SI MEDICAL, INC.


Address: 1909 W Coolidge Ave, Marion, IL 62959-1097
Phone: 6189975677

SI MEDICAL, INC. (NPI# 1659632602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659632602
Entity Type Organization
Organization Name SI MEDICAL, INC.
Practice Address 1909 W Coolidge Ave
Marion
IL 62959-1097
Practice Telephone 6189975677
Practice Fax Number 6189981451
Mailing Telephone 6189975677
Mailing Fax Number 6189981451
Enumeration Date 2012-06-06
Last Update Date 2014-05-20
Authorized Official Name MS. TRACY ASKARI (VICE PRESIDENT)
Authorized Official Telephone 6189936641
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
164.003714 IL Dietary & Nutritional Service Providers
N 363AM0700X Physician Assistant
Specialization: Medical
85.003452 IL Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
209.002243 IL Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
209.005527 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1909 W COOLIDGE AVE
City MARION
State IL
Zip Code 62959-1097

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558468975 Cindy A Henley Nurse Practitioner 1909 W Coolidge Ave, Marion, IL 62959 2006-09-20
1558789479 Brian D. Carroll Dietitian, Registered 1909 W Coolidge Ave, Marion, IL 62959-1097 2014-03-29
1972857613 Docrx Inc Family Medicine 1909 W Coolidge Ave, Marion, IL 62959-1097 2012-11-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710513486 Sarah Benitone Counselor 11264 Il-37, Marion, IL 62959 2020-03-13
1528609328 Patricia E Murphy Radiology 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 2019-10-02
1366007007 Centerstone of Illinois, Inc Community/Behavioral Health 202 S Bentley St, Marion, IL 62959 2019-05-08
1649752064 Sydney Seiter Occupational Therapist 906 Skyline Suite 100, Marion, IL 62959 2018-09-01
1497279848 Brooke Alisa Osman Licensed Practical Nurse 11531 Sunderland Road, Marion, IL 62959 2017-07-27
1912436429 Joy L. Kee Social Worker 509 South Bentley Street, Marion, IL 62959 2017-06-08
1386181170 Susan Smothers Counselor 1305 West Main Street, Marion, IL 62959 2017-01-31
1205280922 Harish Kempegowda Orthopaedic Surgery 3331 W Deyoung St Ste 201, Marion, IL 62959 2016-04-19
1942609227 Casey Hill Social Worker 1604 W. Walnut St., Marion, IL 62959 2014-08-22
1306252812 Justin M White Chiropractor 1603 W Kimmel, Marion, IL 62959 2014-07-03
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992343248 Maryanne M Smith Nurse Practitioner 805 W Deyoung St Ste D, Marion, IL 62959-1602 2019-12-17
1346359437 Lisa A Decker Nurse Practitioner 1136 N Baldwin Ave, Marion, IN 46952-4715 2006-08-30
1225682511 Wesley Adam Davenport Nurse Practitioner 472 Rankin Dr, Marion, NC 28752-6568 2019-07-25
1023521895 Nina Elaine Orr Nurse Practitioner 1700 E 38th St, Marion, IN 46953-4568 2017-11-14
1689109415 Carlos M Blanchard Nurse Practitioner 441 N Wabash Ave, Marion, IN 46952-2612 2017-04-30
1528498458 Kalee Dunkle Nurse Practitioner 1700 E 38th St, Marion, IN 46953-4568 2013-11-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225636475 Monika Sitko Nurse Practitioner 3 E 14th Pl, Lombard, IL 60148-4574 2020-10-10
1134735343 Michael Fitz Nurse Practitioner 6205 Westminster Ct, Springfield, IL 62711-6728 2020-09-22
1013521038 Eziaha R Georgewill Nurse Practitioner 17800 Kedzie Ave # A, Hazel Crest, IL 60429-2029 2020-09-08
1447870274 15 Park Place LLC Nurse Practitioner 15 Park Pl Ste 1, Swansea, IL 62226-2918 2020-04-22
1861021248 Elizabeth Horan Nurse Practitioner 125 S Green St Apt 1005a, Chicago, IL 60607-3717 2020-04-07
1699315697 Kelsey L Proehl Nurse Practitioner 70 Meadowview Ctr Ste 300, Kankakee, IL 60901-2062 2020-01-08
1730724451 Suzana None Nikitovic Nurse Practitioner 2815 Regner Rd, Mchenry, IL 60051-6942 2019-11-18
1104461870 Swanson Family Practice LLC Nurse Practitioner 733 N Logan Ave Ste 1, Danville, IL 61832-4378 2019-11-16
1205471083 Sylvia Coleman Nurse Practitioner 20 W Kinzie St Ste 17, Chicago, IL 60654-6393 2019-11-15
1194374637 Elena Ignatiev Nurse Practitioner 1626 W Farwell Ave Apt 3g, Chicago, IL 60626-3641 2019-09-07
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Competitor

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City MARION
Zip Code 62959

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Dataset Information

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.

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