VITAE HEALTH OF ILLINOIS LLC (NPI# 1174013452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174013452 |
| Entity Type | Organization |
| Organization Name | VITAE HEALTH OF ILLINOIS LLC |
| Practice Address |
3450 Oakton St Skokie IL 60076 |
| Mailing Address |
3450 Oakton St Skokie IL 60076-2951 |
| Practice Telephone | 2242364600 |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | JAMEEL AHAMED (MANAGER) |
| Authorized Official Telephone | 8338482347 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3450 OAKTON ST |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770057440 | Nikita Sarath Gummadi | Nurse Practitioner | 3450 Oakton St, Skokie, IL 60076-2951 | 2019-01-16 |
| 1518434463 | Chelsey Lesniak | Registered Nurse | 3450 Oakton St, Skokie, IL 60076-2951 | 2018-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| 1902291644 | Peter J. Waller | Family Medicine | 9650 Gross Point Rd. Suite 2900, Skokie, IL 60076 | 2015-03-31 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245483197 | Comfort Health Network Sc | Internal Medicine | 8254 Kimball Avenue, Skokie, IL 60076-2976 | 2008-10-23 |
| 1245414432 | Curtis Howard Weiss | Internal Medicine | 9650 Gross Point Rd Ste 602, Skokie, IL 60076-1214 | 2007-12-24 |
| 1386845790 | Ysls Limited | Internal Medicine | 4860 West Oakton Street, Ysls Limited, Skokie, IL 60077 | 2007-05-31 |
| 1629190137 | Morton Miller, M.d. | Internal Medicine | 4350 Golf Rd, Skokie, IL 60076-1480 | 2007-04-04 |
| 1043351745 | Constance Anne Catellani | Internal Medicine | 7830 Kilbourn Ave, South Entrance, Skokie, IL 60076-3512 | 2007-02-08 |
| 1740343193 | Ellen Fertelmeister | Internal Medicine | Pms 8170 Mc Cormick Blvd, Suite 204, Skokie, IL 60076-2920 | 2006-12-18 |
| 1013007368 | Pinnacle Health Sc | Internal Medicine | 9955 Karlov Ave, Skokie, IL 60076-1117 | 2006-10-14 |
| 1972609253 | Yury L Shapiro | Internal Medicine | 4860 W Oakton, Oakton Health Center, Skokie, IL 60077-2953 | 2006-09-15 |
| 1083721716 | Advanced Medical Associates, Sc | Internal Medicine | 4711 W Golf Rd, #806, Skokie, IL 60076 | 2006-08-25 |
| 1295742856 | Lyugen Adult Clinic P.C. | Internal Medicine | 7013 Lorel Ave, Skokie, IL 60077-3489 | 2006-08-03 |
| Find all providers in SKOKIE | ||||
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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.