KERMIT SALIVIA (NPI# 1588895742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588895742 |
| Entity Type | Individual |
| Full Name | KERMIT SALIVIA |
| Credential | M.D. |
| Practice Address |
3420 Illinois St Great Lakes IL 60088-3161 |
| Practice Telephone | 8476886755 |
| Mailing Telephone | 8476886755 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2018-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 39133 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
3420 ILLINOIS ST |
| City | GREAT LAKES |
| State | IL |
| Zip Code | 60088-3161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952385148 | Jason Todd Holdeman | Psychologist | 3420 Illinois St, Great Lakes, IL 60088-3161 | 2005-12-01 |
| 1750851788 | Claire Kubiesa | Psychologist | 3420 Illinois St, Great Lakes, IL 60088-3161 | 2018-12-03 |
| 1003342536 | Emily J Baker | Physical Therapist | 3420 Illinois St, Great Lakes, IL 60088-3161 | 2017-05-03 |
| 1346603594 | Laura Megan Logeman | Physician Assistant | 3420 Illinois St, Great Lakes, IL 60088-3161 | 2016-04-04 |
| 1225407539 | Kevin O'connor | Physician Assistant | 3420 Illinois St, Great Lakes, IL 60088-3161 | 2015-09-16 |
| 1245595776 | Alma Teresa C Molino | Psychologist | 3420 Illinois St, Great Lakes, IL 60088-3161 | 2012-07-10 |
| 1245529304 | Erin Graham | Student in an Organized Health Care Education/Training Program | 3420 Illinois St, Bldg 1007, Great Lakes, IL 60088-3161 | 2011-03-29 |
| 1083898290 | Warren K Kennedy | Physician Assistant | 3420 Illinois St, Great Lakes, IL 60088-3120 | 2007-12-24 |
| 1346435112 | Jason Yungsup Kim | Family Medicine | 3420 Illinois St, Uss Tranquillity Clinic 1007, Great Lakes, IL 60088-3161 | 2007-09-13 |
| 1972793909 | Brett Staib | Military Health Care Provider | 3420 Illinois St, Bhc 1007, Great Lakes, IL 60088-3120 | 2007-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
| 1740775576 | Jonathan William Criter | Dentist | 3400 Ohio St, Great Lakes, IL 60088 | 2018-06-25 |
| 1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
| 1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
| 1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
| 1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
| 1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
| 1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
| 1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
| 1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
| Find all providers in zip 60088 | ||||
| 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 |
|---|---|---|---|---|
| 1881657385 | Francisco Obedoza | Family Medicine | Bmc 1007, Naval Hospital Great Lakes, Great Lakes, IL 60088 | 2006-04-07 |
| 1083693428 | Jesse Harris Monestersky | Family Medicine | 3001a Sixth Street, Naval Health Clinic Great Lakes, Great Lakes, IL 60088 | 2006-01-13 |
| 1346435112 | Jason Yungsup Kim | Family Medicine | 3420 Illinois St, Uss Tranquillity Clinic 1007, Great Lakes, IL 60088-3161 | 2007-09-13 |
| 1972681708 | Joseph B. Youkhana | Family Medicine | 3420 Illinois St, Uss Tranquility Medical Clinic, Great Lakes, IL 60088-3120 | 2006-11-01 |
| 1679593214 | William Roy Welder | Family Medicine | 3420 Illinois St, Great Lakes, IL 60088-3120 | 2006-07-19 |
| 1306818216 | Mohammad Malik | Family Medicine | 3001 6th St, Great Lakes, IL 60088-2833 | 2006-02-03 |
| 1356313779 | Eric Martin Gomez | Family Medicine | 3001 A Sixth St., Great Lakes Naval Hospital, Great Lakes, IL 60088 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | GREAT LAKES |
| Zip Code | 60088 |
Please comment or provide details below to improve the information on KERMIT SALIVIA.
| 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.