TODD E VONDERHEIDE


Address: 251 Market Place Dr, Suite 100, Freeburg, IL 62243-1393
Phone: 6185390067

TODD E VONDERHEIDE (NPI# 1083720775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083720775
Entity Type Individual
Full Name TODD E VONDERHEIDE
Credential MD
Practice Address 251 Market Place Dr
Suite 100
Freeburg
IL 62243-1393
Mailing Address 739 N Jefferson St
Suite 22
Mascoutah
IL 62258
Practice Telephone 6185390067
Practice Fax Number 6185390288
Mailing Telephone 6185668810
Mailing Fax Number 6185667121
Enumeration Date 2006-08-22
Last Update Date 2010-10-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 036093782 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036093782 05

Office Location

Street Address 251 MARKET PLACE DR
SUITE 100
City FREEBURG
State IL
Zip Code 62243-1393

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225351703 Apex Physical Therapy Physical Therapist 251 Marketplace Center, Freeburg, IL 62243 2010-03-11
1346308178 Debra Ann Biekert Speech-Language Pathologist 934 Bay Pointe Dr, Freeburg, IL 62243 2006-12-05
1831289750 Groceries of Southern Illinois, LLC Pharmacy 369 Marketplace Dr, Freeburg, IL 62243 2006-10-13
1255316725 Vidya Deshpande Pathology 45 Sheffield Drive, Belleville, IL 62243 2005-12-07
1619537867 Angela Kay Kern Nurse Practitioner 251 Marketplace Dr, Freeburg, IL 62243 2019-06-19
1386961464 Jamie L Hahne Massage Therapist 102 N State St, Freeburg, IL 62243-1214 2010-04-28
1982600375 Jannell W Vetter Physical Therapist 102 N State St, Freeburg, IL 62243-1246 2005-06-22
1902030927 Matthew R. Leonard, S.c. Chiropractor 102 N State St, Suite A, Freeburg, IL 62243-1246 2009-05-05
1609995687 Burl Wayne Hand IIi Dentist 201b W High St, Freeburg, IL 62243-1313 2007-03-28
1578727103 Occupational Health Centers of Illinois PC Clinic/Center 501 W Apple St, Freeburg, IL 62243-1389 2008-07-13
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801049242 William Leonard Yingling Family Medicine 307 E. New Market St., 307 E. New Market St., Freeburg, PA 17827-0243 2008-10-29
1548362841 Brett Michael Winkeler Family Medicine 251 Marketplace Dr, Suite 1, Freeburg, IL 62243-4082 2006-09-05
1306952098 James C Althoff Family Medicine 251 Market Place Drive, Suite 100, Freeburg, IL 62243-1393 2006-08-22

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1558969964 Nicole Kerner Family Medicine 310 Brandy Dr, Mackinaw, IL 61755-9707 2020-10-16
1285232991 Healthy Medical Inc Family Medicine 535 N. East St., Suite A, Bradley, IL 60915 2020-10-14
1558976589 Jasmine Ashley Fowler Family Medicine 2416 N Lotus Ave, Chicago, IL 60639-1435 2020-09-15
1790390805 Kimberly Hannah Kupferberg Family Medicine 1103 Schaeffer Rd, Long Grove, IL 60047-5153 2020-09-15
1194330977 Home Doctors for You Family Medicine 670 Illinois Blvd, Hoffman Est, IL 60169-3363 2020-09-09
1245844489 Jovita Zalwango Nassolo Family Medicine 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 2020-09-04
1720699176 Healing Hands Resource Center Streator Family Medicine 2128 S Central Park Ave, Chicago, IL 60623-3113 2020-08-10
1417565755 Ghr Total Health and Consulting Family Medicine 11336 Mckenna Dr, Frankfort, IL 60423-8096 2020-07-22
1285251892 Soe Lwin Oo Family Medicine 1625 E 75th St # 1, Chicago, IL 60649-3603 2020-06-30
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Competitor

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City FREEBURG
Zip Code 62243

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Dataset Information

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.

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