RS HARTZ MD NAMPTP NEUROPATHY DR SC (NPI# 1982095071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982095071 |
Entity Type | Organization |
Organization Name | RS HARTZ MD NAMPTP NEUROPATHY DR SC |
Practice Address |
715 Lake St Suite 900 Oak Park IL 60301-1422 |
Mailing Address |
1032 Baldwin Ln Oak Park IL 60302-4445 |
Practice Telephone | 7736370166 |
Practice Fax Number | 7083865547 |
Mailing Telephone | 7736370166 |
Mailing Fax Number | 7083865547 |
Enumeration Date | 2015-02-10 |
Last Update Date | 2015-12-28 |
Authorized Official Name | DR. RENEE HARTZ (MEDICAL DIRECTOR) |
Authorized Official Telephone | 7736370166 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 036051428 | IL | Allopathic & Osteopathic Physicians |
Street Address |
715 LAKE ST SUITE 900 |
City | OAK PARK |
State | IL |
Zip Code | 60301-1422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568427888 | Stephen Schlesinger | Psychologist | 715 Lake St, Suite 806, Oak Park, IL 60301-1422 | 2006-04-19 |
1326686171 | Sofia Ana Rowan-martin | Counselor | 715 Lake St, Oak Park, IL 60301-1422 | 2019-12-11 |
1699317297 | Erica Patricia Negrete | Social Worker | 715 Lake St, Oak Park, IL 60301-1422 | 2019-10-15 |
1073163465 | Dialyze Direct Il LLC | Clinic/Center | 715 Lake St, Oak Park, IL 60301-1422 | 2019-09-17 |
1295389955 | Alison Possehl | Social Worker | 715 Lake St, Oak Park, IL 60301-1422 | 2019-07-30 |
1952881831 | Karen Escobar | Social Worker | 715 Lake St, Oak Park, IL 60301-1422 | 2018-08-20 |
1659870798 | Crystal Rose Johnson | Psychologist | 715 Lake St, Oak Park, IL 60301-1422 | 2018-02-05 |
1871049635 | Tara Dethmers | Advanced Practice Midwife | 715 Lake St, #273, Oak Park, IL 60301-1422 | 2016-08-31 |
1902359938 | Vince Murphy & Associates, P.C. | Social Worker | 715 Lake St, Suite 510, Oak Park, IL 60301-1422 | 2016-07-26 |
1356799514 | Tara Beyer | Counselor | 715 Lake St, Suite 800, Oak Park, IL 60301-1422 | 2016-05-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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.