ALLISON MACTAVISH (NPI# 1831565803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831565803 |
| Entity Type | Individual |
| Full Name | ALLISON MACTAVISH |
| Practice Address |
22285 N Pepper Rd #301 Lake Barrington IL 60010-2538 |
| Practice Telephone | 8478420597 |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
070021517 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
22285 N PEPPER RD #301 |
| City | LAKE BARRINGTON |
| State | IL |
| Zip Code | 60010-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043223 | Timothy James Alikakos | Internal Medicine | 22285 N Pepper Rd, Lake Barrington, IL 60010 | 2005-09-17 |
| 1295274165 | Rumyana G Krouleva | Nurse Practitioner | 22285 N Pepper Rd, Suite #401, Lake Barrington, IL 60010-2538 | 2017-02-13 |
| 1770930729 | Theresa L Terna | Nurse Practitioner | 22285 N Pepper Rd, Suite 401, Lake Barrington, IL 60010-2538 | 2016-05-19 |
| 1740610963 | Kellirose Minogue | Speech-Language Pathologist | 22285 N Pepper Rd, Suite 301, Lake Barrington, IL 60010-2538 | 2013-11-25 |
| 1679900195 | Edin Abdagic | Registered Nurse | 22285 N Pepper Rd, Suite 201, Lake Barrington, IL 60010-2538 | 2013-09-29 |
| 1952745788 | Tyler M Thress | Surgery | 22285 N Pepper Rd, Ste 201, Lake Barrington, IL 60010-2540 | 2013-04-23 |
| 1275825978 | Ahmer Ali | Psychiatry & Neurology | 22285 N Pepper Rd, Suite 401, Lake Barrington, IL 60010-2542 | 2011-05-12 |
| 1427381367 | Courtney Erin Lozar | Speech-Language Pathologist | 22285 N Pepper Rd, Suite 301, Lake Barrington, IL 60010-2538 | 2009-09-10 |
| 1629301890 | Manisha Sahay | Psychiatry & Neurology | 22285 N Pepper Rd, Suite # 401, Lake Barrington, IL 60010-2538 | 2009-09-06 |
| 1851575039 | Ahmir Hafeez Khan | Psychiatry & Neurology | 22285 N Pepper Rd, Suite 401, Lake Barrington, IL 60010-2538 | 2007-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125425 | Cvs Aoc Services, L.L.C. | Optometrist | 101 South Northwest Highway, Store 7181, Barrington, IL 60010 | 2020-05-07 |
| 1497241707 | Sharon Kay Fu | Counselor | 1000 Hart Rd., Suite 201, Barrington, IL 60010 | 2018-07-10 |
| 1760977219 | Robert Scott Wertke | Student in an Organized Health Care Education/Training Program | 3147, 101 Lions Dr. #100, Barrington, IL 60010 | 2018-06-27 |
| 1548788169 | Integrated Care Inc. | Chiropractor | 22285 N. Pepper Rd. Suite 407, Lake Barrington, IL 60010 | 2017-09-04 |
| 1487174249 | Lucy Buhr | Physician Assistant | 1531 S Grove Ave Suite 101, Barrington, IL 60010 | 2017-06-22 |
| 1386180198 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 1531 S Grove Avenue, Suite 101, Barrington, IL 60010 | 2017-01-18 |
| 1649625872 | Hong Luo | Acupuncturist | 1525 S. Grove Ave, Suite 102, Barrington, IL 60010 | 2016-04-25 |
| 1508239724 | Taylor Sheahen | Counselor | 21925 W. Field Parkway, Suite 215, Deer Park, IL 60010 | 2015-11-10 |
| 1952780413 | Robert W. Davis | Massage Therapist | 110 S. Wynstone Park Drive Suite 105, N. Barrington, IL 60010 | 2015-05-29 |
| 1982082863 | Marilu Garza | Massage Therapist | 110 S. Wynstone Park Drive, Suite 105, N. Barrington, IL 60010 | 2015-05-12 |
| Find all providers in zip 60010 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1437625001 | Jennifer K. Buccelli, Mpt | Physical Therapist | 597 Plymouth Ct, Gurnee, IL 60031-3229 | 2018-10-22 |
| 1124511159 | Molly Victorine | Physical Therapist | 1375 Newcastle Ln, Hoffman Estates, IL 60169-1225 | 2018-06-13 |
| 1750896163 | Julie Ann Brady | Physical Therapist | 430 Nevada St, Frankfort, IL 60423-1565 | 2017-12-07 |
| 1467965939 | Carla Gain | Physical Therapist | 118 Westhaven School Rd, Belleville, IL 62220-3264 | 2017-11-07 |
| 1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1417409970 | Katherine Wolff | Physical Therapist | 12 N Kenilworth Ave, Mount Prospect, IL 60056-2232 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
| City | LAKE BARRINGTON |
| Zip Code | 60010 |
Please comment or provide details below to improve the information on ALLISON MACTAVISH.
| 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.