JENNIFER MCCORMICK (NPI# 1548272685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548272685 |
| Entity Type | Individual |
| Full Name | JENNIFER MCCORMICK |
| Credential | M.D. |
| Practice Address |
165 E Plank Rd Sycamore IL 60178-8757 |
| Mailing Address |
217 Franklin St Dekalb IL 60115-3742 |
| Practice Telephone | 8157588671 |
| Mailing Telephone | 8157588671 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HEALTH ALLIANCE | 008463 | 01 |
| IL | DEA | AM1955333 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700322377 | Jennifer Lynne Mccormick | Behavioral Analyst | 1163 Old Colony Rd Unit 6, Wallingford, CT 06492-1783 | 2017-01-06 |
| 1144467622 | Jennifer M Mccormick | Occupational Therapist | 24689 Kings Canyon Sq, Stone Ridge, VA 20105-2988 | 2009-01-20 |
| 1669423323 | Jennifer Jane Mccormick | Physician Assistant | 300 N Commercial St, Suite 200, Neenah, WI 54956-2619 | 2006-05-15 |
| 1497299887 | Jennifer Mccormick | Student in an Organized Health Care Education/Training Program | 1601 N Goldenrod Rd, Orlando, FL 32807-8308 | 2016-12-05 |
| 1801248901 | Jennifer Mccormick | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2016-07-13 |
| 1790139582 | Jennifer Mccormick | Speech-Language Pathologist | 3890 Woodridge Dr, The Villages, FL 32162-7186 | 2016-04-18 |
| 1386028298 | Jennifer Mccormick | Social Worker | 22 Harrison St, Suite 101, Johnson City, NY 13790-2142 | 2015-07-10 |
| 1710162672 | Jennifer A Mccormick | Marriage & Family Therapist | 15611 Pomerado Rd, Ste 535, Poway, CA 92064-2437 | 2008-01-09 |
| 1033235429 | Jennifer Mccormick | Occupational Therapist | 1361 Route 72 W, Manahawkin, NJ 08050-2417 | 2007-03-21 |
| 1821162819 | Jennifer Ruth Mccormick | Counselor | 1959 Ne Pacific St, Box 356125, Seattle, WA 98195-0001 | 2006-11-20 |
| Street Address |
165 E PLANK RD |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-8757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386618478 | David Eugene Wester | Physician Assistant | 165 E Plank Rd, Sycamore, IL 60178-8757 | 2006-02-15 |
| 1124434964 | Kolawole Olufemi Dominik Sofowora | Pediatrics | 165 E Plank Rd, Sycamore, IL 60178 | 2014-07-01 |
| 1285061879 | Greater Elgin Family Care Center | Clinic/Center | 165 E Plank Rd, Sycamore, IL 60178-8757 | 2013-09-27 |
| 1578793816 | Center for Family Health | Family Medicine | 165 E Plank Rd, Sycamore, IL 60178-8757 | 2009-07-21 |
| 1518984228 | Dekalb Clinic Chartered | Registered Nurse | 165 E Plank Rd, Sycamore, IL 60178-8757 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167112 | Omnidoc Health Inc | Obstetrics & Gynecology | 351 Greenleaf St Ste E, Park City, IL 60085-5701 | 2020-09-01 |
| 1396142857 | Illinois Institute of Gynecology and Advanced Pelvic Surgery, Sc | Obstetrics & Gynecology | 1351 W Belmont Ave, Chicago, IL 60657-7195 | 2014-11-28 |
| 1902171325 | Womens Health Institute of Illinois Ltd | Obstetrics & Gynecology | 10762 W 167th St, Orland Park, IL 60467-5434 | 2012-03-19 |
| 1609148303 | Archimedes Sison Diamante | Obstetrics & Gynecology | 949 N Euclid Ave, Oak Park, IL 60302-1319 | 2012-01-27 |
| 1376821025 | Prairieview Gyn LLC | Obstetrics & Gynecology | 3929 Morgan Trl, Bourbonnais, IL 60914-4738 | 2011-07-29 |
| 1932493236 | Integrative Medical Options LLC | Obstetrics & Gynecology | 305 N. 2nd St, St. Charles, IL 60174 | 2011-06-03 |
| 1477715142 | Michel Medical Assoc., S.c. | Obstetrics & Gynecology | 2600 S Michigan Ave Ste 314, Chicago, IL 60616-2860 | 2008-06-25 |
| 1477727550 | All Women's Medical Center | Obstetrics & Gynecology | 3140 W Irving Prk. Rd, Chicago, IL 60618 | 2008-04-18 |
| 1053581371 | S L Fuentes Md D M Milanes Md Sc | Obstetrics & Gynecology | 107 Center St, Grayslake, IL 60030-1532 | 2008-03-03 |
| 1477731784 | Marianna Vardaka Md Inc | Obstetrics & Gynecology | 1087 Solutions Ctr, Chicago, IL 60677-1000 | 2008-02-08 |
| 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.