MATTHEW RODRIDGO ENDARA (NPI# 1033370937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033370937 |
| Entity Type | Individual |
| Full Name | MATTHEW RODRIDGO ENDARA |
| Credential | MD |
| Practice Address |
823 N 129th Infantry Dr Joliet IL 60435-8346 |
| Mailing Address |
5623 N Newcastle Ave Chicago IL 60631-3145 |
| Practice Telephone | 8157299527 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2014-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
036.134420 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
823 N 129TH INFANTRY DR |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-8346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639228539 | Louis Ted Cook | Chiropractor | 823 N 129th Infantry Dr, Joliet, IL 60435-8346 | 2007-01-09 |
| 1649728874 | Emily Alvis | Physician Assistant | 823 N 129th Infantry Dr, Suite 103, Joliet, IL 60435-8346 | 2016-09-16 |
| 1457612244 | Elizabeth Finn | Occupational Therapist | 823 N 129th Infantry Dr, #104, Joliet, IL 60435-8346 | 2012-06-07 |
| 1184907073 | Voss Health Alliance | Internal Medicine | 823 N 129th Infantry Dr, Suite 105, Joliet, IL 60435-8346 | 2011-09-27 |
| 1306124631 | Christina Dabros | Nurse Practitioner | 823 N 129th Infantry Dr, Suite 103, Joliet, IL 60435-8346 | 2011-08-03 |
| 1881906535 | Alan Chen Surgical Associates, PC | Plastic Surgery | 823 N 129th Infantry Dr, Ste 103, Joliet, IL 60435-8346 | 2010-07-10 |
| 1114180007 | Valerie L Voss | Internal Medicine | 823 N 129th Infantry Dr, Suite 105, Joliet, IL 60435-8346 | 2008-07-09 |
| 1215058045 | Churchill Physical Health Center Sc | Chiropractor | 823 N 129th Infantry Dr, Joliet, IL 60435-8346 | 2007-04-02 |
| 1619027224 | Cynthia M. Kadela | Chiropractor | 823 N 129th Infantry Dr, Joliet, IL 60435-8346 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1578068524 | Jw Operatory | Surgery | 1811 Saint Johns Ave Ste 100, Highland Park, IL 60035-5607 | 2018-03-29 |
| 1780198796 | Lin Plastic and Reconstructive Surgery Inc | Surgery | 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 | 2017-11-29 |
| 1750892923 | Alban Ingram Miller Jr. | Surgery | 1708 Foxborough Ct, Champaign, IL 61822-8503 | 2017-10-16 |
| 1972905545 | Jennifer Hein | Surgery | 2631 Williamsburg Ave Ste 102, Geneva, IL 60134-1108 | 2014-09-25 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1043559842 | Msa Alliance, LLC | Surgery | 1 Broadway Plz, Sparta, IL 62286-1800 | 2013-02-14 |
| 1518223791 | Hansel M Debartolo Jr Md Sc | Surgery | 11 Debartolo Dr., Sugar Grove, IL 60554 | 2012-04-02 |
| 1952692717 | Georgios Kokosis | Surgery | 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 | 2011-04-28 |
| 1740596808 | Swedishamerican Hospital | Surgery | 6533 Lexus Dr, Rockford, IL 61108 | 2010-08-27 |
| Find all providers with the same taxonomy | ||||
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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.