IROQUOIS MEMORIAL HOSPITAL (NPI# 1134445851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134445851 |
| Entity Type | Organization |
| Organization Name | IROQUOIS MEMORIAL HOSPITAL |
| Other Organization Name | IMH MULTI SPECIALTY PHYSICIAN GROUP |
| Practice Address |
200 Laird Ln Watseka IL 60970-7568 |
| Practice Telephone | 8154325841 |
| Mailing Telephone | 8154325841 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |
| Authorized Official Name | DENNIS WITTENBORN (BOARD CHAIRMAN) |
| Authorized Official Telephone | 8154325841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| IMH MULTI SPECIALTY PHYSICIAN GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780604371 | Iroquois Memorial Hospital | Clinic/Center | 160 E Grove St, Sheldon, IL 60966 | 2006-07-19 |
| 1629040266 | Iroquois Memorial Hospital | Rehabilitation Hospital | 110 S 3rd St, Watseka, IL 60970-1666 | 2006-02-07 |
| 1083066674 | Iroquois Memorial Hospital | Surgery | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2016-07-07 |
| 1598081218 | Iroquois Memorial Hospital | Surgery | 625 S 5th St, Watseka, IL 60970-1835 | 2010-04-20 |
| 1942454947 | Iroquois Memorial Hospital | Orthopaedic Surgery | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2008-11-05 |
| 1972781698 | Iroquois Memorial Hospital | General Acute Care Hospital | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2008-02-05 |
| Street Address |
200 LAIRD LN |
| City | WATSEKA |
| State | IL |
| Zip Code | 60970-7568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447617 | Iroquois Memorial Hospital and Resident Home | Home Health | 200 Laird Ln, Watseka, IL 60970-7568 | 2005-06-14 |
| 1447610472 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 200 Laird Ln, Watseka, IL 60970-7568 | 2016-03-03 |
| 1851721948 | Janella Schroeder | Nurse Practitioner | 200 Laird Ln, Watseka, IL 60970-7568 | 2013-11-26 |
| 1497097679 | Cristiane White | Speech-Language Pathologist | 200 Laird Ln, Watseka, IL 60970-7568 | 2013-03-26 |
| 1851641138 | Kristy M Huse | Occupational Therapist | 200 Laird Ln, Watseka, IL 60970-7568 | 2012-09-14 |
| 1588914782 | William S. Cooke | Physical Therapist | 200 Laird Ln, Watseka, IL 60970-7568 | 2012-09-14 |
| 1376876250 | Optech Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 200 Laird Ln, Watseka, IL 60970-7568 | 2009-09-10 |
| 1114076080 | Angelita Fontanilla | Pediatrics | 200 Laird Ln, Watseka, IL 60970-7568 | 2007-01-09 |
| 1104975978 | Abraham Fontanilla | Surgery | 200 Laird Ln, Watseka, IL 60970-7568 | 2007-01-09 |
| 1790889194 | Iroquois Memorial Hospital and Resident Home | Family Medicine | 200 Laird Ln, Watseka, IL 60970-7568 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189167 | Malinda S Mustered | Occupational Therapist | 825 S Belmont Ave, Watseka, IL 60970 | 2019-11-27 |
| 1558889188 | K-shayla Lafayette | Nurse Practitioner | 200 E. Fairman Ave., Watseka, IL 60970 | 2017-09-04 |
| 1144354879 | Pamela H. Beall | Counselor | 1801 N. State Route 1, Suite 2, Watseka, IL 60970 | 2007-03-15 |
| 1528111879 | Spine Clinics of America Sc | Chiropractor | 425 E. Walnut Street, Watseka, IL 60970 | 2007-01-19 |
| 1699833970 | Shakeel Sher Khan Sandozi | Surgery | 625 S Fifth Street, Watseka, IL 60970 | 2006-12-05 |
| 1790859866 | David Charles Nagele | Dentist | 130 N Littelfuse Ln, Suite 101, Watseka, IL 60970 | 2006-11-20 |
| 1942389259 | John M Rose | Dentist | 316 E Lincoln Ave, Watseka, IL 60970 | 2006-11-06 |
| 1952324279 | Bonita Jean Rajala | Counselor | 617 East Grant St., Watseka, IL 60970 | 2006-07-26 |
| 1396978177 | Allison Shindelar | Social Worker | 323 Wmulberry St, Watseka, IL 60970-0332 | 2009-08-27 |
| 1356441539 | Petersen Health Operations, LLC | Skilled Nursing Facility | 900 N Market St, Watseka, IL 60970-1048 | 2006-09-25 |
| Find all providers in zip 60970 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.