VALLEY MEDICAL & CARDIAC CLINIC, LTD. (NPI# 1477575504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477575504 |
| Entity Type | Organization |
| Organization Name | VALLEY MEDICAL & CARDIAC CLINIC, LTD. |
| Other Organization Name | VALLEY MEDICAL & CARDIAC CLINIC |
| Practice Address |
87 N. Airlite Sttreet Suite 100 Elgin IL 60123-5879 |
| Mailing Address |
87 N Airlite St Suite 100 Elgin IL 60123-4988 |
| Practice Telephone | 8478882557 |
| Practice Fax Number | 8478882591 |
| Mailing Telephone | 8478882557 |
| Mailing Fax Number | 8478882591 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-08-17 |
| Authorized Official Name | DR. RICHARD PARK (PRESIDENT) |
| Authorized Official Telephone | 8478882557 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 174400000X | IL | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Valley Medical & Cardiac Clinic | Doing Business As Name - Organization |
| Street Address |
87 N. AIRLITE STTREET SUITE 100 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-5879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790061893 | Sarah Domin | Specialist | 1670 Rosehall Ln, Elgin, IL 60123-8897 | 2011-11-02 |
| 1396988119 | Generations Rehabilitation Services, LLP | Specialist | 208 Fetterbush Rd, Elgin, SC 29045-9166 | 2009-04-08 |
| 1811037260 | Dipankar Banerjee | Specialist | 750 S.state Street, Elgin, IL 60123-7692 | 2007-02-07 |
| 1710094602 | General and Vascular Surgery, Ltd. | Specialist | 745 Fletcher Dr Ste 302, Elgin, IL 60123-4750 | 2006-08-24 |
| 1598758047 | Roop Rekha Shivpuri | Specialist | 2050 Larkin Ave, Elgin, IL 60123-5888 | 2005-08-30 |
| 1710984729 | David S. Hemmer | Specialist | 1015 Summit St, Elgin, IL 60120-4362 | 2005-07-05 |
| 1649714320 | Sandra Shakro | Specialist | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2016-12-14 |
| 1851845499 | Ellen Dial | Specialist | 620 Wing St, Elgin, IL 60123-2800 | 2016-08-11 |
| 1831540897 | Rosin Optical Co., Inc. | Specialist | 1435 N Randall Rd, Suite 102, Elgin, IL 60123-2306 | 2016-06-30 |
| 1356721591 | Mohs Surgery &dermatology | Specialist | 1750 N Randall Rd, Suite 120, Elgin, IL 60123-7900 | 2015-06-03 |
| Find all providers in ELGIN | ||||
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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.