NICOLE PHELPS (NPI# 1184086381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184086381 |
| Entity Type | Individual |
| Full Name | NICOLE PHELPS |
| Practice Address |
80 Templeton Dr Oswego IL 60543 |
| Mailing Address |
80 Templeton Dr Oswego IL 60543-7000 |
| Practice Telephone | 6305543456 |
| Mailing Telephone | 6305543456 |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036148771 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 125068111 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2106 S 1st Ave, Maywood, IL 601533304 | 7083279124 | 7083279132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780127217 | Nicole Phelps | Occupational Therapy Assistant | 420 N Jefferson St, Knightstown, IN 46148-1024 | 2016-12-01 |
| 1083057517 | Nicole Phelps | Pharmacist | 125 Maldon Dr, Cary, NC 27513-1753 | 2013-04-15 |
| 1366920316 | Nicole Phelps | Social Worker | 1713 Penn Ln, Oregon City, OR 97045-1528 | 2018-08-01 |
| 1780179887 | Nicole Phelps | Counselor | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2018-06-30 |
| Street Address |
80 TEMPLETON DR |
| City | OSWEGO |
| State | IL |
| Zip Code | 60543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417918624 | Alan Summers | Psychiatry & Neurology | 80 Templeton Dr, Oswego, IL 60543 | 2006-03-29 |
| 1528585254 | Luis Carlos Salgado | Specialist/Technologist | 80 Templeton Dr, Oswego, IL 60543-7000 | 2017-08-24 |
| 1861866857 | Dreyer Clinic, Inc | Clinic/Center | 80 Templeton Dr, Oswego, IL 60543-7000 | 2015-11-14 |
| 1285021964 | Raquel T Robles | Obstetrics & Gynecology | 80 Templeton Dr, Oswego, IL 60543 | 2015-04-21 |
| 1053719989 | Heidi A. Solache | Social Worker | 80 Templeton Dr, Oswego, IL 60543-7000 | 2014-12-09 |
| 1932518677 | Brian E Bade | Nurse Practitioner | 80 Templeton Dr, Oswego, IL 60543-7000 | 2014-08-06 |
| 1396162756 | Bryan Richard Sweeney | Obstetrics & Gynecology | 80 Templeton Dr, Oswego, IL 60543 | 2014-03-24 |
| 1194150763 | Peter Thomas Rasmussen | Physical Therapist | 80 Templeton Dr, Oswego, IL 60543-7000 | 2013-09-13 |
| 1912348855 | Abby Elizabeth Schenk | Physical Therapist | 80 Templeton Dr, Oswego, IL 60543-7000 | 2013-07-08 |
| 1043586035 | Catherine Chu | Family Medicine | 80 Templeton Dr, Oswego, IL 60543-7000 | 2012-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687332 | Graceful Therapy, LLC | Marriage & Family Therapist | 2683 Route 34, Oswego, IL 60543 | 2018-07-30 |
| 1235669763 | Elizabeth Lassandrello Bremner | Counselor | 123 W. Washington St, Oswego, IL 60543 | 2017-06-18 |
| 1205365699 | The Wisdom Shuttle, Inc. | Non-emergency Medical Transport (VAN) | 234 Springbrook Trail South, Oswego, IL 60543 | 2017-06-08 |
| 1477003267 | Smart Choice Mri, LLC | Clinic/Center | 2752 Us Highway 34, Oswego, IL 60543 | 2016-10-05 |
| 1033588686 | George Pearah | Internal Medicine | 408 Sudbury Circle, Oswego, IL 60543 | 2015-09-24 |
| 1619375078 | Kathryn Elyse Fish | Marriage & Family Therapist | 123 W Washington St Ste B-08, Oswego, IL 60543 | 2014-12-16 |
| 1821410713 | Amanda Southwell | Social Worker | 512 Affirmed Dr, Oswego, IL 60543 | 2014-01-10 |
| 1073852158 | James A. Sandrolini | Surgery | 245 Gray's Dr., Oswego, IL 60543 | 2013-02-08 |
| 1649514035 | Kelly L Mangler | Pharmacist | 2030 Route 34, Oswego, IL 60543 | 2012-11-26 |
| 1730483280 | Little Talkers, Speech and Language Therapy, LLC | Speech-Language Pathologist | 809 Barton Drive, Oswego, IL 60543 | 2010-12-27 |
| Find all providers in zip 60543 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548526098 | Young H Kim Md Faap | Pediatrics | 50 W Utica St, Oswego, NY 13126-3053 | 2012-04-10 |
| 1821238346 | Kwakbear P.C. | Pediatrics | 5011 Carpenter Ave, Oswego, IL 60543-8027 | 2009-02-23 |
| 1457445512 | Young Hee Kim | Pediatrics | 50 West Utica St, Oswego, NY 13126 | 2006-10-03 |
| 1841309945 | Elie R Gonzales Md | Pediatrics | 38 Erie St, Oswego, NY 13126-3803 | 2006-08-30 |
| 1396792404 | Shashikant G Bhopale | Pediatrics | 33 E 1st St, Oswego, NY 13126-1112 | 2006-05-27 |
| 1861445033 | Paul D Granoff | Pediatrics | 4789 Route 71, Oswego, IL 60543-7415 | 2006-05-18 |
| 1205893419 | James Lee Webb | Pediatrics | 4509 Route 71, Oswego, IL 60543-7416 | 2006-05-01 |
| 1316214240 | Nicole Christine Keller | Pediatrics | 4789 Route 71, Oswego, IL 60543-7415 | 2011-11-21 |
| 1245402932 | Karen J. Chorvat | Pediatrics | 80 Templeton Dr, Oswego, IL 60543-7000 | 2008-04-02 |
| 1427234426 | Parul Bhatt | Pediatrics | 4789 Route 71, Oswego, IL 60543 | 2008-01-21 |
| Find all providers in OSWEGO | ||||
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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.