FAMILY MEDICAL CENTER OF LAGRANGE LTD (NPI# 1649355793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649355793 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL CENTER OF LAGRANGE LTD |
| Practice Address |
5201 S Willow Springs Road Suite 300 Lagrange IL 60525 |
| Practice Telephone | 7084828088 |
| Practice Fax Number | 7084829034 |
| Mailing Telephone | 7084828088 |
| Mailing Fax Number | 7084829034 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-11-05 |
| Authorized Official Name | MR. MICHAEL FRANCIS DUPONT (VICE PRESIDENT PHYSICIAN) |
| Authorized Official Telephone | 7084828088 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
5201 S WILLOW SPRINGS ROAD SUITE 300 |
| City | LAGRANGE |
| State | IL |
| Zip Code | 60525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923837 | Cheryl Buhrke | Speech-Language Pathologist | 1301 W. Cossitt Ave., La Grange, IL 60525 | 2017-10-19 |
| 1881113462 | Karen Aluise | Speech-Language Pathologist | 6818 Joliet Rd. #2, Indian Head Park, IL 60525 | 2017-09-14 |
| 1689126997 | Adriana Digianfilippo | Occupational Therapist | 18 N. Catherine, Lagrange, IL 60525 | 2016-11-03 |
| 1679953582 | Paulina Pinzon | Counselor | 6548 Laurel Avenue, Indian Head Park, IL 60525 | 2015-06-05 |
| 1639446925 | Aarti Parikh | Pharmacist | 6600 S. Willow Springs Rd, Indian Head Park, IL 60525 | 2011-11-30 |
| 1831476795 | Jessica E Feller | Physician Assistant | 6555 South Willow Springs Road, Suite 6, Countryside, IL 60525 | 2011-11-07 |
| 1477833218 | Robyn Lee Frendling | Behavioral Analyst | 9649 W. 55th St, Countryside, IL 60525 | 2011-08-25 |
| 1457630543 | Kerri E Kabela | Physical Therapist | 705 W. Plainfield Rd, Suite 1, Countryside, IL 60525 | 2011-08-08 |
| 1275826984 | G&u Orthopedic, LLC | Durable Medical Equipment & Medical Supplies | 106 W. Calendar Ave., 127, La Grange, IL 60525 | 2011-05-27 |
| 1952609752 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 705 W. Plainfield Road, Suite 1, Countryside, IL 60525 | 2011-03-03 |
| Find all providers in zip 60525 | ||||
| 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 |
|---|---|---|---|---|
| 1992153548 | Hometown Physician Group, LLC | Family Medicine | 1698 Vernon Rd, Lagrange, GA 30240-4100 | 2016-05-24 |
| 1073834404 | Robert Ambrose Martin | Family Medicine | 380 S Davis Rd, Suite E&f, Lagrange, GA 30241-2588 | 2010-06-21 |
| 1821228255 | Olumide Adeniyl Ajayi | Family Medicine | 1497 Lafayette Pkwy, Lagrange, GA 30241-2552 | 2009-07-20 |
| 1124201249 | Lagrange Family Medicine | Family Medicine | 303 Medical Dr, Ste 406, Lagrange, GA 30240-4169 | 2007-12-12 |
| 1326181694 | Marcia D. Ebbs Md Psc | Family Medicine | 1009 New Moody Ln, Suite 4, Lagrange, KY 40031-9142 | 2007-02-15 |
| 1043318355 | Lagrange Med Center, LLC | Family Medicine | 309 Vernon St, Lagrange, GA 30240-3162 | 2006-09-20 |
| 1912932617 | Rhonda L Sharp | Family Medicine | 2600 N Detroit St, Lagrange, IN 46761-1154 | 2006-07-11 |
| 1750338968 | Srinivas R Bramhadevi | Family Medicine | 1497 Lafayette Street, Lagrange, GA 30241-2552 | 2006-05-31 |
| 1134184781 | Michael W Conway | Family Medicine | 207 N Townline Rd Ste 104, Lagrange, IN 46761 | 2006-04-18 |
| 1548220544 | Millard Reed Taylor | Family Medicine | 2120 N Detroit St, Lagrange, IN 46761 | 2006-03-24 |
| Find all providers in LAGRANGE | ||||
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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.