DR. CHARLES EARL SWANSON (NPI# 1811558638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811558638 |
| Entity Type | Individual |
| Full Name | DR. CHARLES EARL SWANSON |
| Credential | DO |
| Practice Address |
350 N Wall St Kankakee IL 60901-2991 |
| Mailing Address |
103 Chesterfield Ct Bourbonnais IL 60914-9651 |
| Practice Telephone | 8159286274 |
| Mailing Telephone | 8156001134 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184112484 | Charles Swanson | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2018-04-23 |
| 1356886758 | Charles Swanson | Behavior Technician | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2016-12-21 |
| 1407127327 | Charles Everett Swanson II | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2012-01-24 |
| 1578683389 | Charles Swanson | Social Worker | 240 W Tyrone Rd, Oak Ridge, TN 37830-6517 | 2007-03-29 |
| Street Address |
350 N WALL ST |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-2991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710967955 | Yasser A Alhaj-hussein | Anesthesiology | 350 N Wall St, Dept of Anesthesesia, Kankakee, IL 60901-2901 | 2006-01-21 |
| 1932727229 | Elizabeth Ann Christian | Speech-Language Pathologist | 350 N Wall St, Kankakee, IL 60901-2901 | 2020-07-13 |
| 1649897471 | Taryn Mackenzie Linke | Speech-Language Pathologist | 350 N Wall St, Kankakee, IL 60901-2901 | 2020-06-27 |
| 1629693726 | Stephen Tulley | Internal Medicine | 350 N Wall St, Kankakee, IL 60901-2991 | 2020-06-15 |
| 1891310991 | Matthew Sutherland | Internal Medicine | 350 N Wall St, Kankakee, IL 60901-2991 | 2020-06-15 |
| 1962026302 | Kelsie Joann Jamilia Winger | Psychiatry & Neurology | 350 N Wall St, Kankakee, IL 60901-2991 | 2020-06-01 |
| 1346863321 | Ahmed Ismail | Internal Medicine | 350 N Wall St, Kankakee, IL 60901-2901 | 2020-05-25 |
| 1013539683 | Megan L Lucas | Pharmacist | 350 N Wall St, Kankakee, IL 60901-2991 | 2020-05-17 |
| 1568084523 | Alketa Zyka | Internal Medicine | 350 N Wall St, Kankakee, IL 60901-2901 | 2020-05-13 |
| 1134741028 | Shahzaib Khan | Psychiatry & Neurology | 350 N Wall St, Kankakee, IL 60901-2901 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659990505 | Dhruv Joshi | Student in an Organized Health Care Education/Training Program | 350 N Wall St, Kankakee, IL 60901-2901 | 2020-04-10 |
| 1487209672 | Martin Michael Tehan | Student in an Organized Health Care Education/Training Program | 350 N Wall St, Kankakee, IL 60901-2901 | 2019-08-06 |
| 1932769171 | Chase Paul Irvin | Student in an Organized Health Care Education/Training Program | 350 N Wall St, Kankakee, IL 60901-2901 | 2019-06-19 |
| 1255991303 | Andrew Tariao Mariano | Student in an Organized Health Care Education/Training Program | 350 N Wall St, Kankakee, IL 60901-2901 | 2019-06-19 |
| 1164082251 | Emma Myers | Student in an Organized Health Care Education/Training Program | 350 N Wall St, Kankakee, IL 60901-2901 | 2019-06-19 |
| 1912491200 | Atif Ahmed Siddique | Student in an Organized Health Care Education/Training Program | 350 N Wall St, Kankakee, IL 60901-2991 | 2018-06-19 |
| 1225522857 | Daniel Kechker | Student in an Organized Health Care Education/Training Program | 350 N Wall St, Kankakee, IL 60901-2991 | 2018-06-18 |
| 1609369487 | Phivu Nguyen | Student in an Organized Health Care Education/Training Program | 350 N Wall St, Kankakee, IL 60901-2991 | 2018-06-07 |
| 1497248199 | Samia Qadir | Student in an Organized Health Care Education/Training Program | 350 N Wall St, Kankakee, IL 60901-2901 | 2018-06-07 |
| 1528550357 | Aadil Saeed Ahmed | Student in an Organized Health Care Education/Training Program | 350 N Wall St, Kankakee, IL 60901-2901 | 2018-06-06 |
| Find all providers in KANKAKEE | ||||
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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.