JOHN VINCENT HARTLINE (NPI# 1447516257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447516257 |
| Entity Type | Individual |
| Full Name | JOHN VINCENT HARTLINE |
| Credential | MD |
| Practice Address |
1259 Prestwick Ln Itasca IL 60143-1975 |
| Practice Telephone | 6307730036 |
| Practice Fax Number | 6307730048 |
| Mailing Telephone | 6307730036 |
| Mailing Fax Number | 6307730048 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
4301033441 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144347485 | John Stuart Hartline | Social Worker | 9500 Brooktree Rd Ste 207, Wexford, PA 15090 | 2007-03-23 |
| Street Address |
1259 PRESTWICK LN |
| City | ITASCA |
| State | IL |
| Zip Code | 60143-1975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699204164 | Naila Pervez | Developmental Therapist | 1312 Prestwick Ln, Itasca, IL 60143 | 2017-06-08 |
| 1194267013 | Phylicia Ranes | Counselor | 333 Pierce Rd, Itassca, IL 60143 | 2016-11-09 |
| 1467832766 | Emily Lefew | Counselor | 333 W Pierce Rd Ste 175, Itasca, IL 60143 | 2015-06-02 |
| 1295021269 | Chicago Autism and Behavior Specialists | Behavioral Analyst | 901 W Hawthorn Drive, Itasca, IL 60143 | 2011-06-28 |
| 1104071166 | Robert E. Scheck | Dentist | 115 W Orchard St., Itasca, IL 60143 | 2008-11-18 |
| 1831348028 | Amanda Parker | Psychologist | 901 W Hawthorn Dr, Itasca, IL 60143 | 2008-09-12 |
| 1770629289 | Sylwia Lucja Smirnow | Physical Therapist | 535 S Elm Str, Itasca, IL 60143 | 2007-01-30 |
| 1093802738 | Roy S Scheck | Family Medicine | 115 West Orchard St, Itasca, IL 60143 | 2006-10-06 |
| 1992270383 | Brooke Elizabeth Christenson | Behavior Technician | 901 W Hawthorn Drive, Itasca, ID 60143 | 2018-10-11 |
| 1477028108 | Nicole Dziekonski | Behavior Technician | 901 W Hawthorn Drive, Itasca, IL 60143 | 2018-10-09 |
| Find all providers in zip 60143 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1043767841 | Gail Sharon Haiken | Pediatrics | 5303 Regents Park Rd, Rockford, IL 61107-5092 | 2016-09-08 |
| 1871910976 | Jessica Lahn Chiang | Pediatrics | 1775 Dempster St # 54, Park Ridge, IL 60068-1143 | 2014-03-26 |
| 1669806667 | Ricardo Tomas Rosenkranz | Pediatrics | 1200 N Lake Shore Dr, Apt. 904, Chicago, IL 60610-2370 | 2013-08-26 |
| 1063845626 | Kala Sukerkar | Pediatrics | 2406 Indian Ridge Dr, Glenview, IL 60026-1030 | 2013-08-18 |
| 1407194780 | Well Baby Care PC | Pediatrics | 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 | 2013-01-22 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1780979302 | Kelly Nelson Kelly | Pediatrics | 5841 S Maryland Ave # Mc6060, Chicago, IL 60637-1447 | 2011-06-11 |
| 1255623997 | Venkata Sasidhar Majjiga | Pediatrics | 301 N 8th Street, Siu School of Medicine, Pediatrics, Room 3a169, Springfield, IL 62794 | 2011-05-13 |
| 1700187531 | Ursula Patricia Colareta Ugarte | Pediatrics | 1444 Carol St Apt A, Park Ridge, IL 60068-1290 | 2010-11-10 |
| 1023294519 | Center for Autonomic Medicine In Pediatrics | Pediatrics | 2300 N Childrens Plz # 64, Chicago, IL 60614-3363 | 2008-01-14 |
| Find all providers with the same taxonomy | ||||
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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.