NORTHERN ILLINOIS EMERGENCY & OCCP MED SPEC (NPI# 1881763449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881763449 |
Entity Type | Organization |
Organization Name | NORTHERN ILLINOIS EMERGENCY & OCCP MED SPEC |
Practice Address |
701 W North Ave Melrose Park IL 60160-1612 |
Mailing Address |
33786 Treasury Ctr Chicago IL 60694-3700 |
Practice Telephone | 7086813200 |
Practice Fax Number | 7086815228 |
Mailing Telephone | 7084607444 |
Mailing Fax Number | 7084608662 |
Enumeration Date | 2006-11-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. HENRY GIACINTO (DIRECTOR) |
Authorized Official Telephone | 7084607444 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS & BLUE SHEILD | 01623845 | 01 |
Street Address |
701 W NORTH AVE |
City | MELROSE PARK |
State | IL |
Zip Code | 60160-1612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831170232 | Gottlieb Memorial Hospital | General Acute Care Hospital | 701 W North Ave, Melrose Park, IL 60160-1612 | 2005-11-11 |
1447889092 | Gottlieb Emergency Physicians LLC | Emergency Medicine | 701 W North Ave, Melrose Park, IL 60160-1612 | 2020-04-06 |
1851930283 | Brian Joseph Iacopelli | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1612 | 2020-01-02 |
1164061594 | Jonathan Bickmann | Registered Nurse | 701 W North Ave, Melrose Park, IL 60160-1612 | 2020-01-02 |
1952940306 | Cory Daniel Ott | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1699 | 2020-01-02 |
1790324226 | Andrew Reichard | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1612 | 2020-01-01 |
1235778200 | Ryan Mcguire | Occupational Therapist | 701 W North Ave, Melrose Park, IL 60160-1612 | 2019-12-23 |
1053962340 | Fabiola Adriana Nava-lopez | Nurse Practitioner | 701 W North Ave, Melrose Park, IL 60160-1699 | 2019-09-27 |
1114581741 | Julie Bartoski | Occupational Therapist | 701 W North Ave, Melrose Park, IL 60160 | 2019-04-29 |
1831660448 | Michael J Sit | Registered Nurse | 701 W North Ave, Melrose Park, IL 60160-1699 | 2018-12-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
Find all providers in zip 60160 |
Taxonomy Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295119808 | Advocate Christ Medical Center | Clinic/Center | 12997 Sunrise Dr, Lemont, IL 60439-4565 | 2015-07-13 |
1407245954 | First Care Express Care LLC | Clinic/Center | 10 Emerald Ter Ste C, Swansea, IL 62226-2310 | 2015-01-21 |
1083875751 | Tom Pearce Martin | Clinic/Center | 10900 Porter Ln, Junction, IL 62954-2200 | 2008-06-24 |
1306017256 | Danvers Emergency & Rescue Service | Clinic/Center | 208 E. Main St., Danvers, IL 61732-9197 | 2008-03-19 |
1023095437 | Community Medical Center of Western Illinois Inc | Clinic/Center | 1000 West Harlem Ave, Monmouth, IL 61462-1099 | 2005-12-28 |
1265966048 | Methodist Medical Center of Illinois | Clinic/Center | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2017-04-18 |
1689001414 | Medical Surgical Group | Clinic/Center | 7456 S State Rd, Suite 104, Bedford Park, IL 60638-6623 | 2013-10-13 |
1902009186 | Nah Emergency Services Sc | Clinic/Center | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2007-06-06 |
City | MELROSE PARK |
Zip Code | 60160 |
Please comment or provide details below to improve the information on NORTHERN ILLINOIS EMERGENCY & OCCP MED SPEC.
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.