DR. DAVID VALLEJO JR. (NPI# 1699085381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699085381 |
| Entity Type | Individual |
| Full Name | DR. DAVID VALLEJO JR. |
| Credential | M.D. |
| Practice Address |
13000 Maple Ave Blue Island IL 60406-2318 |
| Practice Telephone | 7083856100 |
| Practice Fax Number | 7083852051 |
| Mailing Telephone | 7083856100 |
| Mailing Fax Number | 7083852051 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2013-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 125.055159 | IL | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
036.130292 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
13000 MAPLE AVE |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598739377 | Ssm Home Care At St. Francis Blue Island | Home Health | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2006-02-16 |
| 1760913172 | Latoya Duncan | Nurse Practitioner | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2017-03-27 |
| 1831552884 | Roseline Chibuzo Nwokeji | Nurse Practitioner | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2016-03-29 |
| 1245588961 | Fallon Marquita Flowers | Registered Nurse | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2012-08-28 |
| 1356640593 | Blue Island Chiropractic, PC | Chiropractor | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2011-03-25 |
| 1386897700 | Susana Coralia Alvarez | Pediatrics | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2008-10-29 |
| 1932364551 | Erica E Taylor | Obstetrics & Gynecology | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2008-07-23 |
| 1639339583 | Msmc Hospice LLC | Hospice Care, Community Based | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2008-06-13 |
| 1962603837 | Theodore G James Mdsc | Family Medicine | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2007-05-30 |
| 1194942029 | Carol Palmer Wardlaw | Registered Nurse | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
| 1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
| 1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
| 1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
| 1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
| 1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
| 1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
| Find all providers in zip 60406 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558502245 | Alfonso Mejia-zelaya | Obstetrics & Gynecology | 2320 High St, Blue Island, IL 60406-2426 | 2009-03-10 |
| 1932364551 | Erica E Taylor | Obstetrics & Gynecology | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2008-07-23 |
| 1114009891 | Mahmoud Halloway | Obstetrics & Gynecology | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2006-10-20 |
| 1023072378 | Miyoung Won | Obstetrics & Gynecology | 2320 High St, Blue Island, IL 60406-2426 | 2006-04-13 |
| 1821052101 | Angela I Risser | Obstetrics & Gynecology | 2320 High St, Blue Island, IL 60406-2426 | 2006-04-13 |
| 1174512925 | Randall Jay Gordon | Obstetrics & Gynecology | 2320 High St, Blue Island, IL 60406-2426 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162210 | Clair L Casagrande | Obstetrics & Gynecology | 1300 Franklin Ave Ste 330, Normal, IL 61761-4204 | 2020-10-23 |
| 1699382531 | Contemporary Ob/gyn Chicago, Pllc | Obstetrics & Gynecology | 2007 S State St, Chicago, IL 60616-2173 | 2020-09-24 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1851910210 | Wayne Richard Burrows | Obstetrics & Gynecology | 1412 S Diamond St, South Jacksonville, IL 62650-3143 | 2020-04-15 |
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1962050971 | Jessica Erin Buesing | Obstetrics & Gynecology | 27790 W Highway 22 Ste 37, Barrington, IL 60010-2396 | 2019-09-03 |
| 1235784760 | Gynecologic Surgery & Menopause Solutions PC | Obstetrics & Gynecology | 1890 Silver Cross Blvd Ste 445, New Lenox, IL 60451-9622 | 2019-08-01 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1164980769 | Hanna Legator | Obstetrics & Gynecology | 1875 Dempster St Ste 300, Park Ridge, IL 60068-1186 | 2019-03-04 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| Find all providers with the same taxonomy | ||||
| City | BLUE ISLAND |
| Zip Code | 60406 |
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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.