THE BREAKERS AT EDGEWATER BEACH (NPI# 1275826455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275826455 |
| Entity Type | Organization |
| Organization Name | THE BREAKERS AT EDGEWATER BEACH |
| Practice Address |
5333 N Sheridan Rd Chicago IL 60640-7371 |
| Practice Telephone | 7738785333 |
| Mailing Telephone | 7738785333 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |
| Authorized Official Name | CHERIE DUPOR (DIRECTOR OF SALES AND MARKETING) |
| Authorized Official Telephone | 7738786136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251F00000X | Home Infusion | 36381847 | IL | Agencies |
| Street Address |
5333 N SHERIDAN RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-7371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063683894 | Jane Ellen Harris Domingo | Speech-Language Pathologist | 5333 N Sheridan Rd, Genesis Rehabilitation, Chicago, IL 60640-7371 | 2008-03-19 |
| 1588297485 | Emma Ann Palmer | Social Worker | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2020-02-19 |
| 1487293668 | Andrew Perry | Occupational Therapist | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2020-01-05 |
| 1144863770 | Jon Daniel Dinopol | Physical Medicine & Rehabilitation | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2019-10-27 |
| 1760031405 | Bryan Rogers | Physical Therapy Assistant | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2019-09-05 |
| 1609420587 | Annmarie Lyons | Occupational Therapy Assistant | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2019-07-29 |
| 1922574367 | Emily Vergo | Speech-Language Pathologist | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2018-10-23 |
| 1629557038 | Selena Sacchetti | Occupational Therapist | 5333 N Sheridan Rd, Chicago, IL 60640 | 2018-08-08 |
| 1699170373 | Derek Goff | Physical Therapy Assistant | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2014-10-24 |
| 1831502236 | Neama Farhan | Physical Therapy Assistant | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2014-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 251F00000X |
| Grouping | Agencies |
| Classification | Home Infusion |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245753045 | Adorn Health, Inc. | Home Infusion | 190 S La Salle St Ste 2100, Chicago, IL 60603-3541 | 2017-07-24 |
| 1649616129 | Peko Healthcare and Consulting Services, Inc. | Home Infusion | 526 E 87th St, Chicago, IL 60619-6045 | 2013-05-10 |
| 1407370810 | Insita | Home Infusion | 500 N Michigan Ave Ste 600, Chicago, IL 60611-3754 | 2017-07-27 |
| 1669863874 | A Touch of Loving Care Inc | Home Infusion | 875 N Michigan Ave, Chicago, IL 60611-1803 | 2015-02-10 |
| 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 |
| 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 |
| 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 |
| 1952589558 | Greenoaks Healthcare LLC | Home Infusion | 1931 N Meacham Rd, Ste 340, Schaumburg, IL 60173-4364 | 2008-02-06 |
| 1326162512 | Advantage Home Health Plus, Inc. | Home Infusion | 30 E. Scranton Avenue, Lake-bluff, IL 60044-0000 | 2007-03-16 |
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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.