DR. DOROTHY T PRUSEK (NPI# 1871592378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871592378 |
| Entity Type | Individual |
| Full Name | DR. DOROTHY T PRUSEK |
| Credential | M.D. |
| Practice Address |
429 N York St Elmhurst IL 60126-2003 |
| Practice Telephone | 3312212900 |
| Practice Fax Number | 3312213883 |
| Mailing Telephone | 3312212900 |
| Mailing Fax Number | 3312213883 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2016-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036081546 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036081546 | 05 | |
| IL | BLUE CROSS/BLUE SHIELD # | 02232472 | 01 |
| Street Address |
429 N YORK ST |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659928398 | Janieta Brown | Nurse Practitioner | 429 N York St, Elmhurst, IL 60126-2003 | 2019-08-19 |
| 1609038009 | Jacqueline Ross | Family Medicine | 429 N York St, Elmhurst, IL 60126-2003 | 2008-06-26 |
| 1952461972 | Maddalena Deneufbourg | Nurse Practitioner | 429 N York St, Attn Raylene Boyd, Elmhurst, IL 60126-2003 | 2006-12-11 |
| 1861561920 | Marcella R Lafido | Clinical Nurse Specialist | 429 N York St, Attn Raylene Boyd, Elmhurst, IL 60126-2003 | 2006-11-06 |
| 1922019272 | Nancy Schwabauer | Clinical Nurse Specialist | 429 N York St, Elmhurst, IL 60126-2003 | 2006-08-11 |
| 1659359180 | Juan A Perez | Family Medicine | 429 N York St, Elmhurst, IL 60126-2003 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177929 | Ar Personal Medical Care P.C. | Internal Medicine | 4102 75th Street, Elmhurst, NY 11373-3745 | 2020-09-03 |
| 1760043210 | Hks Medical Services PC | Internal Medicine | 9425 60th Ave Ste B4, Elmhurst, NY 11373-5069 | 2019-06-25 |
| 1265806434 | Monique Vanberkum | Internal Medicine | 230 S Kenmore Ave, Elmhurst, IL 60126-3520 | 2015-11-25 |
| 1407220015 | Advanced Medical Consultations Ltd | Internal Medicine | 561 N Howard Ave, Elmhurst, IL 60126-2024 | 2015-11-19 |
| 1457724759 | Espinar Medical Care, PC | Internal Medicine | 94-07 60th Avenue, Suite D3, Elmhurst, NY 11373 | 2015-11-09 |
| 1932572807 | Important Health Care Medical, PC | Internal Medicine | 9407 60th Ave, Suit D3, Elmhurst, NY 11373-5069 | 2015-11-02 |
| 1396183133 | Philip P Mathew | Internal Medicine | 8708 Justice Ave Ste Cj, Elmhurst, NY 11373-8715 | 2013-06-13 |
| 1295001907 | Ellen Therese Parker | Internal Medicine | 300 N York St, Elmhurst, IL 60126-2377 | 2012-03-27 |
| 1902178486 | Gabriel Gustin Md PC | Internal Medicine | 4036 82nd St Ste 2, Elmhurst, NY 11373-1312 | 2012-01-31 |
| 1639449069 | Lu Cai | Internal Medicine | 8425 Elmhurst Ave, Unit P1, Elmhurst, NY 11373-3359 | 2012-01-02 |
| Find all providers in ELMHURST | ||||
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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.