ALEXIAN BROTHERS HOME INFUSION (NPI# 1275740961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275740961 |
| Entity Type | Organization |
| Organization Name | ALEXIAN BROTHERS HOME INFUSION |
| Practice Address |
1515 E Lake St Suite 210 Hanover Park IL 60133-4896 |
| Practice Telephone | 6302335010 |
| Practice Fax Number | 6302335021 |
| Mailing Telephone | 6302335010 |
| Mailing Fax Number | 6302335021 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KATHLEEN A GUNDERSON (AVP, ANCILLARY SERVICES) |
| Authorized Official Telephone | 6302335010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251F00000X | Home Infusion | 1006824 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS INFUSION NUMBER | 2232303 | 01 |
| Street Address |
1515 E LAKE ST SUITE 210 |
| City | HANOVER PARK |
| State | IL |
| Zip Code | 60133-4896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760421697 | Alexian Brothers Medical Center | Home Health | 1515 E Lake St, Suite 210, Hanover Park, IL 60133-4896 | 2006-06-06 |
| 1720597891 | Katelyn Mirabito | Physician Assistant | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2017-09-21 |
| 1730548033 | Claire Brown | Social Worker | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2016-02-15 |
| 1861885949 | Greater Elgin Family Care Center | Clinic/Center | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2015-03-12 |
| 1447555180 | Teresa Joerger Davis | Speech-Language Pathologist | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2011-01-11 |
| 1063728897 | Salman Khaleeluddin | Family Medicine | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2010-08-31 |
| 1447562905 | Priya Dileep | Internal Medicine | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2010-07-12 |
| 1720314115 | Alexian Brothers Medical Center | Hospice Care, Community Based | 1515 E Lake St, Suite 206, Hanover Park, IL 60133-4869 | 2009-10-20 |
| 1215166319 | Michael Brunner | Family Medicine | 1515 E Lake St, Attn: Abmg Primary Care, Hanover Park, IL 60133-4869 | 2009-07-09 |
| 1033361647 | Ls Medical Group,l.l.c. | Internal Medicine | 1515 E Lake St, Suite 208, Hanover Park, IL 60133-4896 | 2008-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215302922 | Mangal Dhami | Pharmacist | 1877 Grosse Pointe Circle, Hanove Park, IL 60133 | 2015-12-07 |
| 1649588260 | Church Street Station Skilled Nursing and Living Center, LLC | Skilled Nursing Facility | 2000 W. Lake St., Hanover Park, IL 60133 | 2010-09-16 |
| 1578603395 | Shyam V N Rao | Dentist | 1601 Tanglewood Avenue, Hanover Park, IL 60133 | 2007-02-08 |
| 1851458939 | Robert Jan Bazan | Dentist | 2260 W Irving Pk Rd, Hanover Pk, IL 60133 | 2007-01-02 |
| 1215018635 | Alexian Brothers Corporate Health Services | Clinic/Center | 1515 W Lake Street, Ste 100, Hanover Park, IL 60133 | 2006-10-19 |
| 1225120462 | Hanover Park Physical Medicine & Rehabilitation Ltd | Chiropractor | 1802 Irving Park Road, Hanover Park, IL 60133 | 2006-09-28 |
| 1447350830 | Ismail E Atcha | Internal Medicine | 5420 Cloverdale Road, Hanover Park, ILLINOIS 60133 | 2006-09-25 |
| 1013013374 | Antonio B Cruz | General Practice | 1601 Tanglewood, Suite 106, Hanover Park, IL 60133 | 2006-09-15 |
| 1326143223 | Matthew J Faith | Dentist | 1645 Irving Park Road, Hanover Park, IL 60133 | 2006-09-14 |
| 1992818827 | Ketan Narandas Jobanputra | Obstetrics & Gynecology | 1515 West Lake Street, #208, Alexian Brothers' Hospital Pavilion, Hanover Park, IL 60133 | 2006-08-16 |
| Find all providers in zip 60133 | ||||
| Taxonomy Code | 251F00000X |
| Grouping | Agencies |
| Classification | Home Infusion |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282889 | Option Care Enterprises, Inc. | Home Infusion | 1226 N Michael Dr Ste A, Wood Dale, IL 60191-1056 | 2020-10-12 |
| 1174130413 | Healthy Hearts & Wellness | Home Infusion | 14728 Martin Luther King Jr Dr, Dolton, IL 60419-2016 | 2020-09-30 |
| 1326688490 | Vitahealth Services LLC | Home Infusion | 121 N 2nd St Ste G, St Charles, IL 60174-1863 | 2020-01-07 |
| 1245753045 | Adorn Health, Inc. | Home Infusion | 190 S La Salle St Ste 2100, Chicago, IL 60603-3541 | 2017-07-24 |
| 1447791926 | Professional Infusion Consultants Corporation | Home Infusion | 1628 Windward Ave, Naperville, IL 60563-1896 | 2017-03-16 |
| 1114357118 | Athena Home Health, Inc. | Home Infusion | 112 Prancer Dr, Heyworth, IL 61745-9648 | 2013-11-13 |
| 1649616129 | Peko Healthcare and Consulting Services, Inc. | Home Infusion | 526 E 87th St, Chicago, IL 60619-6045 | 2013-05-10 |
| 1649594763 | Community Alliance Home Health | Home Infusion | 1 Merchants Plz, Suite 202, Oswego, IL 60543-9453 | 2010-03-18 |
| 1063653020 | South Suburban Healthcare, Inc | Home Infusion | 17055 Harlem Ave, Tinley Park, IL 60477-2739 | 2009-03-20 |
| 1447491519 | Home Life Healthcare,corp. | Home Infusion | 1020 W Golf Rd, Hoffman Estates, IL 60169-1340 | 2009-03-18 |
| Find all providers with the same taxonomy | ||||
| City | HANOVER PARK |
| Zip Code | 60133 |
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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.