PARK MEDICAL & SURGICAL PLAZA (NPI# 1457423683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457423683 |
Entity Type | Organization |
Organization Name | PARK MEDICAL & SURGICAL PLAZA |
Practice Address |
2621 N Halsted St Chicago IL 60614-2301 |
Practice Telephone | 7734773670 |
Practice Fax Number | 7738711644 |
Mailing Telephone | 7734773670 |
Mailing Fax Number | 7738711644 |
Enumeration Date | 2006-11-14 |
Last Update Date | 2007-09-25 |
Authorized Official Name | DR. LEE R STEIN (PRESIDENT) |
Authorized Official Telephone | 7734773670 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
Street Address |
2621 N HALSTED ST |
City | CHICAGO |
State | IL |
Zip Code | 60614-2301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
Find all providers in zip 60614 |
Taxonomy Code | 261QP1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Podiatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790399509 | G3 Medical LLC | Clinic/Center | 8751 S Greenwood Ave Ste 100, Chicago, IL 60619-7051 | 2020-08-31 |
1528610771 | Young Foot and Ankle | Clinic/Center | 1932 W Crystal St # 1, Chicago, IL 60622-3132 | 2019-07-09 |
1841389830 | Logan Square Foot Center | Clinic/Center | 2831 N Milwaukee Ave., Chicago, IL 60618-7403 | 2006-10-11 |
1811965635 | Northwest Ambucare | Clinic/Center | 4040 W Peterson Ave, Chicago, IL 60646-6019 | 2006-03-08 |
1366083032 | Ramin Ghazizadeh | Clinic/Center | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2019-10-03 |
1285107540 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2019-01-09 |
1073921193 | Dr. Jeremy Schwartz Dpm LLC | Clinic/Center | 525 W Hawthorne Pl, #3003, Chicago, IL 60657-2907 | 2014-08-01 |
1508031295 | Crawford Surgicare | Clinic/Center | 6441 S Pulaski Rd, Chicago, IL 60629-5148 | 2008-04-24 |
1427245141 | Charlotte M. Covello, Dpm,llc | Clinic/Center | 30 N Michigan Ave, Suite 720, Chicago, IL 60602-3809 | 2007-09-26 |
1548381825 | Podiatry Center, Sc | Clinic/Center | 30 N Michigan Ave, Suite 1129, Chicago, IL 60602-3402 | 2007-04-03 |
Find all providers in CHICAGO |
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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.