MICHAEL JOHN SERGEANT SR. (NPI# 1205965936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205965936 |
| Entity Type | Individual |
| Full Name | MICHAEL JOHN SERGEANT SR. |
| Credential | M.D. |
| Practice Address |
475 Brown Blvd Suite 101 Bourbonnais IL 60914-2325 |
| Practice Telephone | 8159397421 |
| Mailing Telephone | 8159397421 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2016-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036057704 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036057704 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055482 | Michael C. Sergeant | Family Medicine | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2005-07-06 |
| Street Address |
475 BROWN BLVD SUITE 101 |
| City | BOURBONNAIS |
| State | IL |
| Zip Code | 60914-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472262 | David Scott Chudwin | Allergy & Immunology | 475 Brown Blvd, Bourbonnais, IL 60914-2325 | 2005-07-26 |
| 1053672832 | Tower Plaza Neurology Sc | Psychiatry & Neurology | 475 Brown Blvd, Suite 101, Bourbonnais, IL 60914-2325 | 2012-06-07 |
| 1821398439 | Tallgrass Cardiology Services Sc | Internal Medicine | 475 Brown Blvd, Suite 103, Bourbonnais, IL 60914-2325 | 2010-10-28 |
| 1588706733 | Retina of Illinois, S.c. | Ophthalmology | 475 Brown Blvd, Suite 109, Bourbonnais, IL 60914-2325 | 2007-02-13 |
| 1629152574 | Five Apples Inpatient Specialists | Internal Medicine | 475 Brown Blvd, Ste 103, Bourbonnais, IL 60914 | 2006-10-25 |
| 1588779516 | Riverview Pharmacies Inc | Pharmacy | 475 Brown Blvd, Suite 105, Bourbonnais, IL 60914-2325 | 2006-08-20 |
| 1437175148 | Jennifer Pablo Nepomuceno | Family Medicine | 475 Brown Blvd, Suite 106, Bourbonnais, IL 60914-2325 | 2006-07-14 |
| 1447283692 | Reynaldo Elazegui Nepomuceno | Family Medicine | 475 Brown Blvd, Suite 106, Bourbonnais, IL 60914-2325 | 2006-07-09 |
| 1962457101 | Hershel Wix Jr. | Internal Medicine | 475 Brown Blvd, Suite 103, Bourbonnais, IL 60914 | 2006-05-24 |
| 1376536615 | Avtar K Razdan I | Pediatrics | 475 Brown Blvd, Suite 102, Bourbonnais, IL 60914-2325 | 2005-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
| 1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
| 1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
| 1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
| Find all providers in zip 60914 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053672832 | Tower Plaza Neurology Sc | Psychiatry & Neurology | 475 Brown Blvd, Suite 101, Bourbonnais, IL 60914-2325 | 2012-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
| 1811546484 | Glencor Neuromonitoring LLC | Psychiatry & Neurology | 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 | 2019-09-06 |
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1972167906 | Kazkaz Southwest Neurology S.c. | Psychiatry & Neurology | 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 | 2019-04-25 |
| 1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
| 1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
| 1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
| 1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
| Find all providers with the same taxonomy | ||||
| City | BOURBONNAIS |
| Zip Code | 60914 |
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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.