JOHN L ANDRESHAK (NPI# 1740270792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740270792 |
| Entity Type | Individual |
| Full Name | JOHN L ANDRESHAK |
| Credential | MD |
| Practice Address |
27650 Ferry Rd Suite 100 Warrenville IL 60555-3845 |
| Practice Telephone | 6302252663 |
| Practice Fax Number | 6302252399 |
| Mailing Telephone | 6302252663 |
| Mailing Fax Number | 6302252399 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2014-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
036087072 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE RR | P01141220 | 01 |
| Street Address |
27650 FERRY RD SUITE 100 |
| City | WARRENVILLE |
| State | IL |
| Zip Code | 60555-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786465 | Laurie A. Morgan | Physician Assistant | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2005-08-03 |
| 1528585155 | Megan Wojowski | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2017-08-24 |
| 1689120065 | Lauren Roth | Physician Assistant | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2016-08-26 |
| 1881077048 | Daniel Philip Jonas | Physician Assistant | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2015-07-07 |
| 1730579590 | Katelynn Shilka | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2015-02-02 |
| 1699164475 | Laura E Conte | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2015-01-15 |
| 1992102834 | Daniel L Lowder | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2014-11-20 |
| 1437553781 | Danielle J Murphy | Physician Assistant | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2014-10-15 |
| 1871905703 | Sander Rubin | Family Medicine | 27650 Ferry Rd, Warrenville, IL 60555 | 2014-05-27 |
| 1518395946 | Jennifer Gall | Physician Assistant | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2013-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944546 | Deloris Abrahams Morgan | Physical Therapist | Symbria Rehab, 28100 Torch Parkway Suite 600, Warrenville, IL 60555 | 2020-02-13 |
| 1306479894 | Lauri Ann Mccrorey | Physical Therapist | Symbria Rehab 28100 Torch Parkway, Suite 600, 600, Warrenville, IL 60555 | 2020-02-13 |
| 1699241455 | Jason Villanueva | Occupational Therapist | 2 S 521 River Oaks Dr, Warrenville, IL 60555 | 2018-10-19 |
| 1558885715 | Carol Renee Powers | Nurse Practitioner | 28375 Davis Parkway, Suite 903, Warrenville, IL 60555 | 2017-07-31 |
| 1245613249 | Bryce Alan Larson | Dentist | 28377 Davis Pkwy Ste 609, Warrenville, IL 60555 | 2015-07-08 |
| 1982092078 | Metropolitan Family Services | Community/Behavioral Health | 27475 Ferry Road Suite 120, Americenter of Naperville Warrenville, Warrenville, IL 60555 | 2014-12-26 |
| 1306248505 | A & A Clinical Counseling Solutions, Inc. | Psychologist | 4580 Weaver Parkway Suite 204, Warrenville, IL 60555 | 2014-09-18 |
| 1538412242 | Kirsten Holly Rasmussen | Counselor | 29w120 Butterfield Road, Suite 104 A, Warrenville, IL 60555 | 2012-10-18 |
| 1871881110 | Marianne Huml | Registered Nurse | 4405 Weaver Parkway, Suite 201, Central Dupage Hospital Cancer Center, Warrenville, IL 60555 | 2011-07-20 |
| 1649405341 | James Wade | Surgery | 4405 Weaver Parkway, Warrenville, IL 60555 | 2009-05-26 |
| Find all providers in zip 60555 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922098979 | Stephen E Heim | Orthopaedic Surgery | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2005-10-21 |
| 1013906213 | Jerome L Kolavo | Orthopaedic Surgery | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093213365 | Joint Replacement Cin of Chicago LLC | Orthopaedic Surgery | 1900 E Golf Rd Ste 950b, Schaumburg, IL 60173-5834 | 2018-01-31 |
| 1063920940 | Spine Cin of Chicago LLC | Orthopaedic Surgery | 1900 E Golf Rd Ste 950a, Schaumburg, IL 60173-5034 | 2018-01-13 |
| 1851819221 | Bernard Rerri | Orthopaedic Surgery | 938 M L King Dr, Centralia, IL 62801-3058 | 2017-09-06 |
| 1932572872 | Egyptian Spine Clinic | Orthopaedic Surgery | 1007 M L King Dr, Centralia, IL 62801-3001 | 2015-10-31 |
| 1073873675 | Joseph Patrick Brindise | Orthopaedic Surgery | 500 W Golf Rd Ste 101, Schaumburg, IL 60195-3503 | 2012-05-17 |
| 1861785354 | Prairie Spine & Pain Institute of Southern Illinois, LLC | Orthopaedic Surgery | 1306 N Russell St, Marion, IL 62959-4570 | 2011-05-17 |
| 1760626717 | Anthony S Rinella M D S C | Orthopaedic Surgery | 12701 W. 143rd Street, Suite 110, Homer Glen, IL 60491-7721 | 2009-04-21 |
| 1265602965 | Brandy Arnett | Orthopaedic Surgery | 800 Biesterfield Rd Ste 565, Eberle Prof Bldg, Elk Grove, IL 60007-3362 | 2008-03-10 |
| 1609940972 | Giri T Gireesan | Orthopaedic Surgery | 676 North St Clair St, #1777, Chicago, IL 60611 | 2006-11-20 |
| 1700981107 | Carl N Graf IIi | Orthopaedic Surgery | 1990 E Algonquin Road, Suite 160, Schaumburg, IL 60173 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
| City | WARRENVILLE |
| Zip Code | 60555 |
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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.