JUAN R HERENA (NPI# 1922167162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922167162 |
| Entity Type | Individual |
| Full Name | JUAN R HERENA |
| Credential | M.D. |
| Practice Address |
800 Biesterfield Rd Elk Grove Village IL 60007-3361 |
| Practice Telephone | 8479813660 |
| Practice Fax Number | 8479565108 |
| Mailing Telephone | 8479813660 |
| Mailing Fax Number | 8479565108 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036081686 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036081686 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0360816861 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Erie Court Suite 3000, Oak Park, IL 603022519 | 7087636447 | 7083831619 |
| Street Address |
800 BIESTERFIELD RD |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697472 | Katarzyna Anna Olejniczak | Family Medicine | 800 Biesterfield Rd, Wimmer Bldg. #104, Elk Grove Village, IL 60007-3361 | 2005-05-27 |
| 1891308060 | Kelly Jane Lydon | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-08-27 |
| 1487263349 | Jeffrey Michael Skalicky | Registered Nurse | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-07-27 |
| 1528681822 | Cepamerica Illinois LLP | Emergency Medicine | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-05-20 |
| 1083235535 | Natalia Janik | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-05-06 |
| 1417578980 | Rachel Nicole Heise | Registered Nurse | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-05-06 |
| 1093349045 | Rachel Wiles | Obstetrics & Gynecology | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-02-28 |
| 1528608577 | Nicole Ann Tymann | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-01-07 |
| 1649731910 | James Pedraza Jr. | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2019-03-28 |
| 1841757747 | Edyta Teresa Dudek | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2019-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1427205699 | Edward Robert Kessler | Internal Medicine | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2008-08-19 |
| 1972641702 | Imran Nisar Md Ltd | Internal Medicine | 800 Biesterfield Rd, Suite 510, Elk Grove Village, IL 60007-3311 | 2007-02-02 |
| 1346318813 | Amit Goyal | Internal Medicine | 800 Biesterfield Rd, Suite 510, Elk Grove Village, IL 60007-3361 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720636202 | Pulmonary Associates Ltd | Internal Medicine | 71 W 156th St Ste 203, Harvey, IL 60426-4262 | 2019-08-28 |
| 1336516467 | Hesham A. Hassaballa, Md, Ltd | Internal Medicine | 109 Symonds Dr Unit 684, Hinsdale, IL 60522-7304 | 2015-08-24 |
| 1497141394 | Pulmonary and Critical Care Solutions, LLC | Internal Medicine | 6116 N 2200 East Rd, Downs, IL 61736-9459 | 2015-04-08 |
| 1558771220 | Christopher Charles Sutton | Internal Medicine | 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 | 2014-05-05 |
| 1861835985 | Christie Ann Brillante | Internal Medicine | 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 | 2013-04-08 |
| 1992050850 | Thomas Christopher Draghi | Internal Medicine | 155 Linden Ave, Oak Park, IL 60302-2610 | 2012-07-17 |
| 1144586041 | Robert T Zeck | Internal Medicine | 13141 Lake Mary Dr, Plainfield, IL 60585-2650 | 2012-04-04 |
| 1508160359 | Aziz Rahman Md Facp PC | Internal Medicine | 1050 Martin Luther King Dr, Ste 109, Centralia, IL 62801 | 2011-01-07 |
| 1811211774 | Vitalcare Medical Sc | Internal Medicine | 1146 S Waukegan Rd, Waukegan, IL 60085-6731 | 2010-03-22 |
| 1508095605 | Farhan Zaidi | Internal Medicine | 444 N Northwest Hwy Ste 206, Park Ridge, IL 60068 | 2009-07-09 |
| Find all providers with the same taxonomy | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
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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.