SEAN MICHAEL RARDIN S.C. (NPI# 1013227214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013227214 |
Entity Type | Organization |
Organization Name | SEAN MICHAEL RARDIN S.C. |
Other Organization Name | RIVERWALK FAMILY MEDICINE |
Practice Address |
1300 N Highland Ave Aurora IL 60506-1451 |
Practice Telephone | 6308927629 |
Mailing Telephone | 6308927629 |
Enumeration Date | 2010-10-21 |
Last Update Date | 2011-02-11 |
Authorized Official Name | CARRIE RARDIN (OFFICE ASSISTANT) |
Authorized Official Telephone | 6302193172 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036114032 | IL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Riverwalk Family Medicine | Doing Business As Name - Organization |
Street Address |
1300 N HIGHLAND AVE |
City | AURORA |
State | IL |
Zip Code | 60506-1451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306829353 | Aurora Pediatric Clinic Sc | Pediatrics | 1300 N Highland Ave, Ste 4, Aurora, IL 60506-1451 | 2005-11-23 |
1366075152 | Tiffany Kozlick | Nurse Practitioner | 1300 N Highland Ave, Aurora, IL 60506-1451 | 2020-02-20 |
1487100632 | Sophal Martinez | Registered Nurse | 1300 N Highland Ave, 5, Aurora, IL 60506-1451 | 2016-08-28 |
1457627382 | Candice Phillips | Advanced Practice Midwife | 1300 N Highland Ave, Suite 5, Aurora, IL 60506-1451 | 2012-03-26 |
1407189731 | Starrett Medical Associates Sc | General Practice | 1300 N Highland Ave, Ste. 10, Aurora, IL 60506-1451 | 2009-09-18 |
1568586733 | Cristina S Brotea M D Sc | Family Medicine | 1300 N Highland Ave, Aurora, IL 60506-1451 | 2007-03-16 |
1346364502 | Cristina S Brotea | Family Medicine | 1300 N Highland Ave, Aurora, IL 60506-1451 | 2007-03-16 |
1871636670 | John William Lamiot | Podiatrist | 1300 N Highland Ave, Suite 7, Aurora, IL 60506-1451 | 2007-02-14 |
1427105022 | Josephine Mante | Family Medicine | 1300 N Highland Ave, Suite 2, Aurora, IL 60506-1451 | 2007-01-04 |
1487701082 | Dave Mante | Internal Medicine | 1300 N Highland Ave, Suite 2, Aurora, IL 60506-1451 | 2007-01-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
Find all providers in zip 60506 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
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.