SPRING VIEW IMAGING CENTER (NPI# 1316377682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316377682 |
| Entity Type | Organization |
| Organization Name | SPRING VIEW IMAGING CENTER |
| Practice Address |
4343 Old Grand Ave Suite 205 Gurnee IL 60031-2767 |
| Mailing Address |
4343 Old Grand Ave Suite 205 Gurnee IL 60031 |
| Practice Telephone | 8473387556 |
| Practice Fax Number | 8476727691 |
| Mailing Telephone | 8473387556 |
| Mailing Fax Number | 8476727691 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-12-30 |
| Authorized Official Name | MS. PAMELA BUCKHALTER (CEO) |
| Authorized Official Telephone | 8473387556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
IL | Ambulatory Health Care Facilities |
| Street Address |
4343 OLD GRAND AVE SUITE 205 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-2767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790765279 | Thomas F. Wright | Counselor | 4343 Old Grand Ave, Suite 107 C, Gurnee, IL 60031-2767 | 2006-01-19 |
| 1841735966 | The Thresholds | Community/Behavioral Health | 4343 Old Grand Ave, Suites 200 & 202, Gurnee, IL 60031-2767 | 2016-12-28 |
| 1306292248 | The Thresholds | Community/Behavioral Health | 4343 Old Grand Ave, Gurnee, IL 60031-2767 | 2016-05-10 |
| 1104229988 | New Foundation Center Inc | Counselor | 4343 Old Grand Ave, Gurnee, IL 60031-2767 | 2014-10-07 |
| 1396146775 | Emilio Carrillo | Dentist | 4343 Old Grand Ave, Ste-112, Gurnee, IL 60031 | 2014-09-04 |
| 1952725038 | 1st Assure Home Health, LLC | Home Health | 4343 Old Grand Ave, Suite 106, Gurnee, IL 60031-2767 | 2014-02-11 |
| 1326189309 | Tim M. Jackimek | Dentist | 4343 Old Grand Ave, Ste # 105, Gurnee, IL 60031-2767 | 2007-02-10 |
| 1700935418 | Alison B Koehler | Counselor | 4343 Old Grand Ave, Suite 107 C, Gurnee, IL 60031-2767 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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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.