HEALOGICS SPECIALTY PHYSICIANS OF ILLINOIS, LLC


Address: 1 Memorial Dr, Alton, IL 62002-6722
Phone: 6164337066

HEALOGICS SPECIALTY PHYSICIANS OF ILLINOIS, LLC (NPI# 1215355110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215355110
Entity Type Organization
Organization Name HEALOGICS SPECIALTY PHYSICIANS OF ILLINOIS, LLC
Practice Address 1 Memorial Dr
Alton
IL 62002-6722
Mailing Address 5220 Belfort Rd Ste 130
Jacksonville
FL 32256-6018
Practice Telephone 6164337066
Practice Fax Number 3146534088
Mailing Telephone 9044463451
Mailing Fax Number 9044463032
Enumeration Date 2014-03-29
Last Update Date 2020-03-03
Authorized Official Name DAVID BASSIN (CEO)
Authorized Official Telephone 8556895105
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 208600000X Surgery Allopathic & Osteopathic Physicians
N 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 2083P0011X Preventive Medicine
Specialization: Undersea and Hyperbaric Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 1 MEMORIAL DR
City ALTON
State IL
Zip Code 62002-6722

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174504682 Mary Colette Schmidt Internal Medicine 1 Memorial Dr, Alton, IL 62002-6722 2005-11-10
1093323131 Alton Memorial Hospital Clinical Medical Laboratory 1 Memorial Dr, Alton, IL 62002-6722 2020-07-15
1295358810 Andrew James Standefer Registered Nurse 1 Memorial Dr, Alton, IL 62002-6722 2020-05-19
1356988273 Clair Laurent Visconti Physician Assistant 1 Memorial Dr, Alton, IL 62002-6722 2019-12-10
1932682101 Hannah Josephine Mallets Occupational Therapist 1 Memorial Dr, Alton, IL 62002-6722 2018-09-12
1154826501 Aaron D Wede Nurse Anesthetist, Certified Registered 1 Memorial Dr, Alton, IL 62002 2018-03-28
1841710712 Jodi Keiko Pecka Yanagida Internal Medicine 1 Memorial Dr, Alton, IL 62002-6722 2017-06-22
1265960058 Chandni Sinha Internal Medicine 1 Memorial Dr, Alton, IL 62002-6722 2017-05-24
1033657929 Meredith Anne Parker Social Worker 1 Memorial Dr, 2nd Floor, Olin Wing, Alton, IL 62002-6722 2017-02-10
1942758081 Brennan Malham Physician Assistant 1 Memorial Dr, Alton, IL 62002-6722 2016-09-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285272807 Jersey Community Hospital Obstetrics & Gynecology #2 Memorial Drive, Suite 203, Alton, IL 62002 2019-12-13
1912540659 Kelsi N Harre Community Health Worker 2603 N. Rogers Ave., Alton, IL 62002 2019-10-25
1841848322 Destiny L Miller Technician 3429 Meridocia St, Alton, IL 62002 2019-08-28
1942854633 Jessica Leigh Jump Speech-Language Pathologist 453 Bluff Street, Alton, IL 62002 2019-07-30
1194380741 Vasiliki Kytridou Dentist 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 2019-05-08
1982125910 Amy Nicole Spalding Social Worker 1123 Harrison St, Alton, IL 62002 2017-06-29
1962856310 Patricia Gregory Social Worker 5090 Humbert Rd, Alton, IL 62002 2016-04-21
1447612510 Alanna Lynn Mcnelly Chiropractor 219 Piasa St, Suite 200, Alton, IL 62002 2016-03-28
1174983050 Roberta's Lovely Ladies Boutique Mastectomy Fitter 603 W. Delmar, Alton, IL 62002 2016-03-04
1184081556 Darcy Graham Nurse Practitioner 4 Memorial Dr # 210, Alton, IL 62002 2016-01-15
Find all providers in zip 62002

Taxonomy Information

Taxonomy Code 2083P0011X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Undersea and Hyperbaric Medicine

Taxonomy Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073995684 Motaz R Wraikat Preventive Medicine 315 S 13th St Ste 3, Herrin, IL 62948 2015-06-19
1669656054 Jesse Robert Geibe Preventive Medicine 2410 Sampson St. (fisher Health Clinic/nhc-503), Naval Health Clinic Great Lakes, Great Lakes, IL 60088-2942 2007-12-21
1881065738 Midwest Institute of Neurological Discovery, LLC Preventive Medicine 440 Lake Cook Rd, Deerfield, IL 60015-5242 2015-10-16
1164838371 Sahitya Settypalli Preventive Medicine 2 S Hospital Dr, Murphysboro, IL 62966-3333 2014-07-08

Competitor

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City ALTON
Zip Code 62002

Improve Information

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Dataset Information

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.

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