SKOKIE VALLEY CT CENTRE (NPI# 1124011887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124011887 |
| Entity Type | Organization |
| Organization Name | SKOKIE VALLEY CT CENTRE |
| Practice Address |
9600 Gross Point Rd Suite A Skokie IL 60076-1214 |
| Practice Telephone | 8479333856 |
| Practice Fax Number | 8476779625 |
| Mailing Telephone | 8479333856 |
| Mailing Fax Number | 8476779625 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2008-08-08 |
| Authorized Official Name | MS. DAWN M PFLAUMER (ACCOUNTS RECEIVABLE SUPERVISOR) |
| Authorized Official Telephone | 8479333586 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC/BS OF ILLINOIS | 1616209 | 01 |
| Street Address |
9600 GROSS POINT RD SUITE A |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174717 | William Deans | Nurse Anesthetist, Certified Registered | 9600 Gross Point Rd, Skokie, IL 60076-1214 | 2005-06-16 |
| 1922561117 | Ashley Marie Adamczyk | Physical Therapist | 9600 Gross Point Rd, Skokie, IL 60076-1214 | 2019-04-13 |
| 1114418803 | Chinnu Varkey | Nurse Practitioner | 9600 Gross Point Rd, Skokie, IL 60076-1214 | 2018-05-29 |
| 1316457559 | Anmin Anni Wang | Pharmacist | 9600 Gross Point Rd, Skokie, IL 60076-1214 | 2017-10-02 |
| 1144750423 | Lauren A. Ingles | Physician Assistant | 9600 Gross Point Rd, Skokie, IL 60076-1214 | 2017-06-19 |
| 1649717992 | Bryn Mcmahon | Registered Nurse | 9600 Gross Point Rd, Skokie, IL 60076-1214 | 2017-01-25 |
| 1730540790 | Anna Maselbas | Physical Therapist | 9600 Gross Point Rd, Unit 1800, Skokie, IL 60076-1214 | 2016-03-17 |
| 1255792313 | Leslie C. Levenhagen | Physical Therapist | 9600 Gross Point Rd, Skokie, IL 60076-1214 | 2016-03-16 |
| 1013376987 | Katie Konstant | Physical Therapist | 9600 Gross Point Rd, Skokie, IL 60076-1214 | 2016-02-19 |
| 1457710477 | Krista Asprec | Physical Therapist | 9600 Gross Point Rd, 1800, Skokie, IL 60076-1214 | 2016-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831475870 | Riaz Ahmed | Radiology | 9535 Kostner Ave, Skokie, IL 60076-1329 | 2011-10-21 |
| 1174839575 | Dawn Diagnostics Imaging Group Inc. | Radiology | 8023 Kilpatrick Ave Apt 1a, Skokie, IL 60076-3055 | 2010-08-23 |
| 1043250053 | Najma A. Mirza | Radiology | 3701 Jarvis Ave, Skokie, IL 60076-4019 | 2006-06-07 |
| 1104881960 | Open Advanced Mri of Skokie, LLC | Radiology | 7152 Carpenter Rd, Skokie, IL 60077-3279 | 2006-04-17 |
| 1639141419 | United Diagnostic Systems Inc | Radiology | 5301 W Dempster St, Ste 203, Skokie, IL 60077 | 2006-02-06 |
| 1821052648 | Open Advanced Mri At North Shore, LLC | Radiology | 9933 Lawler Ave, Suite 135, Skokie, IL 60077-3703 | 2006-04-17 |
| 1609849827 | United Medical Services Inc | Radiology | 5301 Dempster St, Ste 201, Skokie, IL 60077-1846 | 2006-02-08 |
| 1508859349 | North Shore Mri Centre | Radiology | 9600 Gross Point Rd, Suite A, Skokie, IL 60076-1214 | 2005-08-26 |
| 1700879566 | Gary J Novetsky | Radiology | 9600 Gross Point Rd, Suite A, Skokie, IL 60076-1214 | 2005-08-26 |
| 1245223098 | Jonathan M Alexander | Radiology | 9600 Gross Point Rd, Suite A, Skokie, IL 60076-1214 | 2005-08-26 |
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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.