DANIEL JAMES FITZGERALD (NPI# 1093007221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093007221 |
| Entity Type | Individual |
| Full Name | DANIEL JAMES FITZGERALD |
| Credential | M.D. |
| Practice Address |
12935 Gregory St Blue Island IL 60406 |
| Mailing Address |
Metrosouth Medical Center 12935 S Gregory St Blue Island IL 60406 |
| Practice Telephone | 7085972000 |
| Mailing Telephone | 7085972000 |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2018-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036146100 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | VA | Student, Health Care | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112456 | Daniel William Fitzgerald | Internal Medicine | 402 E 67th St Fl 2, New York, NY 10065-6304 | 2020-07-30 |
| 1912562273 | Daniel John Fitzgerald | Hearing Instrument Specialist | 4000 Highland Rd Ste 125, Waterford, MI 48328-0002 | 2019-05-02 |
| 1306281530 | Daniel Fitzgerald | Family Medicine | 159 Jefferson Hts Ste D201, Catskill, NY 12414-1205 | 2013-05-01 |
| 1356563118 | Daniel Edmund Fitzgerald | Physical Therapist | 1215 Bockius Ave, Abington, PA 19001 | 2007-05-02 |
| 1821629247 | Daniel Robert Fitzgerald | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital, School of Dental Medicine 151 Westchester Hall, Stony Brook, NY 11794-8711 | 2020-02-04 |
| 1184109423 | Daniel Evan Fitzgerald | Pharmacist | 325 New Castle Rd, Butler, PA 16001-2418 | 2018-10-02 |
| 1457729055 | Daniel Fitzgerald | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2015-09-14 |
| 1346505138 | Daniel Jason Fitzgerald | Specialist/Technologist | 190 Rosewood Centre Dr, Suite 100, Holly Springs, NC 27540-7628 | 2012-07-09 |
| 1588738215 | Daniel Joseph Fitzgerald IIi | Psychiatry & Neurology | 74075 El Paseo, Ste B-1, Palm Desert, CA 92260-4118 | 2006-11-17 |
| Street Address |
12935 GREGORY ST |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076831 | Ssm Regional Health Services Owning and Operating St Francis Hospital | General Acute Care Hospital | 12935 Gregory St, Administration, Blue Island, IL 60406-2428 | 2005-07-12 |
| 1114400868 | Jasmine Johnson | Dietitian, Registered | 12935 Gregory St, Blue Island, IL 60406-2428 | 2018-09-10 |
| 1841705001 | Kathleen J Korman | Clinical Nurse Specialist | 12935 Gregory St, Blue Island, IL 60406-2428 | 2017-12-11 |
| 1063922854 | Anthony Edward Falcon | Physician Assistant | 12935 Gregory St, Blue Island, IL 60406-2428 | 2017-10-05 |
| 1235654757 | Usacs Integrated Acute Care Services of Illinois, LLC | Internal Medicine | 12935 Gregory St, Blue Island, IL 60406-2428 | 2017-08-05 |
| 1083064299 | Steven Kluck | Physician Assistant | 12935 Gregory St, Blue Island, IL 60406-2428 | 2016-06-18 |
| 1376906164 | Whitney Michelle Dawson | Emergency Medicine | 12935 Gregory St, Blue Island, IL 60406 | 2016-03-30 |
| 1992166953 | Walgreen Co | Pharmacy | 12935 Gregory St, Ste A, Blue Island, IL 60406-2428 | 2016-03-17 |
| 1104285196 | Stevie Funk | Physician Assistant | 12935 Gregory St, Blue Island, IL 60406-2428 | 2016-02-18 |
| 1003280835 | Mildred Guillermo Franco | Nurse Anesthetist, Certified Registered | 12935 Gregory St, Blue Island, IL 60406-2428 | 2015-11-17 |
| Find all providers in the same location | ||||
| 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 |
| 1023549821 | Patrick Hines | Family Medicine | 3046 127th St, Blue Island, IL 60406-1827 | 2017-03-23 |
| 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 |
| 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 DANIEL JAMES FITZGERALD.
| 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.