LEIGH AGOMBAR (NPI# 1275056418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275056418 |
| Entity Type | Individual |
| Full Name | LEIGH AGOMBAR |
| Credential | PA |
| Practice Address |
15728 S Route 59 Plainfield IL 60544-2693 |
| Practice Telephone | (815) 436-8831 |
| Mailing Telephone | 8154368831 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085006236 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15728 S ROUTE 59 |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60544-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760545024 | Donald Williams | Nurse Practitioner | 15728 S Route 59, Plainfield, IL 60544-2693 | 2006-12-18 |
| 1306206305 | Maria Elena Gallegos | Nurse Practitioner | 15728 S Route 59, Plainfield, IL 60544-2693 | 2016-03-03 |
| 1700031804 | Darlene P Peters | Nurse Practitioner | 15728 S Route 59, Plainfield, IL 60544-2693 | 2008-11-18 |
| 1710179544 | Kristin Marie Bulkley | Nutritionist | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-08-15 |
| 1174730659 | Gregory C Adams | Family Medicine | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-05-16 |
| 1285773051 | Rezin Orthopedic and Sports Medicine | Physical Medicine & Rehabilitation | 15728 S Route 59, Within Village Medical Center, Plainfield, IL 60544-2693 | 2007-02-06 |
| 1023157617 | Rezin Orthopedics and Sports Medicine, Sc | Durable Medical Equipment & Medical Supplies | 15728 S Route 59, Building 142, Plainfield, IL 60544-2693 | 2007-02-06 |
| 1174673826 | Corwin Medical Care Ltd | Clinic/Center | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-01-12 |
| 1013066257 | Wimol Ann Mitrakul | Family Medicine | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-01-09 |
| 1588713374 | Bruce C Corwin | Family Medicine | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706371 | Rakhi Shingala | Counselor | Legacy Clinical Consultant, 13717 S. Route 30, 159, Naperville, IL 60544 | 2020-10-08 |
| 1548875446 | Michael T Liacone | Counselor | 13550 Lincoln Hwy, Plainfield, IL 60544 | 2020-09-09 |
| 1700388758 | Christina Sincora | Speech-Language Pathologist | 15730 Howard Street, Plainfield, IL 60544 | 2018-03-06 |
| 1770085250 | Carol Ann Sotir | Nurse Practitioner | 14404 S Maple Court, Plainfield, IL 60544 | 2018-03-01 |
| 1912409434 | Sandra Henderson | Counselor | 24044 W Main St, Plainfield, IL 60544 | 2018-02-28 |
| 1073024576 | Jamie Mirocha Inc. | Clinic/Center | 24012 W Renwick Road, Plainfield, IL 60544 | 2017-10-24 |
| 1114463502 | Karen Fagan | Nurse Practitioner | 500 N Weber Road, Romeoville, IL 60544 | 2017-01-10 |
| 1558812057 | Fresenius Medical Care Plainfield North, LLC | Clinic/Center | 24024 West Riverwalk Ct., Plainfield, IL 60544 | 2016-10-19 |
| 1790131936 | Plainfield Pediatric Dental Care PC | Preferred Provider Organization | 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 | 2016-05-06 |
| 1598152753 | Lauren Beall | Pharmacist | 2480 Route 59, Plainfield, IL 60544 | 2015-04-24 |
| Find all providers in zip 60544 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1750990495 | Steven Wenzel | Physician Assistant | 14903 S Hawthorn Cir, Plainfield, IL 60544-2103 | 2020-07-29 |
| 1013469246 | Adeel Kamal | Physician Assistant | 13152 Millbank Dr, Plainfield, IL 60585-5293 | 2016-11-04 |
| 1609290840 | Basma Javaid | Physician Assistant | 24706 W Champion Dr, Plainfield, IL 60585-5176 | 2014-02-07 |
| 1851730717 | Michelle Sanchez Doersam | Physician Assistant | 16519 S. Route 59, Plainfield, IL 60586 | 2013-06-24 |
| 1104195833 | Katie L. Anderson | Physician Assistant | 1421 Lowes Way, Plainfield, CT 06374-1963 | 2011-12-27 |
| 1972886968 | Pooja Sahgal | Physician Assistant | 1847 Bradford St, Plainfield, NJ 07063-1035 | 2011-09-26 |
| 1841309069 | Kristie K Vogel | Physician Assistant | 24508 W Village Ctr Dr, Plainfield, IL 60544-1885 | 2006-08-30 |
| 1114034147 | Nancy Mogielnicki | Physician Assistant | 120 Black Hill Rd, Plainfield, NH 03781-5131 | 2006-08-24 |
| 1649621780 | Audrey Hewitt | Physician Assistant | 1100 Southfield Dr, Suite 1240, Plainfield, IN 46168-4498 | 2016-06-30 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 60544 |
Please comment or provide details below to improve the information on LEIGH AGOMBAR.
| 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.