ORLAND PARK MEDICAL SC (NPI# 1619251972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619251972 |
| Entity Type | Organization |
| Organization Name | ORLAND PARK MEDICAL SC |
| Other Organization Name | ILLINOIS BACK INSTITUTE |
| Practice Address |
11528 183rd Pl Orland Park IL 60467-9467 |
| Mailing Address |
315 S Naperville Rd Wheaton IL 60187-5423 |
| Practice Telephone | 7083261700 |
| Practice Fax Number | 7083261707 |
| Mailing Telephone | (630) 221-0200 |
| Mailing Fax Number | 6302210295 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | STELLA ZAIMI (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6302210200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Illinois Back Institute | Doing Business As Name - Organization |
| Street Address |
11528 183RD PL |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60467-9467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629023650 | Ernesto Ibalio Lardizabal | Physical Medicine & Rehabilitation | 11528 183rd Pl, Orland Park, IL 60467-9467 | 2006-05-25 |
| 1457443152 | Joel A Anderson | Physical Therapist | 11528 183rd Pl, Orland Park, IL 60467-9467 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
| 1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
| 1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
| 1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
| 1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
| 1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
| Find all providers in zip 60467 | ||||
| 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 |
|---|---|---|---|---|
| 1174084958 | Merime Shabani | Family Medicine | 11840 Bates Ct, Orland Park, IL 60467-1701 | 2019-03-26 |
| 1639592736 | Senior Healthcare & Rehab LLC | Family Medicine | 15347 S 70th Ct, Suite 2, Orland Park, IL 60462-5156 | 2014-01-24 |
| 1750667754 | St James Hospital United States Catholic Conference | Family Medicine | 18030 Wolf Rd, Orland Park, IL 60467-5407 | 2011-10-24 |
| 1760638878 | Chimezie Uzodimma Okochi | Family Medicine | 16134 Hillcrest Cir, Orland Park, IL 60467-5565 | 2008-08-09 |
| 1538205067 | Bienvenido Q Camacho | Family Medicine | 7361 Mimosa Dr, Orland Park, IL 60462-5130 | 2007-01-30 |
| 1659434108 | Kenneth W Anderson IIi | Family Medicine | 14451 Morningside Rd, Orland Park, IL 60462-7413 | 2006-12-18 |
| 1760577829 | Primary Health Associates PC | Family Medicine | 16604 S 107th Ct, Orland Park, IL 60467-8898 | 2006-10-04 |
| 1508976747 | Richard H Geiger Jr. | Family Medicine | 10743 West 165th Street, Orland Park, IL 60467 | 2006-08-30 |
| 1760405666 | Albert B Poronsky | Family Medicine | 15300 West Ave Bldg A1, Orland Park, IL 60462-4600 | 2006-07-25 |
| 1255351045 | William Mikaitis Md Sc | Family Medicine | 10811 W 143rd St, Ste 100, Orland Park, IL 60467-1913 | 2006-07-21 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60467 |
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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.