DR. MICHAEL G LARRY (NPI# 1164433348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164433348 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL G LARRY |
| Credential | M. D. |
| Practice Address |
351 Delnor Dr Ste 204 Geneva IL 60134-4226 |
| Practice Telephone | 6306534240 |
| Practice Fax Number | 6309389190 |
| Mailing Telephone | 6306534240 |
| Mailing Fax Number | 6309389190 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036-082779 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE RAILROAD PTAN (GROUP) | CA4748 | 01 |
| IL | 036082779 | 05 | |
| IL | MEDICARE PTAN (INDIVIDUAL) | 206147215 | 01 |
| IL | MEDICARE RAILROAD PTAN (INDIVIDUAL) | P01185369 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 28375 Davis Pkwy Ste 901, Warrenville, IL 605553030 | 6306534240 | 6303151505 |
| Street Address |
351 DELNOR DR STE 204 |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-4226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720030893 | Susan J. W. Acuna | Obstetrics & Gynecology | 2631 Williamsburg Ave Ste 302, Geneva, IL 60134-1128 | 2006-05-17 |
| 1871822445 | Janeta Dimante M.d.s.c. | Obstetrics & Gynecology | 302 Randall Rd, Suite 305, Geneva, IL 60134-4209 | 2009-12-10 |
| 1861642555 | Martha Steadman Matloff | Obstetrics & Gynecology | 172 Dwyer Dr, Geneva, NY 14456 | 2008-09-30 |
| 1285890855 | Heather Ann Anaya | Obstetrics & Gynecology | 302 Randall Rd, Geneva, IL 60134 | 2008-08-04 |
| 1598807067 | Robert C. Gallee, D.o., P.C. | Obstetrics & Gynecology | 351 Delnor Drive, Suite 200, Geneva, IL 60134 | 2007-02-13 |
| 1326185976 | Janeta Dimante | Obstetrics & Gynecology | 302 Randall Rd., Suite 305, Geneva, IL 60134 | 2007-01-31 |
| 1194897033 | James Hight | Obstetrics & Gynecology | 200 North St, Suite 101, Geneva, NY 14456-1561 | 2006-11-15 |
| 1235201559 | James Dickson | Obstetrics & Gynecology | 200 North St, Suite 101, Geneva, NY 14456-1561 | 2006-11-14 |
| 1033292610 | Stephen Achilles | Obstetrics & Gynecology | 200 North St, Suite 101, Geneva, NY 14456-1561 | 2006-10-24 |
| 1568562130 | Danielle Baskin Clair | Obstetrics & Gynecology | 200 North St, Suite 101, Geneva, NY 14456-1561 | 2006-09-24 |
| Find all providers in GENEVA | ||||
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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.