MARK ALLAN DRENDEL (NPI# 1639128358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639128358 |
| Entity Type | Individual |
| Full Name | MARK ALLAN DRENDEL |
| Credential | MD |
| Practice Address |
954 West State Street Sycamore IL 60118 |
| Practice Telephone | 8158959144 |
| Practice Fax Number | 8158994234 |
| Mailing Telephone | 8158959144 |
| Mailing Fax Number | 8158994234 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2009-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036075383 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0360075383 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962519520 | Mark Edwin Drendel | Nurse Anesthetist, Certified Registered | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2006-08-23 |
| Street Address |
954 WEST STATE STREET |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194773499 | Timothy J Ruetten | Family Medicine | 954 West State Street, Sycamore, IL 60118 | 2006-05-05 |
| 1871718551 | Prairie Health Care, Ltd | Internal Medicine | 954 West State Street, Sycamore, IL 60118 | 2007-04-16 |
| 1881622694 | Paul Martin Stromborg | Internal Medicine | 954 West State Street, Sycamore, IL 60118 | 2006-06-29 |
| 1699703405 | Michael W Thornton | Family Medicine | 954 West State Street, Sycamore, IL 60118 | 2006-06-29 |
| 1508894312 | Ronald J Feldmann | Family Medicine | 954 West State Street, Sycamore, IL 60118 | 2006-06-29 |
| 1255380762 | Kristen A Mock | Family Medicine | 954 West State Street, Sycamore, IL 60118 | 2006-05-10 |
| 1891744439 | Catherine A Ruetten | Family Medicine | 954 West State Street, Sycamore, IL 60118 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093291411 | Pro Dental Care Ltd | Clinic/Center | 1053 Main Street, Sleepy Hollow, IL 60118 | 2018-07-18 |
| 1104333640 | Natasha Ann Radnovich | Behavioral Analyst | 533 S 5th St, West Dundee, IL 60118 | 2018-01-05 |
| 1588105639 | Rabije Hajdini | Counselor | 528 Market Loop # 4b, West Dundee, IL 60118 | 2017-03-08 |
| 1942752548 | Suhark Healthcare and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 600 Spring Hill Ring Rd Ste 109, West Dundee, IL 60118 | 2016-10-29 |
| 1386043867 | Jennifer Pate | Physical Therapist | 117 S 6th St, West Dundee, IL 60118 | 2014-08-20 |
| 1255755096 | Associates In Behavioral Health Care | Counselor | 783 8th Street, Century Plaza, West Dundee, IL 60118 | 2014-02-14 |
| 1003043290 | Castle Ventures, Inc. | In Home Supportive Care | 513 W. Main St., W. Dundee, IL 60118 | 2009-06-16 |
| 1114199965 | Brian Scott Vence | Dentist | 700 Willow Lane, Suite G, West Dundee, IL 60118 | 2008-04-01 |
| 1871703595 | Pallavi Gangupantula | Physical Therapist | 600 Spring Hill Ring Road,suite 118, West Dundee, IL 60118 | 2007-05-23 |
| 1104965219 | Barbra Mccoy Getz | Social Worker | 213 Jamestowne, Sleepy Hollow, IL 60118 | 2007-02-05 |
| Find all providers in zip 60118 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194773499 | Timothy J Ruetten | Family Medicine | 954 West State Street, Sycamore, IL 60118 | 2006-05-05 |
| 1902883325 | Norman Scott Cisar | Family Medicine | 103 N Pennington St, Sycamore, OH 44882-9408 | 2005-12-28 |
| 1063496875 | William Baxter | Family Medicine | 920 W Prairie Dr, Suite J, Sycamore, IL 60178-3123 | 2005-12-05 |
| 1184614760 | Jamison D Allen | Family Medicine | 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178-3150 | 2005-10-25 |
| 1023018322 | Asra F Khan | Family Medicine | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2005-07-28 |
| 1275033011 | Wyandot Memorial Hospital | Family Medicine | 103 N Pennington St, Sycamore, OH 44882-9408 | 2018-02-19 |
| 1053827303 | Wyandot Memorial Hospital | Family Medicine | 103 N Pennington St, Sycamore, OH 44882-9408 | 2017-12-22 |
| 1912347329 | Sarina G Jeswani | Family Medicine | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2013-06-29 |
| 1578793816 | Center for Family Health | Family Medicine | 165 E Plank Rd, Sycamore, IL 60178-8757 | 2009-07-21 |
| 1043486954 | Chunliu Zhu | Family Medicine | 1850 Gateway Dr Ste 100, Sycamore, IL 60178-3192 | 2008-05-01 |
| Find all providers in SYCAMORE | ||||
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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.