FRED J HALLORAN (NPI# 1568434942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568434942 |
| Entity Type | Individual |
| Full Name | FRED J HALLORAN |
| Credential | MD |
| Practice Address |
1015 S Evergreen Ave Arlington Heights IL 60005 |
| Practice Telephone | 8475061400 |
| Practice Fax Number | 8475061485 |
| Mailing Telephone | 8475061400 |
| Mailing Fax Number | 8475061485 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2009-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036081972 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036081972 | 05 | |
| IL | MEDICARE PTAN | 368880 | 01 |
| Street Address |
1015 S EVERGREEN AVE |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306281332 | Lisa Marie Petrongelli | Nurse Practitioner | 1015 S Evergreen Ave, Arlington Heights, IL 60005-3144 | 2013-05-03 |
| 1295906774 | Fred J. Halloran, Md, Sc | Clinic/Center | 1015 S Evergreen Ave, Arlington Heights, IL 60005-3144 | 2008-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
| 1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
| 1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
| 1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| Find all providers in zip 60005 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1306127824 | Caring Doctors of Illinois | Internal Medicine | 115 S Wilke Rd Ste 205, Arlington Heights, IL 60005-1519 | 2011-08-30 |
| 1154610491 | Brian A Wolf | Internal Medicine | 880 W Central Rd Ste 8100, Arlington Heights, IL 60005-2391 | 2011-04-06 |
| 1952604795 | Cosmopolitan Health Care Services Sc | Internal Medicine | 1655 N. Arlington Heights Rd, Suite 203e, Arlington Heights, IL 60004 | 2010-12-17 |
| 1093835035 | Verne A. Schwager, M.d., S.c. | Internal Medicine | 1009 S Evergreen Ave, Arlington Heights, IL 60005-3144 | 2007-03-31 |
| 1821124033 | Jeffrey Zilberstein | Internal Medicine | 800 W Central Avenue, Northwest Community Hospital, Arlington Heights, IL 60005 | 2007-02-24 |
| 1164580882 | Dean T. Velis | Internal Medicine | 1430 N Arlington Heights Road, Suite 105, Arlington Heights, IL 60004-4823 | 2006-12-05 |
| 1275612343 | Mamdouh Latif Ishak | Internal Medicine | 121 S Wilke Road, Suite 110, Arlington Heights, IL 60005-1524 | 2006-11-02 |
| 1497835219 | Nina M Sultanian | Internal Medicine | 2015 South Arlington Heights Road Suite # 103, Arlington Heights, IL 60005 | 2006-10-16 |
| 1942393137 | Maen Nusair | Internal Medicine | 880 W Central Rd Ste 7100, Arlington Heights, IL 60005-2379 | 2006-10-02 |
| 1316038342 | Arlington Medical Associates PC | Internal Medicine | 1430 N Arlington Heights Rd Ste 105, Suite 105, Arlington Heights, IL 60004-4823 | 2006-09-27 |
| Find all providers in ARLINGTON HEIGHTS | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
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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.