MICHAEL MCCONNELL


Address: 77 N Airlite St, Elgin, IL 60123
Phone: 8476958850

MICHAEL MCCONNELL (NPI# 1669791893) 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) 1669791893
Entity Type Individual
Full Name MICHAEL MCCONNELL
Credential D.O.
Practice Address 77 N Airlite St
Elgin
IL 60123
Mailing Address 1121 Lake Cook Rd Ste M
Deerfield
IL 60015-5234
Practice Telephone 8476958850
Mailing Telephone 8479454550
Mailing Fax Number 8479488103
Enumeration Date 2010-05-27
Last Update Date 2018-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
036.139705 IL Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
274865 NY Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
Q4200 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL MEDICAL LICENSE 036.139705 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1515 Holcombe Blvd, Houston, TX 770304000 7137922121

Other Providers MICHAEL MCCONNELL

NPI Name Taxonomy Address Enumeration
1407466295 Michael John Mcconnell Pharmacist 1087 Mckinley Ave, Johnstown, PA 15905-4321 2020-08-05
1508906728 Michael Vincent Mcconnell Internal Medicine 300 Pasteur Dr # H-2157, Stanford University Medical Center, Stanford, CA 94305-2200 2007-02-07
1538270848 Michael William Mcconnell Dentist 500 Lincoln Park Blvd Ste 206, Kettering, OH 45429-3479 2006-08-31
1679523435 Michael E Mcconnell Pediatrics 202 Village Ctr Parkway, Stockbridge, GA 30281 2006-05-11
1962460998 Michael C Mcconnell Nurse Anesthetist, Certified Registered 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 2006-05-01
1710986518 Michael Mcconnell Chiropractor 16730 N Market Place Blvd, Nampa, ID 83687-7909 2005-07-14
1235746678 Michael Robert Mcconnell Student in an Organized Health Care Education/Training Program 200 1st St Sw, Rochester, MN 55905-0001 2020-09-29
1881047835 Michael Mcconnell Psychologist Highway 191 and Hospital Road, Chinle, AZ 86503 2016-07-14
1700139821 Michael Roy Mcconnell Chiropractor 951 W 21st St, Norfolk, VA 23517-1534 2012-10-26
1356693683 Michael S Mcconnell Registered Nurse 1551 Bishop St, A160, San Luis Obispo, CA 93401-4635 2012-10-10

Office Location

Street Address 77 N AIRLITE ST
City ELGIN
State IL
Zip Code 60123

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073579991 Lori D Mager Dietitian, Registered 77 N Airlite St, Elgin, IL 60123-4912 2006-04-21
1821641499 Cep America - Illinois Intensivists, LLP Internal Medicine 77 N Airlite St, Elgin, IL 60123-4912 2019-07-22
1215598743 Victoria Rosinski Nurse Anesthetist, Certified Registered 77 N Airlite St, Elgin, IL 60123-4912 2019-06-25
1811475379 Radiant Oncology Sc Radiology 77 N Airlite St, Elgin, IL 60123-4912 2018-08-06
1740778034 Kelly Filip Nurse Practitioner 77 N Airlite St, Elgin, IL 60123-4912 2018-04-23
1619485372 Rachael Marie Rochocki Speech-Language Pathologist 77 N Airlite St, Elgin, IL 60123-4912 2018-01-16
1992239974 Keith Michael Solvang Emergency Medicine 77 N Airlite St, Elgin, IL 60123-4912 2017-04-17
1639613623 Larisa Shturmak Nurse Practitioner 77 N Airlite St, Elgin, IL 60123-4912 2016-12-09
1861949034 Priya V. Patel Physician Assistant 77 N Airlite St, Elgin, IL 60123-4912 2016-09-06
1841745478 Cep America - Illinois, LLP Emergency Medicine 77 N Airlite St, Elgin, IL 60123-4912 2016-08-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629625736 Edna Lopez Social Worker 1140 N. Mclean Blvd #1, Elgin, IL 60123 2019-08-22
1003472259 Katelyn Lee O'connell Counselor 695 S. Sate Street, Elgin, IL 60123 2019-05-14
1598235152 Katie Elizabeth Dwyer Counselor 695 S. State Street, Elgin, IL 60123 2018-11-27
1174002778 James M Accetta Counselor 52 Surry Drive, Elgin, IL 60123 2018-08-14
1770086175 Griswold Home Care Adult Companion 707 A Davis Road, Suite 203, Elgin, IL 60123 2018-03-12
1003315706 Danielle Bryant Nurse Practitioner 745 Fletcher Dr Ste 101, Elgin, IL 60123 2018-02-08
1912421470 Deborah Foshager Counselor 680 Shenandoah Trail, Elgin, IL 60123 2017-07-26
1760903470 Miguel Camargo Specialist/Technologist 12 N Aldine St, Elgin, IL 60123 2017-07-03
1134658594 David Sommer Counselor 1460 Umbdenstock Rd, Elgin, IL 60123 2017-06-08
1649719618 Faheem Unisa Syed Clinical Nurse Specialist 1990 Larkin Ave., Elgin, IL 60123 2017-02-23
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730632209 Preferred Open Mri Ltd Radiology 1550 Todd Farm Dr, Elgin, IL 60123-1287 2016-08-01
1316038813 Alan Howard Matson Radiology 77 N Airlite St, Elgin, IL 60123-4912 2006-09-27
1396766978 Karen Ann Meyer Radiology 77 N Airlite St, Elgin, IL 60123-4912 2006-07-21
1568496511 Enhanced Medical Imaging of Elgin LLC Radiology 750 Fletcher Dr, Elgin, IL 60123-4703 2006-07-10
1366493256 Associated Imaging Specialists Radiology 77 N Airlite St, Elgin, IL 60123-4912 2006-05-15
1265494793 Amitabh Singh Radiology 934 Center St, Elgin, IL 60120-2125 2006-04-03
1144282674 Gongyu Yang Radiology 934 Center St, Elgin, IL 60120-2125 2006-04-03
1427019934 Ajay Mehta Radiology 934 Center St, Elgin, IL 60120-2125 2006-04-01
1427019546 Subba Raju Radiology 934 Center St, Elgin, IL 60120-2125 2006-03-29
1306807433 Lee Green Radiology 934 Center St, Elgin, IL 60120-2125 2006-03-29
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Competitor

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City ELGIN
Zip Code 60123

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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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