GEORGE MARTIN MULLEN (NPI# 1497701858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497701858 |
| Entity Type | Individual |
| Full Name | GEORGE MARTIN MULLEN |
| Other Name | MARTIN MULLEN |
| Credential | M.D. |
| Practice Address |
800 Biesterfield Rd # Suiteg01 Wimmer Building Elk Grove Village IL 60007-3361 |
| Mailing Address |
900 S Frontage Rd Suite 325 Woodridge IL 60517-4903 |
| Practice Telephone | 8479813680 |
| Practice Fax Number | 8479565122 |
| Mailing Telephone | 8479813680 |
| Mailing Fax Number | 8479565122 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036057900 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN LOC 15 | IL6305010 | 01 |
| IL | NPI GROUP PRACTICE | 1720371669 | 01 |
| IL | MEDICARE PTAN LOC 16 | IL6304010 | 01 |
| IL | RRMC PTAN | P01013365 | 01 |
| Street Address |
800 BIESTERFIELD RD # SUITEG01 WIMMER BUILDING |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457524100 | Integrated Cardiovascular Imaging LLC | Internal Medicine | 2254 Landmeier Rd, Elk Grove Village, IL 60007-2613 | 2008-04-02 |
| 1144229501 | Elk Grove Cardiology Associates | Internal Medicine | Alexian Brothers Medical Center, 800 W. Biesterfield, Elk Grove Village, IL 60007 | 2005-07-19 |
| 1740629583 | Wesam Ostwani | Internal Medicine | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2013-06-14 |
| 1578856407 | Rina Verma | Internal Medicine | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2011-05-25 |
| 1417156365 | Andrei M. Pop | Internal Medicine | 800 Biesterfield Rd Ste G01, Wimmer Building, Elk Grove Village, IL 60007-3372 | 2007-07-12 |
| 1194762781 | Mark H Wernick | Internal Medicine | 800 Biesterfield Rd Ste G01, Wimmer Building, Elk Grove Village, IL 60007-3372 | 2006-06-01 |
| 1972559334 | James R Mason | Internal Medicine | 800 Biesterfield Rd Ste G01, Wimmer Building, Elk Grove Village, IL 60007-3372 | 2006-05-26 |
| 1679529036 | Daniel M Sauri | Internal Medicine | 800 Biesterfield Rd Ste G01, Wimmer Building, Elk Grove Village, IL 60007-3372 | 2006-05-26 |
| 1760438543 | John G Kall | Internal Medicine | 800 Biesterfield Rd Ste G01, Wimmer Building, Elk Grove Village, IL 60007-3372 | 2006-05-25 |
| 1063466167 | John G Furiasse | Internal Medicine | 800 Biesterfield Rd Ste G01, Wimmer Building, Elk Grove Village, IL 60007-3372 | 2006-05-22 |
| Find all providers in ELK GROVE VILLAGE | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
Please comment or provide details below to improve the information on GEORGE MARTIN MULLEN.
| 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.