ADVANCED WELLNESS CLINICS (NPI# 1629373212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629373212 |
| Entity Type | Organization |
| Organization Name | ADVANCED WELLNESS CLINICS |
| Practice Address |
1835 N Broadway Avenue Suite 104 Melrose Park IL 60160 |
| Practice Telephone | 7084500705 |
| Mailing Telephone | 7084500705 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |
| Authorized Official Name | DR. HELENE M RUIZ-PLA (PHYSICIAN) |
| Authorized Official Telephone | 7084500705 |
| Authorized Official Credential | M.D, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036074432 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036079717 | 05 | |
| IL | BC BS | 0031603786 | 01 |
| Street Address |
1835 N BROADWAY AVENUE SUITE 104 |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| 1811199656 | Javier Mauricio Ramirez | Dentist | 2537 W. North Ave, Melrose Park, IL 60160 | 2007-06-04 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1407329782 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 1350 W Lake St, Melrose Park, IL 60160-4042 | 2019-01-09 |
| 1225548696 | Midwest Medical Associates LLC | Internal Medicine | 1440 W North Ave Ste 305, Melrose Park, IL 60160-1426 | 2017-10-11 |
| 1932477536 | Rajasekhar Reddy Madathala | Internal Medicine | 1225 W Lake St Ste 101, Melrose Park, IL 60160-4039 | 2011-12-09 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1649563974 | Mirza M.a. Beg | Internal Medicine | 1405 Melrose Ave, Melrose Park, PA 19027-3156 | 2011-05-19 |
| 1952453995 | Mohammad Vaseemuddin | Internal Medicine | 1419 W Lake St Ste A, Melrose Park, IL 60160-3930 | 2007-01-18 |
| 1922171750 | Helene Marie Ruiz Pla | Internal Medicine | 1835 Broadway, Suite 103, Melrose Park, IL 60160-2040 | 2006-11-17 |
| 1730251083 | 24 Ihim LLC | Internal Medicine | Westlake Hospital, 1225 W. Lake Street, Melrose Park, IL 60160-4039 | 2006-11-14 |
| 1487768941 | Beatriz Huertas Rivera Md Sc | Internal Medicine | 1419 W Lake St, Suite D, Melrose Park, IL 60160-3930 | 2006-08-19 |
| 1235162637 | George Jose Naratadam | Internal Medicine | 675 W North Ave Ste 510, Nephrology Associates of Northern Illinois, Melrose Park, IL 60160-1626 | 2006-07-09 |
| Find all providers in MELROSE PARK | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
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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.