MICHAEL MCCONNELL (NPI# 1669791893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICAL LICENSE | 036.139705 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1515 Holcombe Blvd, Houston, TX 770304000 | 7137922121 |
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 |
Street Address |
77 N AIRLITE ST |
City | ELGIN |
State | IL |
Zip Code | 60123 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 60123 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
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. |
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 |
Find all providers in ELGIN |
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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.