DR. ALMA MIA ROSAL MARTIJA (NPI# 1093094690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093094690 |
Entity Type | Individual |
Full Name | DR. ALMA MIA ROSAL MARTIJA |
Other Name | MRS. ALMA MIA MARTIJA WULFF |
Credential | MD |
Practice Address |
1301 Copperfield Ave Suite 206 Joliet IL 60432-2054 |
Practice Telephone | 8157262368 |
Practice Fax Number | 8157744799 |
Mailing Telephone | 8157262368 |
Mailing Fax Number | 8157744799 |
Enumeration Date | 2011-08-12 |
Last Update Date | 2011-08-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 036.103214 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | DEA | FM2749452 | 01 |
IL | DEPT OF FINANCIAL AND PROFESSIONAL REGULATION | 036-103214 | 01 |
Street Address |
1301 COPPERFIELD AVE SUITE 206 |
City | JOLIET |
State | IL |
Zip Code | 60432-2054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104807890 | Salwa F Asaad | Radiology | 1301 Copperfield Ave, Suite 116, Joliet, IL 60432-2054 | 2005-11-09 |
1306094842 | Nina Yedavalli | Internal Medicine | 1301 Copperfield Ave, Suite 105, Joliet, IL 60432-2054 | 2008-09-08 |
1861607285 | Sanitas Medical Group Sc | Internal Medicine | 1301 Copperfield Ave, Suite 203, Joliet, IL 60432-2056 | 2007-05-11 |
1083748420 | Catherine M. Craig | Advanced Practice Midwife | 1301 Copperfield Ave, Suite 214, Joliet, IL 60432-2054 | 2007-03-16 |
1144356213 | Diana Julia Jaime | Internal Medicine | 1301 Copperfield Ave, Suite 203, Joliet, IL 60432-2056 | 2007-02-25 |
1467509711 | Joliet Oncology Hematology Associates Ltd. | Internal Medicine | 1301 Copperfield Ave, Joliet, IL 60432-2054 | 2007-01-05 |
1538243134 | Augustine Roland | Pediatrics | 1301 Copperfield Ave, Suite 201, Joliet, IL 60432 | 2006-10-24 |
1801907548 | Daniel Gutierrez | Internal Medicine | 1301 Copperfield Ave, Suite 203, Joliet, IL 60432-2054 | 2006-08-31 |
1720190200 | Joyce A Albi | Obstetrics & Gynecology | 1301 Copperfield Ave, Suite 202, Aunt Martha's, Joliet, IL 60432-2054 | 2006-08-31 |
1477663961 | Michel Kim Borders | Obstetrics & Gynecology | 1301 Copperfield Ave, Suite 110, Joliet, IL 60482-2054 | 2006-08-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053830943 | Abilio Milo | General Practice | 213 East Cass Street, Joliet, IL 60432 | 2017-09-12 |
1508284258 | Allison R. Nichols | Social Worker | 62 W. Washington St., Joliet, IL 60432 | 2014-03-31 |
1073950044 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1200 Eagle Street, Joliet, IL 60432 | 2013-05-30 |
1124388624 | Fresenius Medical Care of Plainfield, LLC | Clinic/Center | 721 E Jackson St., Joliet, IL 60432 | 2012-05-18 |
1730375833 | Rhonda Denise Posley | Licensed Practical Nurse | 215 Clinton, Suite B, Joliet, IL 60432 | 2007-09-21 |
1538385463 | Frank C Bender | Family Medicine | 213 E Cass St, Joliet, IL 60432 | 2007-04-18 |
1366501835 | Health Care Delivery Systems | Internal Medicine | 1301 Copperfield Avenue, Suite 202, Joliet, IL 60432 | 2006-12-08 |
1134294614 | Mary Lee Johnson | Counselor | 62 West Washington Street, Joliet, IL 60432 | 2006-11-21 |
1609953223 | Catholic Charities of The Diocese of Joliet | Community/Behavioral Health | 58 E Clinton St Ste 200, Joliet, IL 60432 | 2006-11-01 |
1487740932 | Carlla Duster Franklin | Dentist | 2241 Theodore Street, Crest Hill, IL 60432 | 2006-10-04 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053830943 | Abilio Milo | General Practice | 213 East Cass Street, Joliet, IL 60432 | 2017-09-12 |
1699966051 | Kul Sood | General Practice | 95 S Chicago St, Joliet, IL 60436 | 2007-08-09 |
1821017567 | William R Stapleton | General Practice | 801 N Larkin Ave Ste 104, Joliet, IL 60435-3442 | 2006-07-19 |
1316900731 | Raymond G Orenic | General Practice | 333 N Hammes Ave, Ste 108, Joliet, IL 60435 | 2006-04-07 |
1215342829 | Illinois Wellness Group of Joliet, Ltd | General Practice | 815 N Larkin Ave, Suite 105, Joliet, IL 60435-3438 | 2014-06-23 |
1427317262 | Desmond Thomas White | General Practice | 213 E Cass St, Joliet, IL 60432-2812 | 2012-05-14 |
1891983417 | Michelle L Sullivan Do PC | General Practice | 1300 Copperfield Ave, Suite 1020, Joliet, IL 60432-2004 | 2007-10-09 |
1376654020 | Corazon Balbarin | General Practice | 1106 Neal Ave, Joliet, IL 60433-2548 | 2006-08-31 |
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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.