MARY M FITZGIBBON (NPI# 1629002464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629002464 |
| Entity Type | Individual |
| Full Name | MARY M FITZGIBBON |
| Credential | MD |
| Practice Address |
201 N Hammes Ave Joliet IL 60435 |
| Practice Telephone | 8157252699 |
| Practice Fax Number | 8157252120 |
| Mailing Telephone | 8157252699 |
| Mailing Fax Number | 8157252120 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | IL | Allopathic & Osteopathic Physicians |
| Street Address |
201 N HAMMES AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356373120 | Casey A Moauro | Obstetrics & Gynecology | 201 N Hammes Ave, Joliet, IL 60435 | 2006-07-06 |
| 1700307709 | Stephanie Miller | Advanced Practice Midwife | 201 N Hammes Ave, Joliet, IL 60435-6611 | 2017-06-29 |
| 1467579789 | Joliet Womens Health Center | Obstetrics & Gynecology | 201 N Hammes Ave, Joliet, IL 60435-6611 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114080033 | Angela Intili | Obstetrics & Gynecology | 1415 Essington Rd, Joliet, IL 60435-2873 | 2006-12-19 |
| 1356373120 | Casey A Moauro | Obstetrics & Gynecology | 201 N Hammes Ave, Joliet, IL 60435 | 2006-07-06 |
| 1447247424 | Francis G Tomasik | Obstetrics & Gynecology | 3077 W Jefferson St, Suite 101, Joliet, IL 60435-5262 | 2005-10-04 |
| 1487050654 | Pranjali Vadgaonkar | Obstetrics & Gynecology | 1106 Neal Ave, Joliet, IL 60433-2548 | 2014-11-14 |
| 1841562881 | Kanchana Esairya-umpai M D S C | Obstetrics & Gynecology | 1026 Essington Rd, Joliet, IL 60435-2841 | 2012-02-07 |
| 1245410315 | Angela Intili Md Ltd | Obstetrics & Gynecology | 1415 Essington Rd, Joliet, IL 60435-2873 | 2007-11-06 |
| 1063602217 | Suburban Gynecology, LLC | Obstetrics & Gynecology | 1301 Copperfield Avenue, Suite 113, Joliet, IL 60432-2004 | 2007-07-25 |
| 1821116468 | K A Boateng Md Facog PC | Obstetrics & Gynecology | 2000 Glenwood Ave, Lower Level East, Joliet, IL 60435-5676 | 2007-03-26 |
| 1467579789 | Joliet Womens Health Center | Obstetrics & Gynecology | 201 N Hammes Ave, Joliet, IL 60435-6611 | 2007-03-23 |
| 1982744363 | Daniel Lee Beck | Obstetrics & Gynecology | 310 N Hammes Ave, Suite 201, Joliet, IL 60435-8118 | 2007-02-07 |
| Find all providers in JOLIET | ||||
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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.