GLEN GEREMIA (NPI# 1508801697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508801697 |
| Entity Type | Individual |
| Full Name | GLEN GEREMIA |
| Credential | M.D. |
| Practice Address |
40 N Airlite St Suite 4 Elgin IL 60123-4965 |
| Mailing Address |
10718 Misty Hill Rd Orland Park IL 60462-7441 |
| Practice Telephone | 8476958454 |
| Practice Fax Number | 8476959868 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
40 N AIRLITE ST SUITE 4 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-4965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851639835 | Airlte Dental of Elgin | Clinic/Center | 40 N Airlite St, Suite 1a, Elgin, IL 60123-4965 | 2013-01-24 |
| 1063511004 | Manapurathu Mathew | Family Medicine | 40 N Airlite St, Suite 4, Elgin, IL 60123-4965 | 2006-09-22 |
| 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 | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736463 | Melih Akyuz | Radiology | 1653 W Congress Pkwy Ste 181, Chicago, IL 60612-3833 | 2020-10-01 |
| 1891225256 | Anoop Chacko Achanaril | Radiology | 1653 W. Congress Parkway, Jelke 181, Chicago, IL 60612 | 2017-06-18 |
| 1528224045 | Corey Steven Bregman | Radiology | 2300 Childrens's Plaza, No. 9, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2008-08-04 |
| 1780861807 | Qasim Bashir | Radiology | 912 S. Wood St. M/c 799, Chicago, IL 60612 | 2008-01-31 |
| 1184771073 | Tamara Jackson | Radiology | 469 W Huron St, Apt 810, Chicago, IL 60654-3467 | 2007-01-04 |
| 1548325897 | Sasan Payvar | Radiology | 333 N. Madison Ave., Joliet, IL 60435 | 2006-12-27 |
| 1740376383 | Anthony Wing-yui Kam | Radiology | 2160 S. First Ave, Dept of Neurological Surgery, Maywood, IL 60153-3328 | 2006-10-04 |
| 1285740043 | Benjamin P Liu | Radiology | 676 N Saint Clair St Fl 14, Dept Neuroradiology, Chicago, IL 60611-2951 | 2006-08-22 |
| 1790726495 | Hamid Mohazab | Radiology | 1122 N Dearborn St, Chicago, IL 60610-5057 | 2006-06-10 |
| 1306891841 | Farid F Shafaie | Radiology | 3249 South Oak Park Ave., Berwyn, IL 60402 | 2006-05-23 |
| Find all providers with the same taxonomy | ||||
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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.