COMPLETE CARE MEDICAL CENTER, S.C (NPI# 1144517830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144517830 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARE MEDICAL CENTER, S.C |
| Practice Address |
373 Summit St Ste 100 Elgin IL 60120 |
| Mailing Address |
373 Summit St Ste 102 Elgin IL 60012 |
| Practice Telephone | 8478883631 |
| Practice Fax Number | 8478883632 |
| Mailing Telephone | 8478883631 |
| Mailing Fax Number | 8478883632 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |
| Authorized Official Name | DR. ORAWAN SUKAVACHANA (PRESIDENT/CEO) |
| Authorized Official Telephone | 8476501452 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
036085859 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
373 SUMMIT ST STE 100 |
| City | ELGIN |
| State | IL |
| Zip Code | 60120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391749 | Kids Above All | Clinic/Center | United Methodist Church, 651 Lillie Street, Elgin, IL 60120 | 2018-09-28 |
| 1215483979 | Kelly Fetherling | Social Worker | 6912 S Main St., Elgin, IL 60120 | 2016-08-31 |
| 1164870457 | Peter Norton | Pharmacist | 1038 Summit Street, Elgin, IL 60120 | 2016-05-27 |
| 1417316373 | Beverly Brewster | Counselor | 675 Varsity Dr., Elgin, IL 60120 | 2016-02-19 |
| 1407194780 | Well Baby Care PC | Pediatrics | 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 | 2013-01-22 |
| 1740533546 | Vna Health Care | Clinic/Center | 801 Villa Street, Elgin, IL 60120 | 2012-10-18 |
| 1457638934 | Sharon Rose Nemenzo Araneta | Physical Therapist | 795 Summit St, Elgin, IL 60120 | 2011-11-10 |
| 1770866451 | Claudette M Vanhessen | Pharmacist | 815 Summit Street, Elgin, IL 60120 | 2011-09-20 |
| 1083993430 | Monica J. Fudala | Family Medicine | 820 Summit St # B4, Elgin, IL 60120 | 2011-08-16 |
| 1043536733 | Catholic Charities - Diocese of Rockford, Il. | Foster Care Agency | 40 Dupage Ct. - Suite 400, Elgin, IL 60120 | 2010-04-20 |
| Find all providers in zip 60120 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1548492234 | 63rd Advanced Health Clinic Inc | Family Medicine | 1249 W 63rd St, Chicago, IL 60636-1947 | 2009-08-14 |
| 1346258654 | Constance Susan Kemp | Family Medicine | 1220 Douglas Dr, Carbondale, IL 62901-4029 | 2006-08-03 |
| 1275553240 | Farooq Masood Ahmed | Family Medicine | 5200 Main St Ste 201, Family Practice/dept of Geriatrics, Skokie, IL 60077-2100 | 2006-07-20 |
| 1437149143 | Donald Harvey Dexter | Family Medicine | 1601 Tower Rd, Macomb, IL 61455-9717 | 2005-10-24 |
| 1518969518 | Ghousia Begum Ali | Family Medicine | 2136 W Devon Ave, Chicago, IL 60659-2127 | 2005-08-10 |
| 1568099380 | Bianca Jenkins | Family Medicine | 251 E Huron St, Chicago, IL 60611-2908 | 2020-03-23 |
| 1740779024 | Karen Batty | Family Medicine | 3000 S King Dr, Chicago, IL 60616-3452 | 2018-05-02 |
| 1043693773 | Farid Zahedieh | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2015-06-30 |
| 1639455173 | Rush-copley Medical Group Nfp | Family Medicine | 2040 Ogden Ave, Suite 303, Aurora, IL 60504-7206 | 2011-10-28 |
| Find all providers with the same taxonomy | ||||
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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.