HENRY DETERS (NPI# 1457762445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457762445 |
| Entity Type | Individual |
| Full Name | HENRY DETERS |
| Practice Address |
350 S Greenleaf St Suite 403 Gurnee IL 60031-5709 |
| Mailing Address |
900 Rand Rd Suite 300 Des Plaines IL 60016-2359 |
| Practice Telephone | 8475967640 |
| Practice Fax Number | 8475967641 |
| Mailing Telephone | 8473243976 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
350 S GREENLEAF ST SUITE 403 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-5709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396797270 | Edward Logue | Orthopaedic Surgery | 350 S Greenleaf St, Suite 405, Gurnee, IL 60031-5709 | 2006-05-17 |
| 1003340753 | Brenden Frank | Physical Therapist | 350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 | 2017-04-19 |
| 1053855031 | Miriam Negru | Physical Therapy Assistant | 350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 | 2016-12-12 |
| 1255886131 | Irina Timoshevskaya | Physician Assistant | 350 S Greenleaf St, Suite 405, Gurnee, IL 60031-5709 | 2016-08-19 |
| 1821445404 | Mareen Itty | Occupational Therapist | 350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 | 2016-05-24 |
| 1952779696 | Haley Walton | Physician Assistant | 350 S Greenleaf St, Suite 405, Gurnee, IL 60031-5709 | 2015-09-11 |
| 1043619174 | Cheryl Oommen | Occupational Therapist | 350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 | 2014-08-14 |
| 1184069270 | Jessica Weiland | Occupational Therapist | 350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 | 2013-05-03 |
| 1467702159 | Elina Abugov | Occupational Therapist | 350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 | 2012-09-11 |
| 1093074239 | Gregory M. Condon | Physical Therapist | 350 S Greenleaf St, Suite 405, Gurnee, IL 60031-5709 | 2012-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457829855 | Francisco Sajuan | Physical Therapist | 3430 Grand Ave Ste 400, Gurnee, IL 60031-3741 | 2018-11-05 |
| 1578910162 | Corey Elzer | Physical Therapist | 7055 Grand Ave Ste 4c, Gurnee, IL 60031-1603 | 2016-05-24 |
| 1952720278 | Annabel Dy Ico Aquino | Physical Therapist | 1184 Vista Dr, Gurnee, IL 60031-5170 | 2014-04-15 |
| 1245658616 | Ian Roderick Rapisura | Physical Therapist | 1151 Hadley Cir, Gurnee, IL 60031-9110 | 2014-04-02 |
| 1518220011 | Nichole Harju | Physical Therapist | 4835 Kings Way W, Gurnee, IL 60031-3257 | 2012-06-19 |
| 1003080300 | Sue Aileen Lutz | Physical Therapist | 36550 Hunt Club, Pfp, Gurnee, IL 60031 | 2008-04-17 |
| 1194935189 | Keith Stec | Physical Therapist | 7055 Grand Ave, Suite 4c, Gurnee, IL 60031-1603 | 2007-05-22 |
| 1205055050 | Linda Ann Ivers | Physical Therapist | 508 Prescott Ln, Gurnee, IL 60031-5313 | 2007-04-24 |
| 1982774956 | Doris J Labert | Physical Therapist | 930 Taylor Dr Apt 202, Gurnee, IL 60031-3195 | 2006-11-08 |
| 1700965944 | Jennifer Kathleen Buccelli | Physical Therapist | 164 Suda Drive, Gurnee, IL 60031 | 2006-11-06 |
| Find all providers in GURNEE | ||||
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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.