DR. AUGUST MARTINUCCI (NPI# 1831172386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831172386 |
| Entity Type | Individual |
| Full Name | DR. AUGUST MARTINUCCI |
| Credential | M.D. |
| Practice Address |
391 Quadrangle Dr S-1 Bolingbrook IL 60440-3442 |
| Mailing Address |
1210 Mason Ave Joliet IL 60435-5818 |
| Practice Telephone | 6303781760 |
| Practice Fax Number | 6303781764 |
| Mailing Telephone | 6303781760 |
| Mailing Fax Number | 6303781764 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2011-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036028491 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 9933225 | 01 |
| Street Address |
391 QUADRANGLE DR S-1 |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003370248 | Bolingbrook Dental Associates LLC | Clinic/Center | 391 Quadrangle Dr, Bolingbrook, IL 60440-3442 | 2019-01-22 |
| 1114242112 | Childhood Trauma Treatment Program of Advocate Health & Hospitals Corp | Clinic/Center | 391 Quadrangle Dr, N4, Bolingbrook, IL 60440-3442 | 2010-04-01 |
| 1215182837 | Jessica Lynn Durante | Dentist | 391 Quadrangle Dr, Suite S-5, Bolingbrook, IL 60440-3442 | 2008-11-24 |
| 1629220371 | Hearing Choices Dba Jefferson Hearing Aid | Audiologist | 391 Quadrangle Dr, Suite S-1, Bolingbrook, IL 60440-3442 | 2008-10-14 |
| 1033390620 | Access Pediatrics Ltd | Pediatrics | 391 Quadrangle Dr, Suite N2, Bolingbrook, IL 60440-3442 | 2007-11-24 |
| 1598972127 | Stacy Lambin | Audiologist | 391 Quadrangle Dr, Bolingbrook, IL 60440-3442 | 2007-05-16 |
| 1225254113 | Adeona Clinical Laboratory LLC | Clinical Medical Laboratory | 391 Quadrangle Dr, Suite N8, Bolingbrook, IL 60440-3442 | 2007-04-18 |
| 1548484892 | Thomas Lee Hesselink | General Practice | 391 Quadrangle Dr, S-1, Bolingbrook, IL 60440-3442 | 2007-04-11 |
| 1538287297 | Randall F. Summers, D.d.s.,ltd | Dentist | 391 Quadrangle Dr, Suite S-5, Bolingbrook, IL 60440-3442 | 2007-03-27 |
| 1497870398 | Richard L Goodman | Dentist | 391 Quadrangle Dr, Suite S-5, Bolingbrook, IL 60440-3442 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235360959 | Wallace L Vinson | Specialist | 260 S Schmidt Rd Ste G, Bolingbrook, IL 60440-3087 | 2009-07-29 |
| 1851410559 | Crystal Lawson | Specialist | 1677 Trails End Ln, Bolingbrook, IL 60490-3291 | 2007-03-27 |
| 1710037320 | Suburban Cardiologists, S.c. | Specialist | 420 Medical Center Dr, Suite 210, Bolingbrook, IL 60440-4925 | 2007-01-12 |
| 1558478487 | Tehming Liang | Specialist | 580 E Boughton Rd Ste A, Bolingbrook, IL 60440-2140 | 2006-08-24 |
| 1225087489 | Joyal Pape | Specialist | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2006-05-08 |
| 1154379931 | Surgical Specialty Partners, Ltd. | Specialist | 580 E Boughton Rd, Suite B, Bolingbrook, IL 60440-2140 | 2006-05-04 |
| 1992781108 | Mohammed Murtaza Arain | Specialist | 730 S Weber Rd, Unit G, Bolingbrook, IL 60490-5472 | 2005-12-20 |
| 1144829284 | Sheik Shafiudeen Mohamed Meerasahib | Specialist | 260 S Schmidt Rd Ste G, Bolingbrook, IL 60440-3087 | 2020-10-20 |
| 1992179972 | Jessie Hansen | Specialist | 541 Spruce Rd, Bolingbrook, IL 60440-2504 | 2015-11-13 |
| 1063823706 | Stacey Bethune | Specialist | 790 Remington Blvd, Bolingbrook, IL 60440-4909 | 2014-05-15 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on DR. AUGUST MARTINUCCI.
| 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.