PETER MCDONNELL MD, LLC (NPI# 1730583261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730583261 |
| Entity Type | Organization |
| Organization Name | PETER MCDONNELL MD, LLC |
| Practice Address |
7530 W College Dr Palos Heights IL 60463-1196 |
| Practice Telephone | 7089236444 |
| Practice Fax Number | 7089230705 |
| Mailing Telephone | 7089236444 |
| Mailing Fax Number | 7089230705 |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |
| Authorized Official Name | PETER MCDONNELL (MD) |
| Authorized Official Telephone | 7089236444 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
036079089 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1114014693 | 01 |
| Street Address |
7530 W COLLEGE DR |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831164896 | Joan Marie Mcelligott | Family Medicine | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2006-02-22 |
| 1497199350 | Physician Diagnostic and Pathology | Radiology | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2013-04-23 |
| 1437477270 | Ijaz Qayyum M.d.,s.c. | Surgery | 7530 W College Dr, Suite C, Palos Heights, IL 60463-1196 | 2010-05-04 |
| 1518146034 | Sarah Soni | Internal Medicine | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2007-10-31 |
| 1245428374 | Palos Heights Medical Center | Family Medicine | 7530 W College Dr, Suite C, Palos Heights, IL 60463-1196 | 2007-10-15 |
| 1467581801 | Vinod Kumar Soni | Internal Medicine | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2007-03-03 |
| 1659435899 | Peter J. Mcdonnell M.d. Sc | Specialist | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2006-12-21 |
| 1295810547 | Shakir Moiduddin | Family Medicine | 7530 W College Dr, Suite C, Palos Heights, IL 60463 | 2006-10-26 |
| 1740361633 | James J Strzyz | Urology | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2006-10-18 |
| 1538240429 | Jay P Steinberg | Urology | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2006-10-18 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114014693 | Peter Joseph Mcdonnell | Surgery | 12255 S 80th Ave, Suite 203, Palos Heights, IL 60463-1270 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396267324 | Congress Vascular Center LLC | Surgery | 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 | 2017-07-11 |
| 1043731300 | Elmwood Park Vascular Center LLC | Surgery | 7230 W North Ave Ste 108, Elmwood Park, IL 60707-4261 | 2017-06-27 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1992126668 | Vascular Specialists LLC | Surgery | 20060 Governors Dr Ste 102, Olympia Fields, IL 60461-1099 | 2013-12-26 |
| 1588959548 | Patrick Michael Sullivan Neville | Surgery | 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | 2011-06-17 |
| 1235454968 | Margaret Claire Rigamer | Surgery | 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 | 2010-04-06 |
| 1215251541 | John V. White, Md, LLC | Surgery | 8816 W Dempster St, Niles, IL 60714-5109 | 2010-03-15 |
| 1710212733 | Vascular Surgery and Interpretation S.c. | Surgery | 3330 W 177th St Ste 2c1, Hazel Crest, IL 60429-2184 | 2009-10-08 |
| 1538391792 | Usa Vein Clinics of Chicago LLC | Surgery | 4141 Dundee Rd, Northbrook, IL 60062-2129 | 2009-08-20 |
| 1306010731 | Tanq, Inc. | Surgery | 18510 S Marilynn Ct, Mokena, IL 60448-9517 | 2008-04-16 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
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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.