VILLAGEMD INDIANA, PC (NPI# 1336676923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336676923 |
Entity Type | Organization |
Organization Name | VILLAGEMD INDIANA, PC |
Practice Address |
1 N Franklin St Ste 1205 Chicago IL 60606 |
Mailing Address |
125 S Clark St Ste 900 Chicago IL 60603-5200 |
Practice Telephone | 4087186424 |
Mailing Telephone | 4087186424 |
Enumeration Date | 2017-05-15 |
Last Update Date | 2020-05-13 |
Authorized Official Name | WENDY LEE RUBAS (GENERAL COUNSEL) |
Authorized Official Telephone | 3124657898 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
01078373A | IN | Allopathic & Osteopathic Physicians |
N | 225100000X | Physical Therapist | 01078373A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 207Q00000X | Family Medicine | 01078373A | IN | Allopathic & Osteopathic Physicians |
Street Address |
1 N FRANKLIN ST STE 1205 |
City | CHICAGO |
State | IL |
Zip Code | 60606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588286462 | James Topolski | Counselor | 150 S Wacker Driver, Ste 2400, Chicago, IL 60606 | 2020-05-13 |
1124500046 | R.c. & Associates LLC | Marriage & Family Therapist | 150 South Wacker Drive, #2400, Chicago, IL 60606 | 2018-09-06 |
1720581101 | Arch Angel Services | Counselor | 10 S. Riverside Plaza, Suite 875, Chicago, IL 60606 | 2018-03-13 |
1316453178 | Johanna Richter Nutrition & Wellness LLC | Dietitian, Registered | 211 W Wacker Dr Ste 230, Chicago, IL 60606 | 2017-12-15 |
1215466792 | Kelly Albers | Physical Therapist | 125 South Wacker Drive, 475, Chicago, IL 60606 | 2017-06-08 |
1255880555 | Katie Marie Edwards-humpal | Nurse Practitioner | 225 W Washington 2floor, Chicago, IL 60606 | 2016-09-27 |
1922454255 | Revolution Physical Therapy Weight Loss | Clinic/Center | 205 N. Wells St., Chicago, IL 60606 | 2016-05-05 |
1558725101 | Robin Weber | Physical Therapy Assistant | 205 N. Wells Street, Chicago, IL 60606 | 2016-04-11 |
1427439041 | Kathleen Habschmidt | Physical Therapist | 1020 W Wacker Dr, Suite 205, Chicago, IL 60606 | 2015-06-10 |
1346630373 | Thomas Fairbank | Physical Therapist | 205 N. Wells, Chicago, IL 60606 | 2015-01-29 |
Find all providers in zip 60606 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
Find all providers in CHICAGO |
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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.