KISHWAUKEE CORPORATE HEALTH (NPI# 1255594545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255594545 |
| Entity Type | Organization |
| Organization Name | KISHWAUKEE CORPORATE HEALTH |
| Practice Address |
3251 Commerce Dr Ste B Dekalb IL 60115-7908 |
| Practice Telephone | 8157544882 |
| Mailing Telephone | 8157544882 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | PATRICK G GANNON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8157544882 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
036-077643 | IL | Ambulatory Health Care Facilities |
| Street Address |
3251 COMMERCE DR STE B |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-7908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| Taxonomy Code | 261QC1800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Corporate Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768433 | Access Health and Wellness Inc | Clinic/Center | 2610 W Balmoral Ave, 505, Chicago, IL 60625-2364 | 2020-04-08 |
| 1518475003 | Wellness Data Solutions LLC | Clinic/Center | 2002 Hedgewood Dr, Bloomington, IL 61704-2423 | 2018-01-18 |
| 1497104095 | Gary M Kohn Md Pa | Clinic/Center | 805 Harper Dr, Algonquin, IL 60102-2000 | 2016-06-06 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1295006336 | A Better Weigh | Clinic/Center | 200 N Michigan Ave, Suite 607, Chicago, IL 60601-5909 | 2012-01-20 |
| 1508163957 | Pathfinder Health | Clinic/Center | 1582 Old Deerfield Rd, Highland Park, IL 60035-3054 | 2011-02-22 |
| 1215018635 | Alexian Brothers Corporate Health Services | Clinic/Center | 1515 W Lake Street, Ste 100, Hanover Park, IL 60133 | 2006-10-19 |
| 1609343763 | Denise Castle | Clinic/Center | 18210 La Grange Rd, Tinley Park, IL 60487-7722 | 2018-10-26 |
| 1831611029 | Wellchoice, Inc. | Clinic/Center | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2017-07-10 |
| 1508220989 | Vista Health System | Clinic/Center | 2615 Washington St, Waukegan, IL 60085-4980 | 2016-04-11 |
| Find all providers with the same taxonomy | ||||
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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.