DR. MICHELLE A KALLENBORN (NPI# 1720021124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720021124 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE A KALLENBORN |
| Credential | D.O. |
| Practice Address |
12251 S 80th Ave Palos Heights IL 60463-1256 |
| Mailing Address |
9944 S Roberts Rd Suite 204 Palos Hills IL 60465-1555 |
| Practice Telephone | 7089235800 |
| Mailing Telephone | 7082338709 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | IL | Allopathic & Osteopathic Physicians |
| Street Address |
12251 S 80TH AVE |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359465 | Kurt J Wagner | Emergency Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2005-07-13 |
| 1558972364 | Anu J Stephen | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2020-08-14 |
| 1730799651 | Ruby Noemi Meyer | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2020-08-05 |
| 1306489711 | Allison Marie Reid | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-10-18 |
| 1548829450 | Christina Gavoni | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-06-13 |
| 1033775945 | Valerie R Giannini | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-05-15 |
| 1073074894 | Jessica Marie Kubicki | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-03-26 |
| 1205393014 | Ruthie Celestine Gavin | Registered Nurse | 12251 S 80th Ave, Palos Heights, IL 60463 | 2019-02-28 |
| 1609332188 | Maria Veronica Tarala | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-02-20 |
| 1578029013 | Michelle Katherine Panek | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-0930 | 2019-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359465 | Kurt J Wagner | Emergency Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2005-07-13 |
| 1285918128 | Emergency Medical Associates of Palos, Ltd. | Emergency Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2011-10-10 |
| 1053383125 | Kiran Dhillon | Emergency Medicine | 7804 W College Dr, Suite 1nw, Palos Heights, IL 60463-1025 | 2006-02-03 |
| 1598766966 | James Massimilian | Emergency Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2005-08-09 |
| 1588665244 | Lori Marasovich | Emergency Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2005-08-03 |
| 1144220112 | Mark Charles Netzel | Emergency Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2005-07-29 |
| 1811997885 | Palos Emergency Medical Services, Ltd | Emergency Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2005-07-29 |
| 1396745717 | Gregg Goldberg | Emergency Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2005-07-28 |
| 1902806664 | Marco Cordero | Emergency Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2005-07-26 |
| 1972503563 | Tam Van Thai | Emergency Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2005-07-26 |
| Find all providers in PALOS HEIGHTS | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
Please comment or provide details below to improve the information on DR. MICHELLE A KALLENBORN.
| 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.