KATHLEEN MARIE NAEGELE


Address: 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262
Phone: 6182446500

KATHLEEN MARIE NAEGELE (NPI# 1407004773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407004773
Entity Type Individual
Full Name KATHLEEN MARIE NAEGELE
Credential D.O.
Practice Address 4117 Veterans Memorial Dr
Mount Vernon
IL 62864-6262
Mailing Address 3178 Western Ave
Kingman
AZ 86409-0950
Practice Telephone 6182446500
Mailing Telephone 9286924400
Mailing Fax Number 9286924408
Enumeration Date 2008-08-28
Last Update Date 2019-06-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 036120764 IL Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
005573 AZ Allopathic & Osteopathic Physicians

Office Location

Street Address 4117 VETERANS MEMORIAL DR
City MOUNT VERNON
State IL
Zip Code 62864-6262

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912984766 Yagnesh V. Oza Internal Medicine 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 2005-12-22
1740582246 Avani Changela Internal Medicine 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 2010-12-03
1316000219 Gloria Nicole Abenes Nurse Practitioner 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 2006-12-19
1952477028 Mt Vernon Radiation Therapy Center Clinic/Center 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 2006-11-28
1053364885 Oza Oncology Inc. Radiology 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 2006-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619438892 Melissa Pryer Dietitian, Registered 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 2019-03-28
1487145454 Chiropractic Wellness Center of Mt Vernon, LLC. Chiropractor 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 2018-05-24
1851889208 Kimberly Tate Counselor 4110 North Water Place, Mt. Vernon, IL 62864 2018-05-01
1871907790 University Hematology Oncology Inc Specialist #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 2014-06-18
1457771677 Dynamic Counseling and Consultation Services Social Worker 3600 S Water Tower Pl, Mt Vernon, IL 62864 2014-04-27
1619239431 Judith C Morgan Counselor 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 2012-06-08
1073888624 James Brian Verges Counselor 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 2012-03-15
1720352271 Lucinda M. Holdren Counselor 16338 North Illinois Highway 37, Mount Vernon, IL 62864 2012-03-01
1780978627 Jamie M Orange Physical Therapy Assistant 19958 Fairfield Rd, Mt. Vernon, IL 62864 2011-06-08
1780978791 Wendy Marie Claytor Speech-Language Pathologist 600 E Il Hwy 15, Mount Vernon, IL 62864 2011-06-07
Find all providers in zip 62864

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366497463 Bruce C Mathey Internal Medicine 307 S 13th St Ste 100, Mount Vernon, WA 98274 2006-05-24
1841243060 Kiarash Kojouri Internal Medicine 307 S. 13th Street, Mount Vernon, WA 98274 2006-05-18
1922076173 Mehrdad Jafari Internal Medicine 307 S 13th St, Suite 100, Mount Vernon, WA 98274-4100 2006-03-12
1912984766 Yagnesh V. Oza Internal Medicine 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 2005-12-22
1740582246 Avani Changela Internal Medicine 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 2010-12-03
1154533412 Junfeng Wang Internal Medicine 307 S 13th St Ste 100, Mount Vernon, WA 98274 2007-05-07
1124181508 Rockcastle Ventures Inc. Doing Business As Mt. Vernon Clinic Internal Medicine 140 Newcomb Ave, Mount Vernon, KY 40456-2728 2006-12-18
1245299577 Geetha D Naik Internal Medicine 12 N 7th Ave, Mount Vernon, NY 10550-2026 2006-03-23
1265431233 Patrick J. Nestor Internal Medicine 307 S 13th St Ste 100, Mount Vernon, WA 98274 2005-07-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649831124 Elena Vagia Internal Medicine 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 2019-06-25
1194206367 Illinois Cancer Specialists Internal Medicine 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 2018-08-27
1861986549 Quincy Physicians & Surgeons Clinic, Sc Internal Medicine 3347 Broadway St, Quincy, IL 62301 2018-06-18
1730634700 Liyun Huang Internal Medicine 17495 South La Grange Rd, Tinley Park, IL 60487 2016-08-19
1578017596 Mercy Clinic Specialists Services-illinois LLC Internal Medicine 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 2016-08-08
1356793319 Glenda Maria Delgado Ramos Internal Medicine 2160 S 1st Ave Ste 167, Maywood, IL 60153-3328 2016-07-01
1023403516 Meghan Rebecca Steiner Internal Medicine 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 2015-04-01
1700270154 Joseph Heng Internal Medicine 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 2015-03-24
1497148118 Pinal Chokshi Internal Medicine 525 E Congress Pkwy Ste 300, Crystal Lake, IL 60014-6258 2015-03-05
1770998262 Adventist Bolingbrook Hospital Internal Medicine 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 2014-06-24
Find all providers with the same taxonomy

Competitor

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City MOUNT VERNON
Zip Code 62864

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Dataset Information

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.

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