JOHN D. MIKUZIS (NPI# 1629048178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629048178 |
| Entity Type | Individual |
| Full Name | JOHN D. MIKUZIS |
| Credential | DO |
| Practice Address |
850 Brook Forest Ave Unit F Shorewood IL 60404-8513 |
| Practice Telephone | 8157254918 |
| Practice Fax Number | 8157254955 |
| Mailing Telephone | 8157254918 |
| Mailing Fax Number | 8157254955 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2009-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 036077741 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC/BS | 4521533 | 01 |
| IL | DEPT OF LABOR | 158372300 | 01 |
| IL | 036077741 | 05 |
| Street Address |
850 BROOK FOREST AVE UNIT F |
| City | SHOREWOOD |
| State | IL |
| Zip Code | 60404-8513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174593016 | Action Physical Medicine & Rehabilitation, Sc | Physical Medicine & Rehabilitation | 850 Brook Forest Ave, Unit F, Shorewood, IL 60404-8513 | 2006-01-24 |
| 1598154247 | Mary Kluever | Nurse Practitioner | 850 Brook Forest Ave, Unit Q, Shorewood, IL 60404-8513 | 2015-01-19 |
| 1831588979 | Jayison Mccorkle | Nurse Practitioner | 850 Brook Forest Ave, Shorewood, IL 60404-8513 | 2015-01-13 |
| 1275931016 | M W Hanley Dc LLC | Chiropractor | 850 Brook Forest Ave, Unit O, Shorewood, IL 60404-8513 | 2014-12-10 |
| 1720235765 | Nicole E Johnston | Speech-Language Pathologist | 850 Brook Forest Ave, Suite M, Shorewood, IL 60404-8513 | 2008-08-21 |
| 1740445899 | Megan Lynn Mutz | Occupational Therapy Assistant | 850 Brook Forest Ave, Unit L, Shorewood, IL 60404 | 2008-07-28 |
| 1184889586 | Wesley Drexler Groves | Clinic/Center | 850 Brook Forest Ave, Shorewood, IL 60404-8513 | 2008-07-24 |
| 1396911095 | Michael W Hanley Dc Co | Physical Therapist | 850 Brook Forest Ave, Unit P, Shorewood, IL 60404-8513 | 2008-05-02 |
| 1891975637 | Janice P Sroka | Nurse Practitioner | 850 Brook Forest Ave, Shorewood, IL 60404-8513 | 2007-11-09 |
| 1063572071 | Michael William Hanley | Chiropractor | 850 Brook Forest Ave, Unit P, Shorewood, IL 60404-8513 | 2006-12-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669035242 | Mobile Dental Care of Delaware, Pa | Dentist | 18622 S. Rte 59 Unit A-1, Shorewood, IL 60404 | 2019-04-18 |
| 1326476755 | Christine Briski | Speech-Language Pathologist | 210 W Black Road, Shorewood, IL 60404 | 2013-10-22 |
| 1598000630 | Michael G Mcdowell | Nurse Practitioner | 1039 Brookforest Ave, Shorewood, IL 60404 | 2012-11-29 |
| 1699028910 | Patti-ann Ebert | Occupational Therapist | 850 Brook Forest Ave., Unit L, Shorewood, IL 60404 | 2012-10-24 |
| 1043567720 | Matthew Reiot Klebenow | Occupational Therapist | 852a Sharp Drive, Provena Physical Therapy & Industrial Rehab. Center, Shorewood, IL 60404 | 2012-08-13 |
| 1366728222 | Linda K Alonso | Pharmacist | 1160 W. Jefferson St., Shorewood, IL 60404 | 2011-10-24 |
| 1205110186 | Lanie R Moreno | Physical Therapist | 850 Brookforest Ave Unit L, Shorewood, IL 60404 | 2011-10-10 |
| 1932386810 | Advanced Family Dental of Shorewood, P.C. | Dentist | 150 N Brook Forest Drive, Shorewood, IL 60404 | 2008-01-23 |
| 1003025941 | Kerri Lanum | Specialist/Technologist | 850 Brookforest Ave. F, Shorewood, IL 60404 | 2007-05-21 |
| 1124246756 | Alexander Grabavoy | Dentist | 1007 W. Jefferson Street, Shorewood, IL 60404 | 2007-04-20 |
| Find all providers in zip 60404 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912338062 | Shorewood Elite Healthcare Sc | Physical Medicine & Rehabilitation | 850 Brook Forest Ave Unit Opq, Shorewood, IL 60404-8513 | 2013-11-27 |
| 1487720579 | Robert Yee | Physical Medicine & Rehabilitation | 850 Brookforest Ave., Shorewood, IL 60404-8515 | 2006-11-28 |
| 1508892217 | Trinh Gia Truong | Physical Medicine & Rehabilitation | 4491 N Oakland Ave, Shorewood, WI 53211-1611 | 2006-06-24 |
| 1174593016 | Action Physical Medicine & Rehabilitation, Sc | Physical Medicine & Rehabilitation | 850 Brook Forest Ave, Unit F, Shorewood, IL 60404-8513 | 2006-01-24 |
| 1659341543 | Gary W. Golden | Physical Medicine & Rehabilitation | 850 Brook Forest Ave, Unit F, Shorewood, IL 60404-8513 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023982 | Tabitha Lyn Ganske | Physical Medicine & Rehabilitation | 27 Auerbach Pl, Glen Carbon, IL 62034-1596 | 2020-11-06 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1316569064 | Boss Povieng | Physical Medicine & Rehabilitation | 1620 W Harrison St Ste 403, Chicago, IL 60612-3801 | 2020-05-15 |
| 1265052781 | Nomad Enterprises | Physical Medicine & Rehabilitation | 5100 Forest Ave Unit 208, Downers Grove, IL 60515-4855 | 2020-04-24 |
| 1205488590 | Michelle E Roberts | Physical Medicine & Rehabilitation | 225 S Sangamon St Ste 1, Chicago, IL 60607-5167 | 2019-07-16 |
| 1104487289 | Ping Wang | Physical Medicine & Rehabilitation | 2320 Kalamazoo Dr, Naperville, IL 60565-6327 | 2019-06-27 |
| 1255999744 | Neil Dominic Seno Villarosa | Physical Medicine & Rehabilitation | 7313 Woodward Ave Apt 301, Woodridge, IL 60517-2549 | 2019-05-30 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1053873513 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N Convent St Ste 1000, Bourbonnais, IL 60914-1497 | 2019-04-03 |
| 1609335942 | Urlacherehab | Physical Medicine & Rehabilitation | 141 N Maple St, Palatine, IL 60067-4910 | 2019-03-16 |
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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.