DR. LUCIA GLEASON (NPI# 1487031407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487031407 |
| Entity Type | Individual |
| Full Name | DR. LUCIA GLEASON |
| Credential | M.D. |
| Practice Address |
1150 W Fullerton Ave Floor 2 Chicago IL 60614 |
| Mailing Address |
1000 Remington Blvd Ste 100 Bolingbrook IL 60440-4707 |
| Practice Telephone | 7735497757 |
| Practice Fax Number | 7735491221 |
| Mailing Fax Number | 6309142469 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036146576 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 125067787 | IL | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1127 N Oakley Blvd, 2nd Floor, Chicago, IL 606223507 | 3127702040 |
| Street Address |
1150 W FULLERTON AVE FLOOR 2 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768152 | Marilyn Sue Aden | Internal Medicine | 1150 W Fullerton Ave, Chicago, IL 60614-8160 | 2005-05-27 |
| 1447673249 | Elizabeth Stapleton | Nurse Practitioner | 1150 W Fullerton Ave, Chicago, IL 60614-8160 | 2014-01-29 |
| 1720360845 | Nora M Clarke | Nurse Practitioner | 1150 W Fullerton Ave, 2nd Floor, Chicago, IL 60614-8160 | 2011-09-14 |
| 1093812364 | Sage Medical Group, Sc | Internal Medicine | 1150 W Fullerton Ave, 2nd Floor, Chicago, IL 60614-8160 | 2006-09-20 |
| 1598879223 | Michael D Baldinger | Internal Medicine | 1150 W Fullerton Ave, 2nd Flr, Chicago, IL 60614-8160 | 2006-08-19 |
| 1558475657 | Paulette C Wilson | Internal Medicine | 1150 W Fullerton Ave, 2nd Flr, Chicago, IL 60614-8160 | 2006-08-18 |
| 1760596464 | Paul Blair Odland | Internal Medicine | 1150 W Fullerton Ave, 2nd Flr, Chicago, IL 60614-8160 | 2006-08-18 |
| 1326068487 | Jennifer Leigh Warren | Nurse Practitioner | 1150 W Fullerton Ave, Chicago, IL 60614-8160 | 2006-07-20 |
| 1609879279 | Elisabeth Klor Gross | Internal Medicine | 1150 W Fullerton Ave, Chicago, IL 60614-8160 | 2005-05-27 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| 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.