TRICARE MEDICAL GROUP OF MIDWEST (NPI# 1790043750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790043750 |
Entity Type | Organization |
Organization Name | TRICARE MEDICAL GROUP OF MIDWEST |
Other Organization Name | CUREWELL PHYSICAL THERAPY |
Practice Address |
3535 E New York Street Suite 119 Aurora IL 60504-4427 |
Mailing Address |
3535 E New York Street Suite 121 Aurora IL 60504-4427 |
Practice Telephone | 6304991900 |
Practice Fax Number | 6304991903 |
Mailing Telephone | 6304991900 |
Mailing Fax Number | 6304991903 |
Enumeration Date | 2012-04-27 |
Last Update Date | 2012-10-19 |
Authorized Official Name | DR. SIFATUR R SAYEED (PRESIDENT) |
Authorized Official Telephone | 6304991900 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
036094039 | IL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036094039 | 05 |
Other Name | Type Code |
---|---|
Curewell Physical Therapy | Doing Business As Name - Organization |
Street Address |
3535 E NEW YORK STREET SUITE 119 |
City | AURORA |
State | IL |
Zip Code | 60504-4427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114247632 | Fox Valley Medical Diagnostic Services Inc. | Clinic/Center | 3535 E New York Street, Suite 118, Aurora, IL 60504-4466 | 2010-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
Find all providers in zip 60504 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154930345 | Unbound Physical Therapy LLC | Clinic/Center | 3621 S Kalispell St, Aurora, CO 80013-2435 | 2020-07-23 |
1245764950 | Hesch Institute | Clinic/Center | 25837 E Maple Pl, Aurora, CO 80018-4596 | 2017-04-19 |
1750746756 | Debra Ganoe | Clinic/Center | 4543 South Abilene Cr., Aurora, CO 80015 | 2015-12-18 |
1629408133 | Totally Mobile Pt, LLC | Clinic/Center | 3573 S Olathe Way, Aurora, CO 80013-2846 | 2013-11-19 |
1568729986 | Tricare Medical Group of Midwest Inc. | Clinic/Center | 3535 East New York Street, Suite 119, Aurora, IL 60504-4427 | 2012-04-23 |
1457567653 | Cherry Creek Physical Therapy, PC | Clinic/Center | 12371 E Cornell Ave, Building 15, Aurora, CO 80014-3323 | 2007-05-15 |
1851436463 | Occupational Health Center of The Southwest Pa PC | Clinic/Center | 3350 Peoria Street, Aurora, CO 80010 | 2007-02-21 |
1023029923 | Occupational Health Centers of Illinois PC | Clinic/Center | 4000 Ogden Avenue, Aurora, IL 60504 | 2006-08-10 |
1962412726 | Us Pt Therapy Services, Inc. | Clinic/Center | 3150 N Aurora Rd, Suite B, Aurora, IL 60502-3800 | 2006-08-08 |
1770530206 | Southlands Physical Therapy LLC | Clinic/Center | 24743 E Quarto Pl, Aurora, CO 80016-7168 | 2006-05-29 |
Find all providers in AURORA |
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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.