INTERVENTION ARMS MEDICAL CENTER LLC (NPI# 1518145176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518145176 |
| Entity Type | Organization |
| Organization Name | INTERVENTION ARMS MEDICAL CENTER LLC |
| Practice Address |
1809 Sheridan Rd North Chicago IL 60064-2235 |
| Practice Telephone | 8477850611 |
| Practice Fax Number | 8477850617 |
| Mailing Telephone | 8477850611 |
| Mailing Fax Number | 8477850617 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | MS. LISA ANN CHARLES FIELDS (DIRECTOR) |
| Authorized Official Telephone | 8477850611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036102939 | 05 | |
| IL | 036054557 | 05 | |
| IL | 085001395 | 05 | |
| IL | 085005371 | 05 | |
| IL | 036065847 | 05 |
| Street Address |
1809 SHERIDAN RD |
| City | NORTH CHICAGO |
| State | IL |
| Zip Code | 60064-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407818545 | Wilfredo Garduque Dacuycuy | Family Medicine | 1809 Sheridan Rd, North Chicago, IL 60064-2235 | 2006-04-04 |
| 1881222354 | Dulguun Uyenbat | Family Medicine | 1809 Sheridan Rd, North Chicago, IL 60064-2235 | 2020-03-31 |
| 1184262206 | Lisa Loweth | Physician Assistant | 1809 Sheridan Rd, North Chicago, IL 60064-2235 | 2019-12-19 |
| 1841690823 | Intervention Arms Medical Center | Family Medicine | 1809 Sheridan Rd, North Chicago, IL 60064-2235 | 2014-08-27 |
| 1255772315 | Lisa Choi | Physician Assistant | 1809 Sheridan Rd, North Chicago, IL 60064-2235 | 2013-07-17 |
| 1043588395 | Dr Thomas J. Singel II,sc | Family Medicine | 1809 Sheridan Rd, North Chicago, IL 60064-2235 | 2011-12-01 |
| 1952313207 | Lisa Ann Charles Fields | Physician Assistant | 1809 Sheridan Rd, North Chicago, IL 60064-2235 | 2006-08-13 |
| 1083660229 | James A Joseph | Family Medicine | 1809 Sheridan Rd, North Chicago, IL 60064-2235 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
| 1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
| 1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
| 1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
| 1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
| 1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
| 1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
| 1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
| 1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
| 1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
| Find all providers in zip 60064 | ||||
| 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 |
|---|---|---|---|---|
| 1134358989 | Intervention Arms Medical Center 2 LLC | Family Medicine | 1809 Sheridan, North Chicago, IL 60085 | 2009-07-14 |
| 1407818545 | Wilfredo Garduque Dacuycuy | Family Medicine | 1809 Sheridan Rd, North Chicago, IL 60064-2235 | 2006-04-04 |
| 1396715447 | Robert Ruiz | Family Medicine | 2834 Green Bay Rd, North Chicago, IL 60064-3057 | 2006-01-23 |
| 1881222354 | Dulguun Uyenbat | Family Medicine | 1809 Sheridan Rd, North Chicago, IL 60064-2235 | 2020-03-31 |
| 1841690823 | Intervention Arms Medical Center | Family Medicine | 1809 Sheridan Rd, North Chicago, IL 60064-2235 | 2014-08-27 |
| 1043588395 | Dr Thomas J. Singel II,sc | Family Medicine | 1809 Sheridan Rd, North Chicago, IL 60064-2235 | 2011-12-01 |
| 1689977050 | James A. Joseph, D.o. Medical and Wellness Center, S.c. | Family Medicine | 1809 Sheridan Road, North Chicago, IL 60064 | 2010-12-07 |
| 1972730273 | Ramil M Francisco | Family Medicine | 3001 Green Bay Rd, North Chicago, IL 60064 | 2009-06-15 |
| 1346449527 | Elizabeth S Nodine | Family Medicine | 2215 14th St, North Chicago, IL 60064-1618 | 2007-07-17 |
| 1922207489 | Howard Kyinwah Chey | Family Medicine | 3001 Green Bay Road, Captain James A. Lovell Fhcc, North Chicago, IL 60064 | 2007-07-15 |
| Find all providers in NORTH CHICAGO | ||||
| City | NORTH CHICAGO |
| Zip Code | 60064 |
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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.