SPRINGFIELD OB/GYN GROUP LTD (NPI# 1639359797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639359797 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD OB/GYN GROUP LTD |
| Practice Address |
301 Springfield Ave Joliet IL 60435-6590 |
| Practice Telephone | 8157290330 |
| Practice Fax Number | 8157290566 |
| Mailing Telephone | 8157290330 |
| Mailing Fax Number | 8157290566 |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MS. DIANNE R LUSINGER (OFFICE MANAGER) |
| Authorized Official Telephone | 8157290330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 09908558 | 01 |
| IL | INDIVIDUAL NPI | 1922161827 | 01 |
| Street Address |
301 SPRINGFIELD AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-6590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763805 | Liberato D Alcala | Pediatrics | 301 Springfield Ave, Joliet, IL 60435-6590 | 2005-10-11 |
| 1245705177 | Rehabilitation Specialists of Illinois LLC | Physical Medicine & Rehabilitation | 301 Springfield Ave, Joliet, IL 60435-6590 | 2018-10-08 |
| 1437309234 | Bernard R Charles | Physical Medicine & Rehabilitation | 301 Springfield Ave, Joliet, IL 60435 | 2008-09-29 |
| 1831216951 | T&k O.d., Ltd | Optometrist | 301 Springfield Ave, Joliet, IL 60435-6590 | 2007-03-23 |
| 1922161827 | Jose F Battistini | Specialist | 301 Springfield Ave, Joliet, IL 60435-6590 | 2006-12-19 |
| 1083794457 | Matthew Edward Skarbek | Psychologist | 301 Springfield Ave, Joliet, IL 60435-6590 | 2006-10-17 |
| 1073601654 | Krista Kaye Thomasson | Optometrist | 301 Springfield Ave, Joliet, IL 60435-6590 | 2006-10-10 |
| 1710075304 | Tauseef U Tahir | Optometrist | 301 Springfield Ave, Joliet, IL 60435-6590 | 2006-10-10 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144526161 | Daniel Lee Beck, Md, Sc | Clinic/Center | 310 N Hammes Ave, Suite 201, Joliet, IL 60435-8118 | 2011-02-09 |
| 1932380078 | Allergy and Asthma Associates of Joliet, S.c. | Clinic/Center | 2000 Glenwood Ave, Suite 100, Joliet, IL 60435-5676 | 2007-11-16 |
| 1265659825 | F G Tomasik Md, Facog & Associates, Sc | Clinic/Center | 3077 W Jefferson St, Suite 101, Joliet, IL 60435-5262 | 2007-04-18 |
| 1932224946 | Midwest Neurological Associates Ltd. | Clinic/Center | 1513 Essington Rd, Joliet, IL 60435-4912 | 2007-03-20 |
| 1326174491 | Digestive Disease Clinic of Joliet Ltd | Clinic/Center | 3077 W Jefferson St, Suite 104, Joliet, IL 60435-5262 | 2007-02-25 |
| 1285701797 | Artisan Plastic Surgery, S.c. | Clinic/Center | 301 Madison St, Suite 303, Joliet, IL 60435-6549 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351062 | Sara M Gotheridge Md LLC | Clinic/Center | 630 Davis St Ste 301, Evanston, IL 60201-4480 | 2020-06-17 |
| 1407484645 | Macumber Medical Ltd | Clinic/Center | 3114 W Irving Park Rd Ste 1w, Chicago, IL 60618-3435 | 2020-04-01 |
| 1477181782 | Embassy Studios North | Clinic/Center | 6455 N Cicero Ave, Lincolnwood, IL 60712-3407 | 2020-03-31 |
| 1689226318 | Midway Spine and Joint Pain Physicians | Clinic/Center | 5720 S Pulaski Rd, Chicago, IL 60629-4435 | 2019-07-12 |
| 1215598891 | Vero Clinics | Clinic/Center | 1192 E Pershing Rd, Decatur, IL 62526-4753 | 2019-06-25 |
| 1497215933 | Activate Healthcare | Clinic/Center | 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 | 2019-03-21 |
| 1033699467 | Healthpointe Medical Center Sc | Clinic/Center | 530 Fullerton Rd Ste B, Swansea, IL 62226-2970 | 2018-08-15 |
| 1740794882 | Highland Park Cvs, L.L.C. | Clinic/Center | 72 Airport Plz, Bethalto, IL 62010-1774 | 2017-11-28 |
| 1447764014 | Dr Courtney Drendel Inc | Clinic/Center | 515 Hamilton St # 100, Geneva, IL 60134-2138 | 2017-11-19 |
| 1699206599 | David M Conner M.d. | Clinic/Center | 9 Executive Woods Ct Ste 2, Swansea, IL 62226-2016 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
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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.