PATRICK HINES (NPI# 1023549821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023549821 |
| Entity Type | Individual |
| Full Name | PATRICK HINES |
| Credential | D.O. |
| Practice Address |
3046 127th St Blue Island IL 60406-1827 |
| Mailing Address |
30 W Monroe St Ste 1200 Chicago IL 60603-2420 |
| Practice Telephone | 7083777920 |
| Practice Fax Number | 7089300414 |
| Mailing Telephone | 3127339730 |
| Mailing Fax Number | 7738668014 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036.151553 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 S Clark St Apt 2013, Chicago, IL 606053706 | 9205409031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871786368 | Patrick Hines | Pediatrics | 3901 Beaubien 4th Floor Carl's Bldg, Children's Hospital of Mi, Detroit, MI 48201 | 2007-08-20 |
| 1881029718 | Patrick Michael Hines | Physician Assistant | 4653 S Lakeshore Dr, #2, Tempe, AZ 85282-7161 | 2013-09-11 |
| 1073614939 | Patrick Hines | Radiology | 20 High St, Nutley, NJ 07110-1132 | 2006-09-25 |
| Street Address |
3046 127TH ST |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508181108 | Francina Miguelina Peralta Machado | Internal Medicine | 3046 127th St, Blue Island, IL 60406-1827 | 2010-04-07 |
| 1245899749 | Angela Merari Martinez | Nurse Practitioner | 3046 127th St, Blue Island, IL 60406-1827 | 2019-06-07 |
| 1679038186 | Doris Fandohan | Nurse Practitioner | 3046 127th St, Blue Island, IL 60406-1827 | 2019-02-08 |
| 1023545464 | Imani Alima Ibrahim | Social Worker | 3046 127th St, Blue Island, IL 60406-1827 | 2017-05-16 |
| 1942677984 | Ashton N Forsythe | Nurse Practitioner | 3046 127th St, Blue Island, IL 60406-1827 | 2015-08-25 |
| 1770970931 | John Thomas Matera | Internal Medicine | 3046 127th St, Blue Island, IL 60406-1827 | 2015-04-24 |
| 1538559190 | Mira Desai | Nurse Practitioner | 3046 127th St, Blue Island, IL 60406-1827 | 2015-02-03 |
| 1275952731 | Avinash Mantha | Family Medicine | 3046 127th St, Blue Island, IL 60406-1827 | 2014-04-14 |
| 1720374002 | Eric Aguinaldo | Internal Medicine | 3046 127th St, Blue Island, IL 60406-1827 | 2011-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
| 1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
| 1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
| 1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
| 1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
| 1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
| 1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
| Find all providers in zip 60406 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811174105 | Humaira Khan | Family Medicine | 2310 York Street, 2a Pavilion, Blue Island, IL 60406-2428 | 2008-01-29 |
| 1700400744 | Cook County | Family Medicine | 12757 South Western Avenue, Blue Island, IL 60406 | 2020-06-05 |
| 1801273362 | Jaydeep Khudai | Family Medicine | 2320 High St, Blue Island, IL 60406-2426 | 2015-05-04 |
| 1275952731 | Avinash Mantha | Family Medicine | 3046 127th St, Blue Island, IL 60406-1827 | 2014-04-14 |
| 1609148139 | Blue Island Clinic Company LLC | Family Medicine | 12935 Gregory St, Blue Island, IL 60406-2428 | 2012-01-30 |
| 1093007221 | Daniel James Fitzgerald | Family Medicine | 12935 Gregory St, Blue Island, IL 60406 | 2011-05-05 |
| 1396074753 | Sa Padua Medical Center, LLC | Family Medicine | 2310 York St, Suite 2c, Blue Island, IL 60406-2411 | 2009-12-15 |
| 1932349040 | Francisco Pereiro | Family Medicine | 2320 High St, Blue Island, IL 60406-2426 | 2009-03-02 |
| 1225286412 | Msmc Investors, LLC | Family Medicine | 12935 Gregory St, Blue Island, IL 60406-2428 | 2008-09-03 |
| 1962603837 | Theodore G James Mdsc | Family Medicine | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2007-05-30 |
| Find all providers in BLUE ISLAND | ||||
| City | BLUE ISLAND |
| Zip Code | 60406 |
Please comment or provide details below to improve the information on PATRICK HINES.
| 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.