DR. ROBERT KENNETH MACNAB (NPI# 1669481180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669481180 |
| Entity Type | Individual |
| Full Name | DR. ROBERT KENNETH MACNAB |
| Credential | D.P.M. |
| Practice Address |
330 North Madison Street Suite 104 Joliet IL 60435 |
| Mailing Address |
330 Madison St Suite 104 Joliet IL 60435-6565 |
| Practice Telephone | 8157258400 |
| Practice Fax Number | 8157258401 |
| Mailing Telephone | 8157258400 |
| Mailing Fax Number | 8157258401 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2015-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016-004436 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HEALTH ALLIANCE | 020484 | 01 |
| IL | RAILROAD MEDICARE GROUP # | CL7476 | 01 |
| IL | BCBS | 3200053 | 01 |
| IL | MEDICARE NSC | 0739010001 | 01 |
| IL | MEDICARE NSC | 0739010006 | 01 |
| IL | MEDICARE NSC | 0739010005 | 01 |
| IL | MEDICARE NSC | 0739010008 | 01 |
| IL | 016004436 | 05 | |
| IL | RR MEDICARE | 480032274 | 01 |
| Street Address |
330 NORTH MADISON STREET SUITE 104 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659754000 | Anna Yang | Podiatrist | 350 Houbolt Rd Ste 104, Joliet, IL 60431-8305 | 2015-07-02 |
| 1356756282 | Rauby Mohindroo | Podiatrist | 210 N Hammes Ave Ste 103, Joliet, IL 60435-6688 | 2014-06-30 |
| 1518971639 | Steven Bradley Overpeck | Podiatrist | 1100 Essington Rd Ste 2, Joliet, IL 60435-8418 | 2006-07-27 |
| 1588175749 | Rafati Foot and Ankle Clinic LLC | Podiatrist | 815 N Larkin Ave Ste 100, Joliet, IL 60435-3449 | 2017-10-16 |
| 1467975854 | Apex Foot and Ankle LLC | Podiatrist | 210 N Hammes Ave Ste 103, Joliet, IL 60435-6688 | 2017-07-18 |
| 1053775593 | Essington Medical Group, Inc | Podiatrist | 1026 Essington Rd, Joliet, IL 60435-2841 | 2016-04-11 |
| 1558775031 | Amanda Katherine Harwood | Podiatrist | 210 N Hammes Ave, Ste 103, Joliet, IL 60435-6688 | 2014-06-12 |
| 1215377841 | An D Le | Podiatrist | 1026 Essington Rd, Joliet, IL 60435-2841 | 2013-06-27 |
| 1730354382 | Breck Tiernan PC | Podiatrist | 350 Houbolt Rd, Suite 104, Joliet, IL 60431-8305 | 2008-04-24 |
| 1861614380 | Breck Michael Tiernan | Podiatrist | 350 Houbolt Rd, Suite 104, Joliet, IL 60431-8305 | 2007-05-03 |
| Find all providers in JOLIET | ||||
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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.