NORTHERN ILLINOIS EMERGENCY & OCCP MED SPEC


Address: 701 W North Ave, Melrose Park, IL 60160-1612
Phone: 7086813200

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0002X Clinic/Center
Specialization: Emergency Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS & BLUE SHEILD 01623845 01

Office Location

Street Address 701 W NORTH AVE
City MELROSE PARK
State IL
Zip Code 60160-1612

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 261QE0002X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Emergency Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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

Competitor

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City MELROSE PARK
Zip Code 60160

Improve Information

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Dataset Information

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.

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