CC MEDICAL CLINIC SC (NPI# 1952427163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952427163 |
| Entity Type | Organization |
| Organization Name | CC MEDICAL CLINIC SC |
| Practice Address |
1141 N Cheney St Taylorville IL 62568-2741 |
| Practice Telephone | 2172877477 |
| Practice Fax Number | 2172877511 |
| Mailing Telephone | 2172877477 |
| Mailing Fax Number | 2172877511 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | DR. HWA-LONG CHEN (PRESIDENT) |
| Authorized Official Telephone | 2172877477 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
036-049201 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1141 N CHENEY ST |
| City | TAYLORVILLE |
| State | IL |
| Zip Code | 62568-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679572473 | Vernon Ray Klinefelter | Family Medicine | 1141 N Cheney St, Taylorville, IL 62568-2741 | 2005-07-14 |
| 1013467646 | Central Counties Health Centers, Inc. | Dentist | 1141 N Cheney St, Taylorville, IL 62568-2741 | 2016-10-06 |
| 1912910688 | Abundant Life Medical Clinic, LLC | Legal Medicine | 1141 N Cheney St, Taylorville, IL 62568-2741 | 2006-08-14 |
| 1104854918 | Hwa Long Chen | Obstetrics & Gynecology | 1141 N Cheney St, Taylorville, IL 62568-2741 | 2006-06-29 |
| 1508865049 | Gerry A Klinefelter | Nurse Practitioner | 1141 N Cheney St, Taylorville, IL 62568-2741 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619481629 | Kimberly Denae Washburn | Social Worker | 1100 Sandy Duncan Dr, Taylorville, IL 62568 | 2017-11-29 |
| 1043729841 | Christian County Young Men's Christian Association Inc | Health Educator | 900 Mcadam Dr, Taylorville, IL 62568 | 2017-09-25 |
| 1326597014 | Pamela A Napier | Case Manager/Care Coordinator | 610 S Webster St, Taylorville, IA 62568 | 2016-09-23 |
| 1619169364 | Ronald Eugene Mizer | Dentist | 400 West Main Cross, Taylorville, IL 62568 | 2007-08-16 |
| 1881770816 | Rosalina R. Gonzales | Family Medicine | Route 29 South, Taylorville, IL 62568 | 2006-10-31 |
| 1790868917 | Wal-mart Stores, Inc | Technician/Technologist | 1530 W. Springfield Rd., Taylorville, IL 62568 | 2006-10-23 |
| 1265514285 | Dr Timothy Hutson Dentist | Dentist | 929 W Spresser St, Taylorville, IL 62568 | 2006-10-19 |
| 1336220565 | Peggy Tell | Counselor | 730 North Pawnee, Taylorville, IL 62568 | 2006-10-17 |
| 1306946777 | Gateway Rehabilitation Taylorville LLC | Clinic/Center | 301-305 S Webster, Taylorville, IL 62568 | 2006-09-25 |
| 1497779763 | Richard Lee Zimmers | Dentist | 101 S Cherokee Street, Taylorville, IL 62568 | 2006-07-27 |
| Find all providers in zip 62568 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003932765 | Pana Ob-gyn | Obstetrics & Gynecology | 115 E Pleasant St, Taylorville, IL 62568-1560 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471622 | Mount Sinai Community Foundation Dba Sinai Medical Group | Obstetrics & Gynecology | 645 S Central Ave Fl 6, Chicago, IL 60644-5059 | 2019-08-02 |
| 1396100384 | Tatiana Araujo | Obstetrics & Gynecology | 1500 S Fairfield Ave Ste F-206, Chicago, IL 60608-1782 | 2015-12-18 |
| 1245633726 | Saints Mary and Elizabeth Medical Center | Obstetrics & Gynecology | 651 S Sutton Rd, Suite 260, Streamwood, IL 60107-2366 | 2014-09-29 |
| 1982982096 | Kanika Sood | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2011-07-25 |
| 1003082777 | Yuhang Shek Mdsc | Obstetrics & Gynecology | 1315nhighland Avenue, 104, Aurora, IL 60506 | 2008-05-02 |
| 1245433093 | Marko Lekovic, M.d.,s.c. | Obstetrics & Gynecology | 6433 Pulaski Road, Chicago, IL 60629 | 2007-06-08 |
| 1407065154 | Eiman El-tag | Obstetrics & Gynecology | 11330 S Harlem Ave, Worth, IL 60482-2060 | 2007-05-21 |
| 1841419207 | West Suburban Medical Center | Obstetrics & Gynecology | Box 4063 Women's Health Center, Carol Stream, IL 60122-0001 | 2007-04-24 |
| 1245454222 | V Greene Md PC | Obstetrics & Gynecology | 1322 E 47th St, Chicago, IL 60653-4508 | 2007-04-12 |
| 1659449106 | Somboon Sriaroon | Obstetrics & Gynecology | 2820 W Peterson Ave, Chicago, IL 60659-3803 | 2006-12-01 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORVILLE |
| Zip Code | 62568 |
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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.