WAEL MCTABI (NPI# 1144269093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144269093 |
| Entity Type | Individual |
| Full Name | WAEL MCTABI |
| Credential | MD |
| Practice Address |
1719 Glenwood Ave Joliet IL 60435-5835 |
| Practice Telephone | 8157413532 |
| Mailing Telephone | 8157413532 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2014-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 036-081517 | IL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 036-081517 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 01039386A | 05 | |
| IL | 036081517 | 05 |
| Street Address |
1719 GLENWOOD AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-5835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710329180 | Randi Hahn | Nurse Practitioner | 1719 Glenwood Ave, Joliet, IL 60435-5835 | 2013-07-25 |
| 1407936974 | Ahmed Hussain | Internal Medicine | 1719 Glenwood Ave, Joliet, IL 60435-5835 | 2006-10-17 |
| 1396825956 | Internal Medicine & Family Practice, S.c. | Internal Medicine | 1719 Glenwood Ave, Joliet, IL 60435-5835 | 2006-10-17 |
| 1780764241 | Shahid Masood | Internal Medicine | 1719 Glenwood Ave, Joliet, IL 60435-5835 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912473604 | Primary Care Physicians of Joliet Sc | Family Medicine | 2025 S Chicago St Ste 1, Joliet, IL 60436-3173 | 2018-10-19 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1710320361 | Complete Family Healthcare Ltd | Family Medicine | 1051 Essington Rd Ste 230b, Joliet, IL 60435-2892 | 2013-04-14 |
| 1548531361 | Advanced Medical Resource Management | Family Medicine | 251 N Center St, Joliet, IL 60435-7144 | 2012-01-25 |
| 1063659654 | C & R Medical Group, S.c. | Family Medicine | 1301 Copperfield Ave Ste 210, Joliet, IL 60432-2056 | 2009-01-19 |
| 1881870699 | Binita D Parikh | Family Medicine | 1051 Essington Rd Ste 100, Joliet, IL 60435-2810 | 2008-01-11 |
| 1023218070 | Willard O. Elyea | Family Medicine | 2848 Mcdonough St, Joliet, IL 60436-1050 | 2007-07-18 |
| 1538385463 | Frank C Bender | Family Medicine | 213 E Cass St, Joliet, IL 60432 | 2007-04-18 |
| 1447382783 | Michael Stan Kuzlik | Family Medicine | Rt 6, Joliet, IL 60434 | 2007-03-12 |
| 1659320133 | Estelle Shirley Fletcher | Family Medicine | 99- 129th Infantry Drive, Joliet, IL 60435-5134 | 2006-05-10 |
| Find all providers in JOLIET | ||||
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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.