LUISE ANN ILLUMINATI (NPI# 1912014689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912014689 |
| Entity Type | Individual |
| Full Name | LUISE ANN ILLUMINATI |
| Credential | M.D. |
| Practice Address |
3924 Shellmarr Ln Bloomfield Hills MI 48302-4055 |
| Practice Telephone | 2484962112 |
| Mailing Telephone | 2484962112 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2019-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
4301047490 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3924 SHELLMARR LN |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124037106 | B Andrew Jackiw | Internal Medicine | 3924 Shellmarr Ln, Bloomfield Hills, MI 48302-4055 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1619170644 | Latha T Kannan, Md, PC | Internal Medicine | 6715 Birmingham Club Drive, Bloomfield Hills, MI 48301 | 2007-06-07 |
| 1003806217 | Rula Mahayni | Internal Medicine | 43700 Woodward Ave Ste 103, Bloomfield Hills, MI 48302-5060 | 2005-10-27 |
| 1528192275 | Oakland Infectious Disease Associates PC | Internal Medicine | 43700 Woodward Ave Ste 103, Bloomfield Hills, MI 48302-5060 | 2007-03-15 |
| 1659362853 | Hazem Nassif | Internal Medicine | 43700 Woodward Ave Ste 103, Bloomfield Hills, MI 48302-5060 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255830121 | Infectious Disease Experts, Pllc | Internal Medicine | 5757 Springbrook Dr, Troy, MI 48098-5308 | 2018-02-06 |
| 1497205546 | Capitol Infectious Disease Associates | Internal Medicine | 6401 Pine Hollow Dr, East Lansing, MI 48823-9737 | 2016-10-12 |
| 1932517604 | Nkechi Mbanefo Azie | Internal Medicine | 1660 Pond Shore Dr, Ann Arbor, MI 48108-9565 | 2014-07-25 |
| 1780096032 | Quentin Doperalski | Internal Medicine | 560 W Mitchell St Ste 170, Petoskey, MI 49770-2276 | 2014-05-21 |
| 1215361373 | Kimberly A Zielke | Internal Medicine | 720 West Wackerly, Suite 111, Midland, MI 48640 | 2013-08-26 |
| 1235572462 | Erika Olson | Internal Medicine | Harper University Hospital, 3990 John R Street, 5 Hudson, Detroit, MI 48201 | 2013-04-08 |
| 1750648945 | Daniela Christina Pellegrini | Internal Medicine | 1700 Clinton St # At, Muskegon, MI 49442-5502 | 2012-04-12 |
| 1033442546 | Guided Care Community Services Corp. | Internal Medicine | 535 Griswold St, Suite 111-267, Detroit, MI 48226-3604 | 2009-09-15 |
| 1023246329 | Ashish Bhargava | Internal Medicine | 19251 Mack Ave Ste 333, Grosse Pointe Woods, MI 48236-2898 | 2009-06-24 |
| 1104099266 | Aneela Yaqoob | Internal Medicine | 3515 Parklawn Dr, Canton, MI 48188-2315 | 2008-04-09 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
Please comment or provide details below to improve the information on LUISE ANN ILLUMINATI.
| 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.