LINDA C WAGNER-WEINER (NPI# 1366592313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366592313 |
Entity Type | Individual |
Full Name | LINDA C WAGNER-WEINER |
Credential | MD |
Practice Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
Mailing Address |
5841 S Maryland Ave # Mc1099 Chicago IL 60637-1447 |
Practice Telephone | 7738344064 |
Enumeration Date | 2007-01-11 |
Last Update Date | 2007-07-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
IL | Allopathic & Osteopathic Physicians |
Street Address |
180 HARVESTER DR STE 110 |
City | BURR RIDGE |
State | IL |
Zip Code | 60527-6686 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568487346 | Rajlakshmi Krishnamurthy | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-07-13 |
1679068555 | Sanjiv Kumar Hyoju | Surgery | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-4503 | 2018-06-24 |
1386030245 | Rachel Strykowski | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2015-04-07 |
1225464290 | Iazsmin Bauer Ventura | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, Burr Ridge, IL 60527-6686 | 2013-09-22 |
1932442456 | Elizabeth Quinn Starker | Anesthesiology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-4503 | 2013-04-03 |
1164776639 | Anna Biernacka | Pathology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2012-11-05 |
1639467087 | Bryan Alan Campbell | Hospitalist | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2011-07-19 |
1578852497 | Jonathan Lio | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2011-03-31 |
1225330061 | Shirley Stephenson | Nurse Practitioner | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2010-11-30 |
1689829285 | Lazaro Nelson Sanchez-pinto | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2008-11-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
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Taxonomy Code | 2080P0216X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Rheumatology |
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780194423 | Rotem Semo Oz | Pediatrics | 5841 S Maryland Ave Rm C101, Chicago, IL 60637-1443 | 2017-10-09 |
1417104274 | Deirdre Ita De Ranieri | Pediatrics | 5841 S Maryland Ave # Mc5044, Chicago, IL 60637-1447 | 2008-08-24 |
1578576724 | Michael L Miller | Pediatrics | 255 E Chicago Avenue, Lurie Children's Hospital #50 Division of Rheumatology, Chicago, IL 60611 | 2006-08-15 |
1124549993 | Taha Moussa | Pediatrics | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2017-07-03 |
1568882157 | Joseph Mcdonald Jr. | Pediatrics | 5841 S Maryland Ave # Mc5044, Chicago, IL 60637-1443 | 2014-04-22 |
1912342452 | Brian Edward Nolan | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2013-05-09 |
1063672095 | Risa Alperin | Pediatrics | 2300 N Childrens Plz, Box 50, Chicago, IL 60614-3363 | 2008-06-12 |
1649430166 | Melissa S Tesher | Pediatrics | 5841 S Maryland Ave, Rm C101, Mc 5044, Chicago, IL 60637-1447 | 2008-06-10 |
1821027004 | Karen Brandt Onel | Pediatrics | 5841 S Maryland Ave, Mc5044, Chicago, IL 60637-1447 | 2006-07-01 |
1336104348 | Marisa Sue Klein-gitelman | Pediatrics | 2300 Childrens Plaza, #50, Chicago, IL 60614 | 2006-04-20 |
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City | BURR RIDGE |
Zip Code | 60527 |
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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.