DR. GERALD VINCENT STANTON (NPI# 1952617904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952617904 |
Entity Type | Individual |
Full Name | DR. GERALD VINCENT STANTON |
Credential | M.D. |
Practice Address |
21505 W Lakegreen Dr Mundelein IL 60060-5000 |
Practice Telephone | 8478371963 |
Practice Fax Number | 8478371963 |
Mailing Telephone | 8478371963 |
Mailing Fax Number | 8478371963 |
Enumeration Date | 2010-08-27 |
Last Update Date | 2010-08-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
036.049847 | IL | Allopathic & Osteopathic Physicians |
Street Address |
21505 W LAKEGREEN DR |
City | MUNDELEIN |
State | IL |
Zip Code | 60060-5000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336655950 | Mundelein Dental Clinic LLC | Clinic/Center | 3074 Il-60, Mundelein, IL 60060 | 2017-12-19 |
1154845923 | Michelle Robin Wichter | Counselor | 1606 Woodhaven Ct., Mundelein, IL 60060 | 2017-08-02 |
1023556602 | Merry Walker Corporation | Durable Medical Equipment & Medical Supplies | 21350 West Sylvan Drive South, Mundelein, IL 60060 | 2017-02-03 |
1649656430 | Saze Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26247 N. Maple Ave, Mundelein, IL 60060 | 2015-08-04 |
1639519101 | Megha Shah | Pharmacist | 3100 Route 60, Mundelein, IL 60060 | 2013-06-28 |
1427300540 | G A C Therapy Services Inc | In Home Supportive Care | 1041 Concord Circle, Mundelein, IL 60060 | 2012-10-12 |
1316202898 | Thomas W Pogue | Dentist | 287 N. Lake St, Mundelein, IL 60060 | 2012-07-10 |
1316221294 | Vernon Hills Physical Medicine, Service Corporation | Anesthesiology | 355 East Route 83, Mundelein, IL 60060 | 2011-10-10 |
1669701389 | Dui & Addiction Counseling Center | Community/Behavioral Health | 333 E. Illinois Route 83, B7, Mundelein, IL 60060 | 2009-12-08 |
1427281591 | Accuvision Inc | Optometrist | 824 North Illinois Route 83, Mundelein, IL 60060 | 2009-08-24 |
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Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
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1982225918 | Welcome Health Management Group | Family Medicine | 2325 W Harrison St Apt 2, Chicago, IL 60612-3555 | 2020-04-30 |
1043702830 | Professional Healthcare Inc | Family Medicine | 960 Rand Rd Ste 224, Des Plaines, IL 60016 | 2018-06-06 |
1578078754 | Innovative Geriatrics LLC | Family Medicine | 301 Madison St Ste 310, Joliet, IL 60435-6686 | 2017-12-09 |
1033507249 | Bridgecare, Inc. | Family Medicine | 2250 E Devon Ave, Suite 333, Des Plaines, IL 60018-4511 | 2014-12-23 |
1700218385 | Camilla Lim | Family Medicine | 309 Ridgemoor Dr, Willowbrook, IL 60527-5416 | 2013-08-06 |
1073807707 | Lr Health Management, Inc | Family Medicine | 1204 S 57th Ave, Cicero, IL 60804-1148 | 2011-05-28 |
1770884561 | Dr Gandhi Inc | Family Medicine | 1404 English Ct, Naperville, IL 60564-5187 | 2010-11-10 |
1285941914 | Shifa Medical Care, Inc | Family Medicine | 142 E Lake St, Suite C, Bloomingdale, IL 60108-1195 | 2010-09-01 |
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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.