SEAN PATRICK MCCORMICK (NPI# 1447250642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447250642 |
| Entity Type | Individual |
| Full Name | SEAN PATRICK MCCORMICK |
| Credential | M.D. |
| Practice Address |
636 Raymond Dr Suite 205 Naperville IL 60563-9789 |
| Practice Telephone | 6307172300 |
| Practice Fax Number | 6307179638 |
| Mailing Telephone | 6307172300 |
| Mailing Fax Number | 6307179638 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 36111140 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902271877 | Sean Mccormick | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2015-12-03 |
| 1679918130 | Sean Teshima Mccormick | Emergency Medicine | 4201 Saint Antoine St, #9c/uhc, Detroit, MI 48201-2153 | 2013-05-09 |
| Street Address |
636 RAYMOND DR SUITE 205 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-9789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528465614 | Melissa Mandra | Audiologist | 636 Raymond Dr, Suite 203, Naperville, IL 60563-9789 | 2014-12-04 |
| 1407269939 | Lauren Marie Panner | Registered Nurse | 636 Raymond Dr, Naperville, IL 60563-9791 | 2014-06-02 |
| 1740523539 | Jill Katherine Cotseones | Dermatology | 636 Raymond Dr, Naperville, IL 60563 | 2013-04-01 |
| 1285981167 | Elizabeth J Delass | Physical Therapist | 636 Raymond Dr, Suite 305, Naperville, IL 60563-9789 | 2012-08-09 |
| 1386991552 | Michaela Campagnolo | Physical Therapist | 636 Raymond Dr, Suite 305, Naperville, IL 60563-9789 | 2012-08-07 |
| 1720366636 | Lauren Nicole Taglia | Dermatology | 636 Raymond Dr, Naperville, IL 60563-9791 | 2011-07-26 |
| 1881972990 | Karen L Camporese | Physical Therapist | 636 Raymond Dr, Suite 104a, Naperville, IL 60563-9789 | 2011-07-25 |
| 1023304862 | Molly Purkart | Physical Therapist | 636 Raymond Dr, Suite 200, Naperville, IL 60563-9789 | 2011-06-20 |
| 1659675601 | Kimberly Anne Gubbins | Nurse Practitioner | 636 Raymond Dr, Suite 205, Naperville, IL 60563-9789 | 2011-01-05 |
| 1710280953 | Central Dupage Health | Non-Pharmacy Dispensing Site | 636 Raymond Dr, Suite 106, Naperville, IL 60563-9789 | 2010-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597164 | Pm Pediatrics of Illinois | Pediatrics | 2835 Showplace Dr Ste 119, Naperville, IL 60564-5056 | 2019-09-13 |
| 1235464165 | Jerome O. Gronli | Pediatrics | 636 Raymond Dr Ste 205, Naperville, IL 60563-9791 | 2009-10-09 |
| 1821216086 | Michael J. Reicherts, Md Sc | Pediatrics | 4043 South State Route 59, Naperville, IL 60564 | 2007-04-23 |
| 1699801696 | Twenty First Century Pediatrics | Pediatrics | 640 S Washington Street, Suite 224, Naperville, IL 60540 | 2007-02-26 |
| 1609917491 | Midwestpediatrics,ltd | Pediatrics | 1020 E Ogden Ave Ste 306, Naperville, IL 60563-8611 | 2007-02-12 |
| 1194867713 | Whitney Lauren Fose | Pediatrics | 2940 Rolling Ridge Rd. Ste 300, Naperville, IL 60564 | 2007-02-12 |
| 1992870984 | Millennium Pediatrics LLC | Pediatrics | 1012 West 95th St, Suite 4, Naperville, IL 60564 | 2006-11-22 |
| 1053406447 | Robin Kalish | Pediatrics | Millennium Pediatrics, 1012 95th St, Naperville, IL 60564 | 2006-10-03 |
| 1417972738 | Nancy Thomas Thomas | Pediatrics | 636 Raymond Drive, Suite 205, Naperville, IL 60563-9791 | 2006-07-13 |
| 1922030055 | Karen Marie Kreiling | Pediatrics | 2007 95th St Ll-a, Childrens Health Partners Sc, Naperville, IL 60564 | 2006-07-07 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
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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.