KEITH J CERMAK


Address: 5198 Reliable Pkwy, Chicago, IL 60686-0051
Phone: 8476152200

KEITH J CERMAK (NPI# 1609200971) 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) 1609200971
Entity Type Individual
Full Name KEITH J CERMAK
Credential NP
Practice Address 5198 Reliable Pkwy
Chicago
IL 60686-0051
Mailing Address 2013 Woodhavens Dr
Bloomington
IL 61701-7802
Practice Telephone 8476152200
Practice Fax Number 8476152828
Mailing Telephone 8476152200
Mailing Fax Number 8476152828
Enumeration Date 2013-08-22
Last Update Date 2013-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209010665 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5198 RELIABLE PKWY
City CHICAGO
State IL
Zip Code 60686-0051

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174765945 Mclaren Oakland Clinic/Center 8172 Reliable Pkwy, Chicago, IL 60686-0001 2009-03-25
1053566182 Kathryn A Davidson Counselor 2683 Reliable Pkwy, Chicago, IL 60686-0001 2008-11-17
1356590525 Keith A Roberts Optometrist 5855 Reliable Pkwy, Chicago, IL 60686-0001 2008-09-12
1194775858 Mandar A Pattekar Radiology 5200 Reliable Parkway, Chicago, IL 60686-0001 2006-05-11
1467447268 Mark B Austin Pathology 6810 Reliable Pkwy, Chicago, IL 60686-0001 2005-09-19
1326042235 Wayne Macomb Diagnostic Imaging Center Inc Radiology 8690 Reliable, Chicago, IL 60686-0001 2005-06-09
1235133141 Macomb Magnetic Resonance Imaging Center Inc Radiology 8956 Reliable Parkway, Chicago, IL 60686-0001 2005-06-09
1528019437 Craig A Fenton Radiology 5200 Reliable Parkway, Chicago, IL 60686-0001 2006-05-15
1578514543 Stephen M Smith Radiology 5200 Reliable Parkway, Chicago, IL 60686-0001 2006-05-15
1134170004 James A Mcgee Radiology 5200 Reliable Parkway, Chicago, IL 60686-0001 2006-05-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700911 Laura Ivette Portillo Nurse Practitioner 2727 N Marmora Ave, Chicago, IL 60639-1219 2020-11-05
1265033385 Carolle M Derradji Nurse Practitioner 3256 W Potomac Ave, Chicago, IL 60651-2411 2020-11-04
1104427293 Katie Michelle O'halloran Nurse Practitioner 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 2020-11-04
1578163515 Deanna Bassette Nurse Practitioner 243 E 31st St Apt 401, Chicago, IL 60616-5212 2020-10-29
1891395745 Vrunda Shah Patel Nurse Practitioner 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 2020-10-29
1881291706 Rita Elue Nurse Practitioner 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 2020-10-04
1558976514 Janice Nicole Kinney Nurse Practitioner 10127 S Harding Ave, Chicago, IL 60655-3748 2020-09-15
1881209278 Monique Graves Nurse Practitioner 4912 W Adams St Apt 2, Chicago, IL 60644-4445 2020-09-11
1194339721 Maureen Iyesogie Diji Nurse Practitioner 4658 S Ellis Ave, Chicago, IL 60653-3625 2020-09-01
1669085395 Emily Calderon Nurse Practitioner 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 2020-08-24
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Competitor

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City CHICAGO
Zip Code 60686

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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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