JUAN SANTIAGO-PALMA (NPI# 1295743953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295743953 |
| Entity Type | Individual |
| Full Name | JUAN SANTIAGO-PALMA |
| Credential | MD |
| Practice Address |
400 South Kennedy Dr Bradley IL 60915 |
| Practice Telephone | 8159288050 |
| Practice Fax Number | 8005052218 |
| Mailing Telephone | 8159288050 |
| Mailing Fax Number | 8159289858 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2016-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
036-107524 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36107524 | 05 |
| Street Address |
400 SOUTH KENNEDY DR |
| City | BRADLEY |
| State | IL |
| Zip Code | 60915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578571386 | Michael John Corcoran | Orthopaedic Surgery | 400 South Kennedy Dr, Bradley, IL 60915 | 2006-08-04 |
| 1497839724 | Leslie D Yeates | Physician Assistant | 400 South Kennedy Dr, Bradley, IL 60915 | 2006-10-24 |
| 1447268289 | Eddie Jones | Orthopaedic Surgery | 400 South Kennedy Dr, Bradley, IL 60915 | 2006-08-04 |
| 1316955149 | Rajeev Damian Puri | Orthopaedic Surgery | 400 South Kennedy Dr, Bradley, IL 60915 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1679826309 | Heather Sevier | Specialist/Technologist | 328 S Dearborn Ave, Bradley, IL 60915 | 2012-10-18 |
| 1013266584 | Arlene De Leon Delacruz | Physical Therapist | 400 South Kennedy Dr., Bradley, IL 60915 | 2012-08-30 |
| 1023370699 | Jessica Sorensen | Physician Assistant | 350 N Kinzie Ave, Bradley, IL 60915 | 2012-06-11 |
| 1184993164 | Debra Malone | Behavioral Analyst | 136-142 1/2 South Clinton, Bradley, IL 60915 | 2011-12-21 |
| 1376840421 | Joshua R Johnson | Physician Assistant | 400 S. Kennedy, Bradley, IL 60915 | 2011-02-24 |
| 1801192133 | Eloise Adams | Behavioral Analyst | 136 142 1/2 South Clinton, Bradley, IL 60915 | 2011-02-03 |
| 1386948685 | Rico J Hale | Behavioral Analyst | 136 142 South Clinton, Bradley, IL 60915 | 2010-12-29 |
| 1558665851 | Joyce A Bollhorst | Behavioral Analyst | 136-142 South Clinton, Bradley, IL 60915 | 2010-12-29 |
| 1538469655 | Kankakee Valley Chiropractic | Chiropractor | 300 North Kennedy Drive, Suite 2, Bradley, IL 60915 | 2010-10-22 |
| Find all providers in zip 60915 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256982 | Prm of Illinois | Physical Medicine & Rehabilitation | 625 N Michigan Ave Ste 810, Chicago, IL 60611-3110 | 2020-05-15 |
| 1346807724 | Complete Pain Management LLC | Physical Medicine & Rehabilitation | 16310 S Lincoln Hwy Ste 132, Plainfield, IL 60586-9100 | 2019-05-21 |
| 1376007757 | Jose Angel Munoz Jr. | Physical Medicine & Rehabilitation | 5035 W Parker Ave, Chicago, IL 60639-1603 | 2019-01-30 |
| 1770050668 | Prarie State Rehabilitation, LLC | Physical Medicine & Rehabilitation | 12220 S Cheyenne Dr, Palos Heights, IL 60463-1654 | 2018-10-29 |
| 1053806406 | Naperville Rehab and Medical Clinic PC | Physical Medicine & Rehabilitation | 445 Jackson Ave Ste 102, Naperville, IL 60540-5257 | 2018-06-28 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1992123004 | Bhavana Vaidya Md LLC | Physical Medicine & Rehabilitation | 10601 S Kilbourn Ave, Oak Lawn, IL 60453-5341 | 2014-04-04 |
| 1275966418 | Restorative Health Center Sc | Physical Medicine & Rehabilitation | 430 Barron Blvd, Grayslake, IL 60030-1666 | 2013-08-12 |
| 1629315312 | Chinatown Integrated Medicine Ltd | Physical Medicine & Rehabilitation | 2134b S Archer Ave Fl 2, Chicago, IL 60616-1514 | 2013-01-15 |
| 1760735377 | Suburban Medical & Rehab Clinic, Ltd | Physical Medicine & Rehabilitation | 269 S Roselle Rd, Schaumburg, IL 60193-1636 | 2012-10-19 |
| 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.