JOELLEN SEDLACK CHANNON


Address: 3707 Doty Rd # Mob2, Woodstock, IL 60098-7530
Phone: (815) 338-6600

JOELLEN SEDLACK CHANNON (NPI# 1952531139) 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) 1952531139
Entity Type Individual
Full Name JOELLEN SEDLACK CHANNON
Credential M.D.
Practice Address 3707 Doty Rd # Mob2
Woodstock
IL 60098-7530
Practice Telephone (815) 338-6600
Mailing Telephone (815) 338-6600
Enumeration Date 2009-07-22
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 036.129365 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4201 W Medical Center Dr, Mchenry, IL 600508409 8153445000

Office Location

Street Address 3707 DOTY RD # MOB2
City WOODSTOCK
State IL
Zip Code 60098-7530

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1083197453 Abb Dental Group LLC Dentist 11585 Us 14, Woodstock, IL 60098 2018-09-12
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1104355460 Jessica Evertsen Doula 435 Laurel Ave, Woodstock, IL 60098 2017-06-08
1871026724 Bo Yeon Bartilotta Dentist 11585 Us-14, Woodstock, IL 60098 2017-04-07
1619337185 Julia Karibian Community Health Worker 2983 Strauss Court, Woodstock, IL 60098 2016-02-26
1407249170 Julia Bonti Counselor 13318 Hickory Ln, Woodstock, IL 60098 2015-03-05
1427485580 Sara E Smedinghoff Physical Therapy Assistant 708 Washington Street, Woodstock, IL 60098 2013-10-03
1669721783 Robert Eugene Haraden Dentist 651 S. Eastwood Dr, Woodstock, IL 60098 2012-09-05
1831447440 Carla Peltier Social Worker 101 South Jefferson Street, Woodstock, IL 60098 2012-08-29
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417402801 Medexpress Urgent Care, PC - Virginia Emergency Medicine 300 W Reservoir Rd, Woodstock, VA 22664-1004 2016-08-16
1518254218 Jennifer Nicole Case Emergency Medicine 280 Balaban Cir, Woodstock, GA 30188-5150 2011-07-01
1457487597 Lela Iduna Emergency Medicine 14311 Perkins Rd, Woodstock, IL 60098-7368 2007-02-25
1699764183 Sherri Lynn Barton Emergency Medicine 120 Stonebridge Pkwy, Woodstock, GA 30189-3767 2005-10-18
1891794681 Thomas Peeters Emergency Medicine 3701 Doty Rd, Woodstock, IL 60098-7509 2005-07-14
1053319822 Apiwat Ford Emergency Medicine 3707 Doty Rd, Woodstock, IL 60098-7530 2005-07-14
1255560785 Brian Kostuk Emergency Medicine 3707 Doty Rd, Woodstock, IL 60098-7530 2009-07-06
1609030394 Redah Z Mahmood Emergency Medicine 120 Stonebridge Pkwy Ste 110, Woodstock, GA 30189-3768 2008-07-11
1629236047 Archana K Reddy Emergency Medicine 3707 Doty Rd, Woodstock, IL 60098-7530 2008-06-02
1679740617 Bartholomew W Johnson Emergency Medicine 759 S Main St, Woodstock, VA 22664-1127 2008-05-09
Find all providers in WOODSTOCK

Competitor

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City WOODSTOCK
Zip Code 60098

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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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