DR. SAMUEL J MULTACK (NPI# 1619135233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619135233 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL J MULTACK |
| Credential | D.O |
| Practice Address |
4001 Vollmer Rd Olympia Fields IL 60461-3168 |
| Mailing Address |
2929 Southwind Dr New Lenox IL 60451-9251 |
| Practice Telephone | 7087474000 |
| Mailing Telephone | 8154621962 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2012-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 036-124776 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036124776 | 05 |
| Street Address |
4001 VOLLMER RD |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461-3168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467405472 | Julie R Brandies | Internal Medicine | 4001 Vollmer Rd, Olympia Fields, IL 60461-3168 | 2006-05-19 |
| 1962053413 | Cherlonda Howard | Family Medicine | 4001 Vollmer Rd, Olympia Fields, IL 60461-3168 | 2019-09-26 |
| 1508301656 | Michael Alagna | Nurse Practitioner | 4001 Vollmer Rd, Olympia Fields, IL 60461-3168 | 2016-12-28 |
| 1326412941 | Meghan Hagan | Nurse Practitioner | 4001 Vollmer Rd, Olympia Fields, IL 60461-3168 | 2015-11-19 |
| 1598949760 | Don T Martinez Jr. | Physician Assistant | 4001 Vollmer Rd, Olympia Fields, IL 60461-3168 | 2007-12-24 |
| 1285771972 | Midwest Physician Group Ltd | Family Medicine | 4001 Vollmer Rd, Olympia Fields, IL 60461 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
| Find all providers in zip 60461 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467866228 | Athanasios George Marneris | Ophthalmology | 20303 Crawford Ave Ste Ll, Olympia Fields, IL 60461-1073 | 2014-06-19 |
| 1003034927 | Sandeep K Bhatia | Ophthalmology | 20303 Crawford Ave Ste Ll1, Olympia Fields, IL 60461-1173 | 2007-04-23 |
| 1528172954 | Richard Floyd Multack | Ophthalmology | 20303 Crawford Ave, Suite Ll 1, Olympia Fields, IL 60461-1073 | 2006-08-19 |
| 1851655989 | Multack Eye Care, S.c | Ophthalmology | 20303 Crawford Ave, Suite Ll1, Olympia Fields, IL 60461-1073 | 2012-07-04 |
| 1184904526 | Shifrin Group LLC | Ophthalmology | 20303 Crawford Ave, Ll1, Olympia Fields, IL 60461-1173 | 2011-08-17 |
| 1841494416 | Amina Husain | Ophthalmology | 20303 Crawford Ave, Olympia Fields, IL 60461-1073 | 2007-06-14 |
| 1952308355 | Sharon S Burke | Ophthalmology | 3700 W 203rd St, Suite 103, Olympia Fields, IL 60461-1180 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433473 | Chicagoland Eye Consultants, Sc | Ophthalmology | 477 E Butterfield Rd Ste 101, Lombard, IL 60148-4880 | 2020-09-30 |
| 1649894189 | Lakeshore Ophthalmology, LLC | Ophthalmology | 2525 S Michigan Ave Fl 8, Chicago, IL 60616-2315 | 2020-06-01 |
| 1053940460 | Neil L Ross | Ophthalmology | 950 N Michigan Ave Apt 5403, Chicago, IL 60611-7535 | 2020-04-07 |
| 1932730256 | Cereesa E. Longest Md Sc | Ophthalmology | 225 Oak Knoll Rd, Barrington, IL 60010-2615 | 2020-01-27 |
| 1497314181 | Ophthalmology Surgery Center of Illinois, LLC | Ophthalmology | 1300 N Arlington Heights Rd Ste 150, Itasca, IL 60143-3128 | 2019-06-06 |
| 1770149049 | Rop Consultants LLC | Ophthalmology | 5228 N Virginia Ave, Chicago, IL 60625-4015 | 2019-05-13 |
| 1962969881 | Monique Munro | Ophthalmology | 1855 W Taylor Street. Suite 3138 Illinois Eye and Infir, Chicago, IL 60612 | 2019-02-27 |
| 1679039457 | Laser and Cataract Institute, LLC | Ophthalmology | 22200 Wolf Rd, Frankfort, IL 60423-7721 | 2019-02-15 |
| 1063987345 | Chataam Optical LLC | Ophthalmology | 8741 S Greenwood Ave Ste 108, Chicago, IL 60619-7058 | 2018-10-12 |
| 1922507474 | Dekalb Eye Consultants, LLC | Ophthalmology | 1075 Featherstone Rd Ste 10, Rockford, IL 61107-5906 | 2018-02-09 |
| Find all providers with the same taxonomy | ||||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
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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.