SUPERIOR PHYSICIAN SERVICES IL LLC (NPI# 1639626401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639626401 |
| Entity Type | Organization |
| Organization Name | SUPERIOR PHYSICIAN SERVICES IL LLC |
| Other Organization Name | GO DOCS GO |
| Practice Address |
5061 N Pulaski Rd Suite 200b Chicago IL 60630-2706 |
| Mailing Address |
310 N Main St Suite 301 Chelsea MI 48118-1555 |
| Practice Telephone | 8554636271 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |
| Authorized Official Name | KYLYN MEAD (PRACTICE MANAGER) |
| Authorized Official Telephone | 7342228200 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Go Docs Go | Doing Business As Name - Organization |
| Street Address |
5061 N PULASKI RD SUITE 200B |
| City | CHICAGO |
| State | IL |
| Zip Code | 60630-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861488231 | Fairmont Care Centre, Inc. | Skilled Nursing Facility | 5061 N Pulaski Rd, Chicago, IL 60630-2706 | 2005-09-21 |
| 1184274383 | Sheree Ledwell | Dietitian, Registered | 5061 N Pulaski Rd, Chicago, IL 60630-2706 | 2019-09-19 |
| 1326586132 | Briana Verdel Reamer | Dietitian, Registered | 5061 N Pulaski Rd, Suite 300, Chicago, IL 60630-2706 | 2017-02-01 |
| 1326434754 | Bassell Nurse Practitioner Services, LLC | Licensed Practical Nurse | 5061 N Pulaski Rd, Chicago, IL 60630-2706 | 2015-04-13 |
| 1578960084 | Leslie Bassell | Nurse Practitioner | 5061 N Pulaski Rd, Chicago, IL 60630-2706 | 2014-11-26 |
| 1659718294 | Sandra L Kurby | Dietitian, Registered | 5061 N Pulaski Rd, Suite 300, Chicago, IL 60630-2706 | 2013-05-22 |
| 1538504154 | Tina M Schroll | Dietitian, Registered | 5061 N Pulaski Rd, Chicago, IL 60630-2706 | 2013-05-09 |
| 1700010543 | Cynthia Chow & Associates LLC | Exclusive Provider Organization | 5061 N Pulaski Rd, Suite 300, Chicago, IL 60630-2706 | 2009-05-07 |
| 1043458938 | Jennifer Marie Spilotro | Nutritionist | 5061 N Pulaski Rd, Chicago, IL 60630-2706 | 2009-01-30 |
| 1952524795 | Svetlana Bodnya | Physical Therapy Assistant | 5061 N Pulaski Rd, Chicago, IL 60630-2706 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1811419476 | Jill Swartzmiller | Occupational Therapist | 5248 N Liano Ave, Chicago, IL 60630 | 2017-07-14 |
| 1588193908 | Vanessa Landa | Behavior Technician | 4831 N Mobile, Chicago, IL 60630 | 2017-06-08 |
| 1851753784 | Claudia Melendez | Counselor | 4935 N Kedvale Ave., 1st Flr., Chicago, IL 60630 | 2016-03-21 |
| 1174983795 | Cheryl Ann Howe | Speech-Language Pathologist | 4714 N. Laramie Ave., Chicago, IL 60630 | 2016-02-24 |
| 1740657055 | Nihar Shah | Pharmacist | 4010 W Lawrence, Chicago, IL 60630 | 2015-08-24 |
| 1326450966 | Robert E Placzek | Dentist | 5650 W. Lawrence Ave., Chicago, IL 60630 | 2014-06-02 |
| 1730426545 | Violet Bernadet Mcguane | Nurse Practitioner | 4801 N Central, Chicago, IL 60630 | 2013-01-14 |
| 1639455231 | Jinnah A Caluag | Pharmacist | 4010 W. Lawrence, Chicago, IL 60630 | 2011-10-26 |
| 1255616256 | Marcus Kim | Pharmacist | 4010 W. Lawrence Ave, Chicago, IL 60630 | 2011-10-21 |
| Find all providers in zip 60630 | ||||
| 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 |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| Find all providers in CHICAGO | ||||
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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.