ELMHURST MEMORIAL HEALTHCARE (NPI# 1134311251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134311251 |
Entity Type | Organization |
Organization Name | ELMHURST MEMORIAL HEALTHCARE |
Other Organization Name | ELMURST CLINIC |
Practice Address |
471 W Army Trail Road Bloomingdale IL 60108-2673 |
Mailing Address |
172 Schiller St Elmhurst IL 60126-2816 |
Practice Telephone | 6306718020 |
Practice Fax Number | 6306718021 |
Mailing Telephone | 6308341120 |
Mailing Fax Number | 6309935681 |
Enumeration Date | 2007-08-13 |
Last Update Date | 2010-03-15 |
Authorized Official Name | DONALD R LURYE (CEO) |
Authorized Official Telephone | 6308341120 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | ELMHURST MEMORIAL HEALTHCARE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS OF IL | 2215149 | 01 |
Other Name | Type Code |
---|---|
Elmurst Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093996654 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 Berteau Ave., Elmhurst, IL 60126-2966 | 2007-11-23 |
1063572683 | Elmhurst Memorial Healthcare | Clinic/Center | 236 E Irving Park Rd Ste C, Wood Dale, IL 60191-2020 | 2006-12-12 |
1396006524 | Elmhurst Memorial Healthcare | Chronic Disease Hospital | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2012-06-05 |
1497076392 | Elmhurst Memorial Healthcare | Internal Medicine | 172 E Schiller St, Elmhurst, IL 60126-2816 | 2010-06-15 |
1356661961 | Elmhurst Memorial Healthcare | General Practice | 675 W North Ave, Suite 416, Melrose Park, IL 60160-1634 | 2010-06-04 |
1003046103 | Elmhurst Memorial Healthcare | Durable Medical Equipment & Medical Supplies | 303 W Lake St, Suite 202, Addison, IL 60101-2586 | 2009-07-23 |
1124206081 | Elmhurst Memorial Healthcare | Clinic/Center | 303 W Lake St, Addison, IL 60101-2586 | 2008-02-03 |
1154504702 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-12-06 |
1790968345 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-12-06 |
1609059252 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-12-06 |
Street Address |
471 W ARMY TRAIL ROAD |
City | BLOOMINGDALE |
State | IL |
Zip Code | 60108-2673 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
Find all providers in zip 60108 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922463629 | Alden Springs, Inc. | Durable Medical Equipment & Medical Supplies | 207 E Army Trail Rd, Bloomingdale, IL 60108-2105 | 2015-12-22 |
1225493083 | Alden Gardens of Bloomingdale, Inc. | Durable Medical Equipment & Medical Supplies | 285 E Army Trail Rd, Bloomingdale, IL 60108-2108 | 2015-12-22 |
1093025694 | Classic Homecare Services Inc | Durable Medical Equipment & Medical Supplies | 129 Fairfield Way Ste 303c, Bloomingdale, IL 60108-1509 | 2010-10-15 |
1861624785 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 121 E Lake St, Bloomingdale, IL 60108-1104 | 2009-08-11 |
1427194109 | Ortho-med Services, Inc | Durable Medical Equipment & Medical Supplies | 109 Fairfield Way Ste 106, Bloomingdale, IL 60108-1522 | 2007-01-29 |
1700943305 | Breeze Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 06899 44th St, Bloomingdale, MI 49026-9706 | 2007-01-02 |
1285649582 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 180 E Lake St, Bloomingdale, IL 60108-1129 | 2006-07-29 |
1740207018 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 314 W Army Trail Rd, Bloomingdale, IL 60108-2300 | 2006-07-16 |
1245755842 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 132 Main St, Bloomingdale, NJ 07403-1672 | 2017-08-04 |
1972033736 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 220 Springfield Dr, Bloomingdale, IL 60108 | 2017-06-14 |
Find all providers in BLOOMINGDALE |
City | BLOOMINGDALE |
Zip Code | 60108 |
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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.