488899 | Let's Grow, Inc. | Clinic/Center | 1746 W 17th St Rear, Chicago, IL 60608 | 2013-11-20 |
1518204650 | Healthworks Medical Group of Illinois S C | Clinic/Center | 11601 W Touhy Ave, O'hare International Airport- Terminal 2- Lower Level, Chicago, IL 60666-5047 | 2013-01-09 |
1053897165 | Premier Health Network LLC | Clinic/Center | 1301 E 47th St, Chicago, IL 60653-4507 | 2018-07-12 |
1700227014 | Occupational Health Centers of Illinois PC | Clinic/Center | 3145 S Ashland Ave, Suite 110, Chicago, IL 60608-6251 | 2013-07-15 |
1073954384 | Occupational Health Centers of Illinois PC | Clinic/Center | 1030 W Chicago Ave, Chicago, IL 60642-5671 | 2013-07-15 |
1538500848 | Occupational Health Centers of Illinois PC | Clinic/Center | 900 E 103rd St, Chicago, IL 60628-3033 | 2013-07-15 |
1255772570 | Occupational Health Centers of Illinois PC | Clinic/Center | 1230 W Lake St, Chicago, IL 60607-1602 | 2013-07-15 |
1588984116 | Attune Inc | Clinic/Center | 1525 E 55th St, Suite 304, Chicago, IL 60615-5512 | 2010-06-05 |
1699911784 | Sarah Michels | Clinic/Center | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2008-12-19 |
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---|---|---|---|---|
1811537178 | O.t. To You Pediatric Therapy Services, LLC | Clinic/Center | 9430 Harding Ave, Evanston, IL 60203-1323 | 2020-01-14 |
1154871127 | Concentra | Clinic/Center | 7421 South Cass Avenue, Darien, IL 60561-3607 | 2016-10-13 |
1679927222 | Child Therapy and Rehabilitation LLC | Clinic/Center | 790 Fletcher Dr, Unit 101, Elgin, IL 60123-4755 | 2016-04-20 |
1356715684 | Indus Medicine Ltd | Clinic/Center | 739 Hoover Dr, Carol Stream, IL 60188-1590 | 2015-11-24 |
1598131393 | Functional Life Consulting, LLC | Clinic/Center | 813 Seward St, Unit 3s, Evanston, IL 60202-2882 | 2015-08-15 |
1447592704 | Occupational Health Centers of Illinois PC | Clinic/Center | 7421 S Cass Ave, Darien, IL 60561-3607 | 2013-03-25 |
1427366921 | Healthworks Medical Group of Illinois S C | Clinic/Center | 5100 Lake Terrance Ne, Mount Vernon, IL 62864-9665 | 2010-09-17 |
1932426285 | Medworks Joliet Corp | Clinic/Center | 815 Campus Drive, Joliet, IL 60435 | 2010-04-27 |
1588811475 | Tyler Medical Services | Clinic/Center | 525 Tyler Rd Ste H, St Charles, IL 60174-3363 | 2008-08-21 |
1568627362 | Occupational Health Centers of Illinois PC | Clinic/Center | 8001 Tpc Rd, Rock Island, IL 61201-7315 | 2008-07-22 |
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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.