MAUREEN ANNE LILLA (NPI# 1972650265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972650265 |
| Entity Type | Individual |
| Full Name | MAUREEN ANNE LILLA |
| Credential | A.T.C. |
| Practice Address |
46591 Romeo Plank Rd Macomb MI 48044-5742 |
| Mailing Address |
36 Rosebud Ln Mount Clemens MI 48043-1470 |
| Practice Telephone | 5862266504 |
| Practice Fax Number | 5862266505 |
| Mailing Telephone | 5862266504 |
| Mailing Fax Number | 5862266505 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
46591 ROMEO PLANK RD |
| City | MACOMB |
| State | MI |
| Zip Code | 48044-5742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124013750 | Mohammad S Saberi | Pediatrics | 46591 Romeo Plank Rd, Suite 205, Macomb, MI 48044-5742 | 2005-09-20 |
| 1992014880 | Karen L Demsich | Pharmacist | 46591 Romeo Plank Rd, Macomb, MI 48044-5742 | 2010-09-27 |
| 1437472826 | Abdulbaset Sulaiman Md PC | Internal Medicine | 46591 Romeo Plank Rd, Suite 137, Macomb, MI 48044-5742 | 2010-03-12 |
| 1073765046 | Medical Resource Group | Clinic/Center | 46591 Romeo Plank Rd, Suite 133, Macomb, MI 48044-5742 | 2008-10-21 |
| 1740445337 | St John Hospital and Medical Center | Radiology | 46591 Romeo Plank Rd, Suite 137, Macomb, MI 48044-5742 | 2008-07-23 |
| 1134246804 | Jeffrey George Alaska | Physical Therapist | 46591 Romeo Plank Rd, Suite 115, Macomb, MI 48044-5742 | 2007-03-26 |
| 1275650574 | Loren David Nowc | Occupational Therapist | 46591 Romeo Plank Rd, Suite 115, Macomb, MI 48044-5742 | 2007-03-23 |
| 1417098989 | Leann Piechocki | Pharmacist | 46591 Romeo Plank Rd, Suite 125, Macomb, MI 48044-5742 | 2007-02-09 |
| 1033268339 | Lori Ann Hamby | Physical Therapist | 46591 Romeo Plank Rd, Suite 115, Macomb, MI 48044-5742 | 2007-01-09 |
| 1568510147 | Monika Maria Peddycord | Physical Therapist | 46591 Romeo Plank Rd, Suite 115, Macomb, MI 48044-5742 | 2007-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925788 | Karen Wetzel | Social Worker | 47567 Dennis Baert Dr, Macomb, MI 48044 | 2018-06-09 |
| 1225541956 | Paul John Andary Jr. | Student in an Organized Health Care Education/Training Program | 48599 Penrose Ln, Macomb, MI 48044 | 2017-11-16 |
| 1467972869 | Theresa Lynn Cipponeri | Social Worker | 17937 Hall Road, Macomb, MI 48044 | 2017-06-27 |
| 1407389570 | Nofal Cholag | Pharmacist | 50340 Nesting Ridge Dr, Macomb, MI 48044 | 2017-04-06 |
| 1043754914 | Magdalena Sosnowski | Registered Nurse | 47362 Whippoorwill Dr, Macomb, MI 48044 | 2016-12-13 |
| 1558716894 | Keith Edward Callewaert | Emergency Medical Technician, Paramedic | 48301 Tonawonda Dr, Macomb, MI 48044 | 2016-04-24 |
| 1942684741 | Isabella Scofield | Family Medicine | 46591 Romeo Plank Rd Ste 200, Macomb, MI 48044 | 2015-07-13 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1699118455 | Kostyantyn Shkilnyy | Massage Therapist | 48254 Ellington Drive, Macomb Township, MI 48044 | 2013-04-11 |
| 1962790097 | Daniel Agrusa | Audiologist | 49306 Flint Ct., Macomb, MI 48044 | 2011-07-11 |
| Find all providers in zip 48044 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891263653 | Skylar Marie Beard | Specialist/Technologist | 330 Wigwam Hollow Rd Apt 5, Macomb, IL 61455-1290 | 2018-11-08 |
| 1457842056 | Laurie Moro | Specialist/Technologist | 48758 Chestnut Dr, Macomb, MI 48044-2091 | 2018-05-20 |
| 1215486527 | Kodjo Amegan | Specialist/Technologist | 305 E Carroll St, Macomb, IL 61455-2351 | 2016-09-27 |
| 1831541499 | Marc Kessler | Specialist/Technologist | 1214 N Lafayette St, Macomb, IL 61455-1151 | 2016-07-07 |
| 1497116966 | Taylor Wolf | Specialist/Technologist | 14440 E 2000th St, Macomb, IL 61455-8621 | 2016-03-11 |
| 1902267404 | Jamal Robinson | Specialist/Technologist | 519 N Randolph St, Macomb, IL 61455-1560 | 2016-03-10 |
| 1235513334 | Shannon Burke | Specialist/Technologist | 1515 W Jackson St, Apt 3, Macomb, IL 61455-3634 | 2015-07-17 |
| 1952495673 | Melissa Vincke | Specialist/Technologist | 21051 21 Mile Rd, Macomb, MI 48044-2909 | 2006-10-03 |
| 1730116591 | Amy Beckman | Specialist/Technologist | 1 University Circle, Western Illinois University Athletics, Macomb, IL 61455 | 2006-06-27 |
| 1275598161 | Michael Patrick Pendergast Sr. | Specialist/Technologist | Western Illinos University Athletic Dept., One Univ. Circle, Macomb, IL 61455 | 2006-04-20 |
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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.