ANTONIO J BRAVO (NPI# 1326139676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326139676 |
| Entity Type | Individual |
| Full Name | ANTONIO J BRAVO |
| Other Name | ANTONIO JESUS BRAVO |
| Credential | MD |
| Practice Address |
133 E Brush Hill Rd Ste 308 Elmhurst IL 60126-5662 |
| Mailing Address |
4201 Winfield Rd Fl 4 Warrenville IL 60555-4025 |
| Practice Telephone | 3312219006 |
| Practice Fax Number | 3312212734 |
| Mailing Telephone | 3312216377 |
| Mailing Fax Number | 3312212357 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036-078936 | IL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 036078936 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36078936 | 05 | |
| IL | 036078936 | 05 |
| Street Address |
133 E BRUSH HILL RD STE 308 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-5662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003444837 | Ashley N Berka | Nurse Practitioner | 133 E Brush Hill Rd Ste 308, Elmhurst, IL 60126-5662 | 2020-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356864243 | Weihong Yan Obgyn P.C. | Obstetrics & Gynecology | 8311 Queens Blvd Unit 1, Elmhurst, NY 11373-4244 | 2017-07-21 |
| 1063845378 | Contemporary Ob-gyn Health Care LLC | Obstetrics & Gynecology | 9411 59th Ave Apt A10, Elmhurst, NY 11373-5101 | 2013-08-11 |
| 1366606931 | Weihong Yan | Obstetrics & Gynecology | 8311 Queens Blvd, Elmhurst, NY 11373-4244 | 2008-07-14 |
| 1992843171 | Payman Paul Jarrahy | Obstetrics & Gynecology | 9411 59th Ave, Suite A-10, Elmhurst, NY 11373-5158 | 2007-02-01 |
| 1093888141 | Marina L Guerrero | Obstetrics & Gynecology | 8246 Pettit Ave, Elmhurst, NY 11373 | 2006-11-16 |
| 1184713232 | Alicia Rita Brandalise | Obstetrics & Gynecology | 87 08 Justice Ave, 1f, Elmhurst, NY 11373-4576 | 2006-10-12 |
| 1265523104 | Enrique Gutman | Obstetrics & Gynecology | 87-15 55 Rd, Elmhurst, NY 11373 | 2006-09-27 |
| 1780775601 | Uma Vasant Mysorekar | Obstetrics & Gynecology | 9425 57th Ave, Suite P3, Elmhurst, NY 11373 | 2006-09-27 |
| 1164537312 | Mike X Zangan | Obstetrics & Gynecology | 242 N York St, 205, Elmhurst, IL 60126-2701 | 2006-08-20 |
| 1669423703 | Julie Lynne Kim | Obstetrics & Gynecology | 1200 South York, Elmhurst, IL 60126 | 2006-05-13 |
| Find all providers in ELMHURST | ||||
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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.