HEALTHSTAT ON-SITE CLINIC WATLOW RICHMOND IL


Address: 5710 Kenosha St, Richmond, IL 60071-9411
Phone: 7045296161

HEALTHSTAT ON-SITE CLINIC WATLOW RICHMOND IL (NPI# 1568860500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568860500
Entity Type Organization
Organization Name HEALTHSTAT ON-SITE CLINIC WATLOW RICHMOND IL
Practice Address 5710 Kenosha St
Richmond
IL 60071-9411
Mailing Address 4651 Charlotte Park Dr
Suite 300
Charlotte
NC 28217-1956
Practice Telephone 7045296161
Enumeration Date 2014-12-08
Last Update Date 2014-12-08
Authorized Official Name WARREN HUTTON (COO)
Authorized Official Telephone 7045296161
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0500X Preventive Medicine
Specialization: Preventive Medicine/Occupational Environmental Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 5710 KENOSHA ST
City RICHMOND
State IL
Zip Code 60071-9411

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164730388 Nippersink School District #2 Local Education Agency (LEA) 10006 Main Street, Richmond, IL 60071 2010-09-22
1932358876 James Kevin Reichle Dentist 10015 Main St., Richmond, IL 60071 2008-09-16
1386893220 Lisa Marie Salisbury Dentist 10015 Main Street, Richmond, IL 60071 2008-09-16
1881669547 Renae Lynn St.clair Specialist 8311 N Route 31, Richmond, IL 60071 2006-02-17
1992847933 Smiles By Design Group Ltd Dentist 10015 Main St, Richmond, IL 60071 2007-02-13
1285677450 Richmond Township Fire Protection District Ambulance 5601 Hunter Dr, Richmond, IL 60071-4100 2006-06-14
1841513678 Family Medicine Specialists, Inc. Non-Pharmacy Dispensing Site 9700 N Main St, Richmond, IL 60071-7716 2010-03-08
1992005870 Family Medicine Specialists, Inc Family Medicine 9700 N Main St, Richmond, IL 60071-7716 2010-10-26
1023560125 Margaret Mary Filpi Pharmacist 10907 Hickory Nut Way, Richmond, IL 60071-8713 2016-10-25
1245243369 Stacey L Zarnstorff Green Nurse Practitioner 4719 Concord Ln, Richmond, IL 60071-9010 2006-08-14
Find all providers in zip 60071

Taxonomy Information

Taxonomy Code 2083P0500X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Preventive Medicine/Occupational Environmental Medicine

Taxonomy Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104263615 Healthstat On-site Clinic/truist Richmond Preventive Medicine 901 E Byrd St, Richmond, VA 23219-4052 2013-05-24
1316384381 Lisa Kurian Thanjan Preventive Medicine 1201 Broad Rock Blvd, Richmond, VA 23249-5910 2013-05-30
1497715478 Gary Mcgowan Preventive Medicine 2621 Grove Ave, Richmond, VA 23220-4308 2006-03-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164854402 Healthstat On-site Clinic/parker Hannifin Rockford Preventive Medicine 10711 N 2nd St, Machesney Park, IL 61115-1459 2013-08-08
1114299476 Martin W Harrison Preventive Medicine 1318 W Catalpa Ave, Chicago, IL 60640-1317 2012-02-02
1851660583 Healthstat Inc Preventive Medicine 2700 Ellis Rd, Joliet, IL 60433-8459 2011-12-27
1568756831 William Leslie Rutherford Jr. Preventive Medicine 9660 Wolf Rd, Box 42, Geneseo, IL 61254-9039 2011-06-04
1437451374 Maria Rosa Preventive Medicine 2133 W Lexington St, Chicago, IL 60612-3707 2010-11-29
1437464112 Leena H.a.h Almarzouqi Preventive Medicine 114 E Cook Ave, Libertyville, IL 60048-2015 2010-08-18
1598995870 Shari Beth Glynn Preventive Medicine 100 Abbott Park Road, C/o Abbott Laboratories: Ap6d/dept. 058p, Abbott Park, IL 60064-6035 2009-07-21
1578786117 John K Parker Preventive Medicine Veeder Health Center, 20th and Iowa, Granite City, IL 62040 2007-04-11
1063539674 James Robert Desalvio Preventive Medicine 810 W. Anthony Dr., Urbana, IL 61802-7431 2007-03-26
1801913819 Monisha Nichani-jain Preventive Medicine 8125 River Dr, Morton Grove, IL 60053-2642 2007-03-23
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Competitor

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City RICHMOND
Zip Code 60071

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Dataset Information

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.

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