HIPPOCRATES MEDICAL CLINIC (NPI# 1164882056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164882056 |
| Entity Type | Organization |
| Organization Name | HIPPOCRATES MEDICAL CLINIC |
| Practice Address |
155 S Schuyler Ave Kankakee IL 60901-3807 |
| Practice Telephone | 7084464102 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |
| Authorized Official Name | MARCOS BARAJAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7084464102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
155 S SCHUYLER AVE |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| 1043762453 | Nelson Palarpalar Tamala Jr. | Clinical Nurse Specialist | 10450 Southwest Hwy Apt 1k, Chicago Ridge, IL 60415-1465 | 2016-11-02 |
| 1265475768 | Laura M Barnes | Clinical Nurse Specialist | 1200 S York St Ste 1120, Elmhurst, IL 60126-5626 | 2006-06-13 |
| 1114994928 | Shelly Jo Reiten | Clinical Nurse Specialist | 1701 W. Curtis, Champaign, IL 61822-9678 | 2006-03-01 |
| 1376529917 | Penny S. Fricke | Clinical Nurse Specialist | 2532 Farragut Dr, Springfield, IL 62704-1433 | 2005-12-15 |
| 1801248422 | Kristhine Fidel Nague | Clinical Nurse Specialist | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-1214 | 2016-07-07 |
| 1356707111 | Lubov Bakman | Clinical Nurse Specialist | 840 W Irving Park Rd, 301, Chicago, IL 60613-3011 | 2016-01-10 |
| 1396120754 | Amanda Doyle | Clinical Nurse Specialist | 304 Randall Rd, Geneva, IL 60134-4200 | 2015-07-28 |
| 1316349996 | Sherry J Lewis | Clinical Nurse Specialist | 1639 N Alpine Rd, Suite 260, Rockford, IL 61107-1449 | 2014-09-25 |
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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.