PRO BODY WELLNESS INC (NPI# 1598175473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598175473 |
Entity Type | Organization |
Organization Name | PRO BODY WELLNESS INC |
Practice Address |
7900 N Milwaukee Ave Suite#2-29 Niles IL 60714-3159 |
Mailing Address |
6724 W Albion Ave Niles IL 60714-4470 |
Practice Telephone | 8478991810 |
Mailing Telephone | 8478991810 |
Enumeration Date | 2014-05-01 |
Last Update Date | 2014-05-01 |
Authorized Official Name | MALGORZATA ORYNCZAK (PRESIDENT) |
Authorized Official Telephone | 8478991810 |
Authorized Official Credential | PHYSICAL THERAPI |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 070007940 | IL | Residential Treatment Facilities |
Street Address |
7900 N MILWAUKEE AVE SUITE#2-29 |
City | NILES |
State | IL |
Zip Code | 60714-3159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760481220 | Michael Alan Fisher | Family Medicine | 7900 N Milwaukee Ave, 234, Niles, IL 60714-3159 | 2005-07-18 |
1861015448 | Renata Maria Jankowska | Internal Medicine | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2020-05-18 |
1053886481 | Physician Management Services of Northern Illinois, LLC | Family Medicine | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2018-10-12 |
1912435017 | Kara Ross | Pharmacist | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2017-06-01 |
1801335906 | Terri Mchugh | Social Worker | 7900 N Milwaukee Ave, 20b, Niles, IL 60714-3159 | 2017-02-22 |
1639618085 | Hillary Slingo | Physician Assistant | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2017-02-17 |
1205372612 | Sara H. Zike | Nurse Practitioner | 7900 N Milwaukee Ave, Ste 17, Niles, IL 60714-3159 | 2017-01-09 |
1598114209 | Donna Dziengiel | Pharmacist | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2016-06-03 |
1184072761 | Melody Steffen | Pharmacist | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2016-05-24 |
1578910113 | Monika Walaszek | Pharmacist | 7900 N Milwaukee Ave, Niles, IL 60714-3159 | 2016-05-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
1669904124 | Ralph N. Robbins D.d.s., Ltd. | Dentist | 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 | 2017-04-03 |
1962947010 | The Thresholds | Community/Behavioral Health | 8842 Prospect Ave, Niles, IL 60714 | 2016-12-28 |
1548632367 | Kristine Pallarca | Pharmacist | 9000 W. Golf Rd, Niles, IL 60714 | 2015-10-21 |
1326421082 | Zuber Koya | Optometrist | 5762 W Touhy Ave, Niles, IL 60714 | 2015-06-30 |
1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
1285062356 | Benjamin Trukman | Physical Therapist | 8269 West Golf Rd, Niles, IL 60714 | 2013-10-28 |
1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
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Taxonomy Code | 320700000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Physical Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356890453 | Dhs | Residential Treatment Facility, Physical Disabilities | 109 W Wilson St, Fairfield, IL 62837-1816 | 2016-09-30 |
1790150340 | Mary Kay Yarak | Residential Treatment Facility, Physical Disabilities | 1537 N Washtenaw Ave, Chicago, IL 60622-1636 | 2015-12-08 |
1629448592 | Lilia Perez | Residential Treatment Facility, Physical Disabilities | 225 Westview St, Hoffman Estates, IL 60169-3055 | 2015-10-04 |
1912394354 | Rehab Care | Residential Treatment Facility, Physical Disabilities | 5112 Johnson Ave, Western Springs, IL 60558-1913 | 2015-04-23 |
1871897694 | Unicare Home Health Inc. | Residential Treatment Facility, Physical Disabilities | 3862 Rita Dr, Richton Park, IL 60471-1283 | 2011-01-09 |
1598942252 | Home Bound Eye Care Services Ltd | Residential Treatment Facility, Physical Disabilities | 5301 Touhy Ave, Suite 100, Skokie, IL 60077-3247 | 2008-01-24 |
1922185958 | Dav-kim Portable X Ray Service Co | Residential Treatment Facility, Physical Disabilities | 8235 Christiana Ave, Skokie, IL 60076-2910 | 2006-11-01 |
1609890235 | State of Illinois | Residential Treatment Facility, Physical Disabilities | 2424w.charleston, Chicago, IL 60647 | 2006-07-27 |
1619359866 | Ton Shen Health, Inc. | Residential Treatment Facility, Physical Disabilities | 665 Pasquinelli Dr, Suite 203, Westmont, IL 60559-1279 | 2015-06-24 |
1285013235 | Quality Therapy and Consultation | Residential Treatment Facility, Physical Disabilities | 28w141 Liberty St, Winfield, IL 60190-1955 | 2015-05-22 |
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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.