DR. PETER JOSEPH MCDONNELL (NPI# 1114014693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114014693 |
| Entity Type | Individual |
| Full Name | DR. PETER JOSEPH MCDONNELL |
| Credential | MD |
| Practice Address |
12255 S 80th Ave Suite 203 Palos Heights IL 60463-1270 |
| Mailing Address |
15300 West Ave Suite 22 S. Orland Park IL 60462-4600 |
| Practice Telephone | 7089237870 |
| Practice Fax Number | 7082262423 |
| Mailing Telephone | 7082262623 |
| Mailing Fax Number | 7082262423 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2015-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD444899 | PA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4301047914 | MI | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD60396512 | WA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
38076 | IA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
9653A | WY | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
036079089 | IL | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME110227 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417317249 | Peter Joseph Mcdonnell | General Practice | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-03-07 |
| 1740340058 | Peter Mcdonnell IIi | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-12-11 |
| Street Address |
12255 S 80TH AVE SUITE 203 |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356330286 | Bruce R Dolitsky | Orthopaedic Surgery | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2005-10-13 |
| 1699387910 | Wilma Montilla-rener | Nurse Practitioner | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2020-08-18 |
| 1780048058 | Debora Delre | Nurse Practitioner | 12255 S 80th Ave, Suite 202, Palos Heights, IL 60463-1258 | 2016-04-12 |
| 1306203757 | Shelley Kay Mayer-zich | Nurse Practitioner | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2016-01-15 |
| 1881078392 | Radhika Chimata | Psychiatry & Neurology | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2015-07-14 |
| 1548640535 | Talha John Baloch | Psychiatry & Neurology | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2015-06-04 |
| 1326482688 | Anmol Tolani | Psychiatry & Neurology | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2013-04-17 |
| 1558625251 | Anthony Casini | Surgery | 12255 S 80th Ave, Palos Heights, IL 60463 | 2012-06-27 |
| 1548532591 | Darlene C Flowers | Nurse Practitioner | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2012-02-07 |
| 1760776173 | Imad Qayyum | Surgery | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2011-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730583261 | Peter Mcdonnell Md, LLC | Surgery | 7530 W College Dr, Palos Heights, IL 60463-1196 | 2014-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396267324 | Congress Vascular Center LLC | Surgery | 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 | 2017-07-11 |
| 1043731300 | Elmwood Park Vascular Center LLC | Surgery | 7230 W North Ave Ste 108, Elmwood Park, IL 60707-4261 | 2017-06-27 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1992126668 | Vascular Specialists LLC | Surgery | 20060 Governors Dr Ste 102, Olympia Fields, IL 60461-1099 | 2013-12-26 |
| 1588959548 | Patrick Michael Sullivan Neville | Surgery | 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | 2011-06-17 |
| 1235454968 | Margaret Claire Rigamer | Surgery | 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 | 2010-04-06 |
| 1215251541 | John V. White, Md, LLC | Surgery | 8816 W Dempster St, Niles, IL 60714-5109 | 2010-03-15 |
| 1710212733 | Vascular Surgery and Interpretation S.c. | Surgery | 3330 W 177th St Ste 2c1, Hazel Crest, IL 60429-2184 | 2009-10-08 |
| 1538391792 | Usa Vein Clinics of Chicago LLC | Surgery | 4141 Dundee Rd, Northbrook, IL 60062-2129 | 2009-08-20 |
| 1306010731 | Tanq, Inc. | Surgery | 18510 S Marilynn Ct, Mokena, IL 60448-9517 | 2008-04-16 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
Please comment or provide details below to improve the information on DR. PETER JOSEPH MCDONNELL.
| 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.