ELMHURST MEMORIAL HEALTHCARE (NPI# 1003046103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003046103 |
| Entity Type | Organization |
| Organization Name | ELMHURST MEMORIAL HEALTHCARE |
| Other Organization Name | ELMHURST CLINIC |
| Practice Address |
303 W Lake St Suite 202 Addison IL 60101-2586 |
| Mailing Address |
172 Schiller St Elmhurst IL 60126-2816 |
| Practice Telephone | 6309533301 |
| Practice Fax Number | 6309533302 |
| Mailing Telephone | 3312216377 |
| Mailing Fax Number | 3312212706 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2018-11-08 |
| Authorized Official Name | DONALD LURYE (CEO) |
| Authorized Official Telephone | 3312219055 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Elmhurst Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093996654 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 Berteau Ave., Elmhurst, IL 60126-2966 | 2007-11-23 |
| 1134311251 | Elmhurst Memorial Healthcare | Durable Medical Equipment & Medical Supplies | 471 W Army Trail Road, Bloomingdale, IL 60108-2673 | 2007-08-13 |
| 1063572683 | Elmhurst Memorial Healthcare | Clinic/Center | 236 E Irving Park Rd Ste C, Wood Dale, IL 60191-2020 | 2006-12-12 |
| 1396006524 | Elmhurst Memorial Healthcare | Chronic Disease Hospital | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2012-06-05 |
| 1497076392 | Elmhurst Memorial Healthcare | Internal Medicine | 172 E Schiller St, Elmhurst, IL 60126-2816 | 2010-06-15 |
| 1356661961 | Elmhurst Memorial Healthcare | General Practice | 675 W North Ave, Suite 416, Melrose Park, IL 60160-1634 | 2010-06-04 |
| 1124206081 | Elmhurst Memorial Healthcare | Clinic/Center | 303 W Lake St, Addison, IL 60101-2586 | 2008-02-03 |
| 1154504702 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-12-06 |
| 1790968345 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-12-06 |
| 1609059252 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-12-06 |
| Street Address |
303 W LAKE ST SUITE 202 |
| City | ADDISON |
| State | IL |
| Zip Code | 60101-2586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811984222 | Clyde Thomas Webb | Internal Medicine | 303 W Lake St, Addison, IL 60101 | 2005-09-30 |
| 1336770239 | Mary Jo Mcdonnell | Counselor | 303 W Lake St, Addison, IL 60101-2586 | 2020-01-29 |
| 1053766840 | Anastasia Munoz | Family Medicine | 303 W Lake St, Suite 200, Addison, IL 60101 | 2016-04-28 |
| 1396127239 | Krunal Patel | Internal Medicine | 303 W Lake St, Suite 200, Addison, IL 60101 | 2015-06-28 |
| 1336576792 | Upgrade Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 303 W Lake St, Addison, IL 60101-2586 | 2013-10-01 |
| 1679836647 | Andrew W Francis | Ophthalmology | 303 W Lake St, Ste 303, Addison, IL 60101-2586 | 2012-06-24 |
| 1316189343 | Karen Ann Kowalczyk | Nurse Practitioner | 303 W Lake St, Suite 200, Addison, IL 60101 | 2009-04-06 |
| 1225274467 | Elmhurst Memorial Affiliated Primary Care Physicians, LLC | Clinic/Center | 303 W Lake St, Suite 206, Addison, IL 60101-2586 | 2008-12-17 |
| 1265686604 | Minhxuyen Nguyen | Physician Assistant | 303 W Lake St, Suite 200, Addison, IL 60101 | 2008-11-12 |
| 1033368352 | Dale Liaugminas, M.d. S.c. | Specialist | 303 W Lake St, #201, Addison, IL 60101-2586 | 2008-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| Find all providers in zip 60101 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548721004 | Resources Group International | Durable Medical Equipment & Medical Supplies | 568 N Plamondon Dr, Addison, IL 60101-1934 | 2019-03-27 |
| 1093130122 | Nilan Medical LLC | Durable Medical Equipment & Medical Supplies | 1215 W National Ave, Addison, IL 60101-3130 | 2014-02-26 |
| 1083985501 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1006 N Rohlwing Rd, Addison, IL 60101-1034 | 2012-01-13 |
| 1952562373 | Kcc Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 20w421 Army Trail Blvd, Addison, IL 60101-1973 | 2008-06-18 |
| 1902080997 | Provider Choice Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4575 Westgrove Dr, Suite 102, Addison, TX 75001-5349 | 2007-12-26 |
| 1821212150 | Phmt, LLC | Durable Medical Equipment & Medical Supplies | 4837 Keller Springs Rd, Addison, TX 75001-5912 | 2007-04-11 |
| 1538286463 | Just What The Doctor Ordered, Inc | Durable Medical Equipment & Medical Supplies | 429 W Lake St, Addison, IL 60101-2316 | 2007-03-24 |
| 1063580843 | Greg L Jackson | Durable Medical Equipment & Medical Supplies | 4386 Sunbelt Dr, Addison, TX 75001 | 2006-12-01 |
| 1124191655 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 3770 Belt Line Rd, Addison, TX 75001-4301 | 2006-11-15 |
| 1861592776 | Medial Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 15800 Dooley Rd Ste 120, Addison, TX 75001-4284 | 2006-09-22 |
| Find all providers in ADDISON | ||||
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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.