MARK COLEMAN (NPI# 1295750743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295750743 |
| Entity Type | Individual |
| Full Name | MARK COLEMAN |
| Credential | MD |
| Practice Address |
1415 W 47th St La Grange IL 60525-6136 |
| Practice Telephone | 7085799375 |
| Practice Fax Number | 7085799378 |
| Mailing Telephone | 7085799375 |
| Mailing Fax Number | 7085799378 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942630843 | Mark A Coleman | Counselor | 198 Mcarthur Dr., Camilla, GA 31730-4952 | 2013-11-14 |
| 1952737835 | Mark Edward Coleman | Dentist | 40 Grove St, Somerville, NJ 08876-2306 | 2013-09-23 |
| 1780877746 | Mark Jonathan Coleman | Counselor | 2400 Edenborn Ave, Metairie, LA 70001-1817 | 2007-08-23 |
| 1942335930 | Mark J Coleman | Physical Therapist | 76 Firemens Way, Poughkeepsie, NY 12603-6519 | 2007-02-22 |
| 1952333866 | Mark M Coleman | Internal Medicine | 1180 N Indian Canyon Dr, Suite E-420, Palm Springs, CA 92262-4800 | 2006-07-07 |
| 1821095431 | Mark Herbert Coleman | Pain Medicine | 1838 Greene Tree Rd, Suite 150, Pikesville, MD 21208-6391 | 2005-06-29 |
| Street Address |
1415 W 47TH ST |
| City | LA GRANGE |
| State | IL |
| Zip Code | 60525-6136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770574576 | Robert E Rada | Dentist | 1415 W 47th St, La Grange, IL 60525-6136 | 2005-10-31 |
| 1700424223 | Kayla Droessler | Dietitian, Registered | 1415 W 47th St, La Grange, IL 60525-6136 | 2019-12-16 |
| 1750831129 | Kelsey York | Physician Assistant | 1415 W 47th St, La Grange, IL 60525-6136 | 2016-10-10 |
| 1619009883 | Dennis P Kent | Dentist | 1415 W 47th St, La Grange, IL 60525-6136 | 2007-03-12 |
| 1376610477 | Paulette N. Feiereisel | Nurse Practitioner | 1415 W 47th St, La Grange, IL 60525-6136 | 2006-11-30 |
| 1275558629 | Vince Bartolomeo | Family Medicine | 1415 W 47th St, La Grange, IL 60525-6136 | 2006-07-13 |
| 1609806421 | Family Medical Group of Lagrange | Exclusive Provider Organization | 1415 W 47th St, La Grange, IL 60525-6136 | 2006-07-04 |
| 1124067624 | David R Doyle | Podiatrist | 1415 W 47th St, La Grange, IL 60525-6136 | 2006-06-06 |
| 1649224288 | Jerry P Bonet | Podiatrist | 1415 W 47th St, La Grange, IL 60525-6136 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923837 | Cheryl Buhrke | Speech-Language Pathologist | 1301 W. Cossitt Ave., La Grange, IL 60525 | 2017-10-19 |
| 1881113462 | Karen Aluise | Speech-Language Pathologist | 6818 Joliet Rd. #2, Indian Head Park, IL 60525 | 2017-09-14 |
| 1689126997 | Adriana Digianfilippo | Occupational Therapist | 18 N. Catherine, Lagrange, IL 60525 | 2016-11-03 |
| 1679953582 | Paulina Pinzon | Counselor | 6548 Laurel Avenue, Indian Head Park, IL 60525 | 2015-06-05 |
| 1639446925 | Aarti Parikh | Pharmacist | 6600 S. Willow Springs Rd, Indian Head Park, IL 60525 | 2011-11-30 |
| 1831476795 | Jessica E Feller | Physician Assistant | 6555 South Willow Springs Road, Suite 6, Countryside, IL 60525 | 2011-11-07 |
| 1477833218 | Robyn Lee Frendling | Behavioral Analyst | 9649 W. 55th St, Countryside, IL 60525 | 2011-08-25 |
| 1457630543 | Kerri E Kabela | Physical Therapist | 705 W. Plainfield Rd, Suite 1, Countryside, IL 60525 | 2011-08-08 |
| 1275826984 | G&u Orthopedic, LLC | Durable Medical Equipment & Medical Supplies | 106 W. Calendar Ave., 127, La Grange, IL 60525 | 2011-05-27 |
| 1952609752 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 705 W. Plainfield Road, Suite 1, Countryside, IL 60525 | 2011-03-03 |
| Find all providers in zip 60525 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649407586 | Signature Hearing & Balance, Pllc | Specialist | 462 E Guadalupe St, La Grange, TX 78945-1950 | 2009-06-18 |
| 1124293303 | Diane C Lee | Specialist | 401 W Elm Ave, La Grange, IL 60525-2203 | 2008-04-28 |
| 1942348586 | Katherine B Slattery | Specialist | 74 Malden Ave, La Grange, IL 60525-5844 | 2007-02-04 |
| 1285785238 | Suburban Cardiologists, S.c. | Specialist | 5101 S Willow Spring Road, Suite 160, La Grange, IL 60525 | 2007-01-16 |
| 1851441935 | Mariellen Heffernan Maloney | Specialist | 13 Elder Ln, La Grange, IL 60525-5819 | 2007-01-11 |
| 1356498968 | Laura Paszyna | Specialist | 237 8th Ave, La Grange, IL 60525-6413 | 2007-01-04 |
| 1740232156 | Russell J Clark | Specialist | Two St. Mark's Place, Ste 110, La Grange, TX 78945 | 2006-05-16 |
| 1992769822 | Guy Agostino | Specialist | 512 W Burlington Ave, Suite 100, La Grange, IL 60525-2221 | 2006-04-17 |
| 1154500395 | Byron D. Neely,m.d.,p.a. | Specialist | 117 N Main St, La Grange, TX 78945-2610 | 2007-10-24 |
| 1023217197 | Bluegrass Orthopedic Group Psc | Specialist | 1023 New Moody Ln, Ste 102, La Grange, KY 40031-9177 | 2007-07-17 |
| Find all providers in LA GRANGE | ||||
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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.