DR. TERRI L DALLAS-PRUNSKIS (NPI# 1457375115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457375115 |
| Entity Type | Individual |
| Full Name | DR. TERRI L DALLAS-PRUNSKIS |
| Credential | MD |
| Practice Address |
4309 Medical Center Dr B103 Mchenry IL 60050 |
| Mailing Address |
431 Summit Elgin IL 60120 |
| Practice Telephone | 8153639595 |
| Practice Fax Number | 8155784530 |
| Mailing Telephone | 8472898822 |
| Mailing Fax Number | 8472890815 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
036073541 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4309 MEDICAL CENTER DR B103 |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508959727 | G Hossein M Riahi | Surgery | 4309 Medical Center Dr, Suite B205, Mchenry, IL 60050 | 2006-10-02 |
| 1659463503 | Kanu Panchal | Neurological Surgery | 4309 Medical Center Dr, Suite B305, Mchenry, IL 60050 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365005 | Interventional Pain Consultants LLC | Pain Medicine | 4972 Benchmark Centre Dr Ste 400, Swansea, IL 62226-2070 | 2020-01-21 |
| 1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
| 1164940813 | Leonard Cerullo, Md, Ltd | Pain Medicine | 680 N Lake Shore Dr Ste 1428, Chicago, IL 60611-3461 | 2017-09-01 |
| 1417472887 | Kimberly Lynch | Pain Medicine | 5801 S Ellis Ave, Chicago, IL 60637-5418 | 2017-08-07 |
| 1598033953 | Manuel P. Blas | Pain Medicine | 1103 Berkley Ln, Lemont, IL 60439-8940 | 2011-12-13 |
| 1538356233 | Lake Shore Therapy Center, Inc. | Pain Medicine | 2338 W Morse Ave, 1 A, Chicago, IL 60645-4767 | 2007-09-27 |
| 1295811479 | Illinois Pain Treatment Institute, Ltd | Pain Medicine | 431 Summit, Elgin, IL 60120 | 2006-10-31 |
| 1164519005 | Wayne David Kelly | Pain Medicine | 1883 Hicks Rd, Suite A, Rolling Meadows, IL 60008-1254 | 2006-10-10 |
| 1417060146 | Ramesh Bathina | Pain Medicine | 1315 N Highland Ave # 105, Aurora, IL 60506-1400 | 2006-08-16 |
| 1447203153 | Jay Joshi | Pain Medicine | 21720 W Long Grove Rd, Ste. C200, Deer Park, IL 60010-3732 | 2006-05-17 |
| 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.