CITY CENTER HEALTH CARE (NPI# 1245874635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245874635 |
| Entity Type | Organization |
| Organization Name | CITY CENTER HEALTH CARE |
| Practice Address |
300 N Ottawa St Joliet IL 60432-4009 |
| Mailing Address |
12 Kimberley Cir Oak Brook IL 60523-1719 |
| Practice Telephone | 8157260311 |
| Practice Fax Number | 8157260520 |
| Mailing Telephone | 6302996961 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | DR. SHANTHI R GOPI (PRESIDENT) |
| Authorized Official Telephone | 8157260311 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shanthi R Gopi | Doing Business As Name - Organization |
| Street Address |
300 N OTTAWA ST |
| City | JOLIET |
| State | IL |
| Zip Code | 60432-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630079 | Rajendra M. Choksi | Pediatrics | 300 N Ottawa St, Joliet, IL 60432-4009 | 2005-06-26 |
| 1962838334 | Blair Rebecca Foushi | Nurse Practitioner | 300 N Ottawa St, Joliet, IL 60432-4009 | 2013-09-17 |
| 1881970036 | Michelle Fouche | Physician Assistant | 300 N Ottawa St, Joliet, IL 60432-4009 | 2011-11-01 |
| 1669646980 | Family Health Care, Inc | Pediatrics | 300 N Ottawa St, Joliet, IL 60432-4009 | 2008-04-17 |
| 1942420682 | Rashmikant Mohanlal Vibhakar | Dentist | 300 N Ottawa St, Joliet, IL 60432-4009 | 2007-04-26 |
| 1407981459 | Elaine Harris | Pharmacy Technician | 300 N Ottawa St, Joliet, IL 60432-4009 | 2007-02-22 |
| 1902941248 | Phadi Masisi-mmutle | Pharmacist | 300 N Ottawa St, Joliet, IL 60432-4009 | 2007-02-21 |
| 1932281722 | Basingers Pharmacy Inc | Pharmacy | 300 N Ottawa St, Joliet, IL 60432-4009 | 2006-10-20 |
| 1518065234 | Preferred Home Healthcare Providers Sc | Home Health | 300 N Ottawa St, Joliet, IL 60432 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053830943 | Abilio Milo | General Practice | 213 East Cass Street, Joliet, IL 60432 | 2017-09-12 |
| 1508284258 | Allison R. Nichols | Social Worker | 62 W. Washington St., Joliet, IL 60432 | 2014-03-31 |
| 1073950044 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1200 Eagle Street, Joliet, IL 60432 | 2013-05-30 |
| 1124388624 | Fresenius Medical Care of Plainfield, LLC | Clinic/Center | 721 E Jackson St., Joliet, IL 60432 | 2012-05-18 |
| 1730375833 | Rhonda Denise Posley | Licensed Practical Nurse | 215 Clinton, Suite B, Joliet, IL 60432 | 2007-09-21 |
| 1538385463 | Frank C Bender | Family Medicine | 213 E Cass St, Joliet, IL 60432 | 2007-04-18 |
| 1366501835 | Health Care Delivery Systems | Internal Medicine | 1301 Copperfield Avenue, Suite 202, Joliet, IL 60432 | 2006-12-08 |
| 1134294614 | Mary Lee Johnson | Counselor | 62 West Washington Street, Joliet, IL 60432 | 2006-11-21 |
| 1609953223 | Catholic Charities of The Diocese of Joliet | Community/Behavioral Health | 58 E Clinton St Ste 200, Joliet, IL 60432 | 2006-11-01 |
| 1487740932 | Carlla Duster Franklin | Dentist | 2241 Theodore Street, Crest Hill, IL 60432 | 2006-10-04 |
| Find all providers in zip 60432 | ||||
| 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 |
|---|---|---|---|---|
| 1134343320 | G & L Alcala Pediatric Practice | Pediatrics | 301 N Springfield Avenue, Joliet, IL 60435-6590 | 2007-04-12 |
| 1902972516 | Sherahsan K Niazi | Pediatrics | 831 N Larkin Ave, Joliet, IL 60435 | 2006-11-27 |
| 1679649388 | Nabil Jaber | Pediatrics | 1106 North Larkin, Upper Level, Joliet, IL 60435 | 2006-11-27 |
| 1770660938 | Sueann Nagpal | Pediatrics | 211 N Hammes Ave, Joliet, IL 60435-8113 | 2006-11-01 |
| 1821012410 | Shanthi R Gopi | Pediatrics | 300 N. Ottawa St., Joliet, IL 60432 | 2006-07-27 |
| 1699763805 | Liberato D Alcala | Pediatrics | 301 Springfield Ave, Joliet, IL 60435-6590 | 2005-10-11 |
| 1972591188 | Gilda M Alcala | Pediatrics | 301 N Springfield Ave, Joliet, IL 60435-6590 | 2005-10-11 |
| 1134117344 | Jonette P Belicena | Pediatrics | 301 Madison St Ste 120, Joliet, IL 60435-6652 | 2005-10-11 |
| 1689028953 | Anusha Khapekar | Pediatrics | 1106 Neal Ave, Joliet, IL 60433-2548 | 2016-04-22 |
| 1306189204 | Joseph Giancarlo | Pediatrics | 114 Barney Dr, Joliet, IL 60435-6404 | 2013-03-29 |
| Find all providers in JOLIET | ||||
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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.