AVANTI MEDICAL GROUP OF MINNESOTA LLC (NPI# 1326357500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326357500 |
| Entity Type | Organization |
| Organization Name | AVANTI MEDICAL GROUP OF MINNESOTA LLC |
| Practice Address |
1755 S Naperville Rd Suite 100 Wheaton IL 60189-5844 |
| Practice Telephone | 3184655874 |
| Mailing Telephone | 3184655874 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |
| Authorized Official Name | AMY GRAHAM (VICE PRESIDENT OF MEDICAL AFFAIRS) |
| Authorized Official Telephone | 3184655874 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | Y |
| Parent Organization Name | AVANTI MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578872974 | Avanti Medical Group of Minnesota LLC | Clinic/Center | 1801 Market Dr, Stillwater, MN 55082-7599 | 2010-10-02 |
| 1568771962 | Avanti Medical Group of Minnesota LLC | Clinic/Center | 1059 Meadowlands Dr, Saint Paul, MN 55127-2346 | 2010-10-02 |
| 1821307224 | Avanti Medical Group of Minnesota LLC | Clinic/Center | 8690 E Point Douglas Rd S, Cottage Grove, MN 55016-4007 | 2010-10-02 |
| Street Address |
1755 S NAPERVILLE RD SUITE 100 |
| City | WHEATON |
| State | IL |
| Zip Code | 60189-5844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255407961 | Jin-hyung J Kim | Psychiatry & Neurology | 1755 S Naperville Rd, Ste 100, Wheaton, IL 60189-5844 | 2006-11-27 |
| 1366787541 | Kimberly Ann Oddo | Social Worker | 1755 S Naperville Rd, Suite 100, Wheaton, IL 60189-5844 | 2012-11-29 |
| 1124362116 | Affinity Clinical Services, LLC | Community/Behavioral Health | 1755 S Naperville Rd, Suite 100, Wheaton, IL 60189-5844 | 2012-11-15 |
| 1699047696 | Steve J. Kim, Md, Sc | Psychiatry & Neurology | 1755 S Naperville Rd, Suite 100, Wheaton, IL 60189-5844 | 2012-02-06 |
| 1609185875 | Avanti Medical Group of Illinois LLC | Clinic/Center | 1755 S Naperville Rd, Suite 100, Wheaton, IL 60189-5844 | 2010-10-05 |
| 1467643791 | Embolden Clinical Services | Psychologist | 1755 S Naperville Rd, Suite 100, Wheaton, IL 60187-8144 | 2007-08-01 |
| 1265565014 | Bridget M Stafford | Psychologist | 1755 S Naperville Rd, Suite 100, Wheaton, IL 60187-8144 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437633476 | Elizabeth Marie Donisch | Dietitian, Registered | 1288 Salford Ct., Wheaton, IL 60189 | 2018-09-15 |
| 1144716457 | Rangsons Healthcare, LLC | Psychiatry & Neurology | 1737 S Naperville Rd Ste 203, Wheaton, IL 60189 | 2018-07-10 |
| 1407372204 | Patricia E Janosy | Social Worker | 2s533 White Birch Labe, Wheaton, IL 60189 | 2017-08-14 |
| 1700300969 | Caroline Bartholomew | Speech-Language Pathologist | 15 Venetian Way, Wheaton, IL 60189 | 2017-07-31 |
| 1164951521 | Celinne Mencias | Nurse Practitioner | 1489 S. Prospect St., Wheaton, IL 60189 | 2017-06-08 |
| 1922496496 | Adventist Health Partners, Inc. | Family Medicine | 1147 E Butterfield Rd, Wheaton, IL 60189 | 2015-01-06 |
| 1821491937 | West Suburban Endodontics LLC | Dentist | 1749 S Naperville Road, Suite 100, Wheaton, IL 60189 | 2014-10-02 |
| 1467855841 | Veronika Vlasov | Chiropractor | 1445 S. Lorraine Rd. #211, Wheaton, IL 60189 | 2014-09-30 |
| 1053754242 | Donald Jeffery Ebalo | Internal Medicine | 25 W 740 Red Maple Lane, Wheaton, IL 60189 | 2013-04-08 |
| 1841532694 | Inclusive Assistance Corp | Nursing Care | 2s680 Cree Lane, Wheaton, IL 60189 | 2013-03-20 |
| Find all providers in zip 60189 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866410 | New Day Wellness Center, LLC | Clinic/Center | 600 S County Farm Rd Ste 204, Wheaton, IL 60187-4575 | 2017-12-12 |
| 1992906069 | First Chiropractic LLC | Clinic/Center | 11302 Veirs Mill Road, Wheaton, MD 20902-2557 | 2007-05-29 |
| 1619915543 | Fergus Falls Medical Group, P.a. | Clinic/Center | 403 12th St N, Wheaton, MN 56296-1070 | 2006-06-03 |
| 1609185875 | Avanti Medical Group of Illinois LLC | Clinic/Center | 1755 S Naperville Rd, Suite 100, Wheaton, IL 60189-5844 | 2010-10-05 |
| 1720238587 | Eric A. Oristian, Md, P C | Clinic/Center | 2730 University Blvd W, Ste 216, Wheaton, MD 20902-1905 | 2008-09-29 |
| 1295981264 | B E Williamson Dc PC | Clinic/Center | 100 W Roosevelt Rd, Suite A4-104, Wheaton, IL 60187-5260 | 2008-08-11 |
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| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
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| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
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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.