HAVANA HEALTH,LLC (NPI# 1619365061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619365061 |
| Entity Type | Organization |
| Organization Name | HAVANA HEALTH,LLC |
| Practice Address |
3033 W Jefferson St Ste. 201 Joliet IL 60435-5261 |
| Practice Telephone | 8157142517 |
| Practice Fax Number | 8157142719 |
| Mailing Telephone | 8157142517 |
| Mailing Fax Number | 8157142719 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |
| Authorized Official Name | DR. OMAR GARCIA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8157142517 |
| Authorized Official Credential | M.D., M.P.H |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
036.124389 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3033 W JEFFERSON ST STE. 201 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-5261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548274863 | Summit Center for Mental Health Inc | Counselor | 3033 W Jefferson St, Suite 107, Joliet, IL 60435-5261 | 2006-07-29 |
| 1578916201 | Zachary Ryan Devore | Counselor | 3033 W Jefferson St, Suite 107, Joliet, IL 60435-5261 | 2016-07-18 |
| 1346646429 | Michele Schuster | Counselor | 3033 W Jefferson St, Ste 107, Joliet, IL 60435-5261 | 2014-11-17 |
| 1154660355 | Jessica Dennis | Counselor | 3033 W Jefferson St, #107, Joliet, IL 60435-5261 | 2013-02-07 |
| 1194080226 | Viktoria Loydall | Optometrist | 3033 W Jefferson St, Suite 101, Joliet, IL 60435-5261 | 2012-07-04 |
| 1720358534 | Lazar Kizhakedan | Counselor | 3033 W Jefferson St, Suite 205, Joliet, IL 60435-5261 | 2012-01-10 |
| 1417107244 | Kristin Leigh Tenuta | Marriage & Family Therapist | 3033 W Jefferson St, Joliet, IL 60435-5261 | 2008-09-29 |
| 1619141488 | Meghan K Crandall | Social Worker | 3033 W Jefferson St, Suite 215, Joliet, IL 60435-5261 | 2008-04-14 |
| 1407075468 | Phillip G Hawk | Counselor | 3033 W Jefferson St, Suite 215, Joliet, IL 60435-5261 | 2007-04-25 |
| 1376677732 | Randi Zoot | Psychologist | 3033 W Jefferson St, Joliet, IL 60435-5261 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063446979 | Louis Papaeliou | Preventive Medicine | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356816466 | Taylor Nicole Rich | Preventive Medicine | 2408 Hampshire Dr Apt 2, Champaign, IL 61820-1215 | 2018-10-05 |
| 1720517568 | Avrom Simon | Preventive Medicine | 128 S Aberdeen St Unit 5s, Chicago, IL 60607-1507 | 2017-06-06 |
| 1215332531 | Cheryl Culberson | Preventive Medicine | 350 Surryse Rd Ste 110, Lake Zurich, IL 60047-3217 | 2014-10-29 |
| 1497018493 | Brian Charles Svazas | Preventive Medicine | 211 Kenilworth Ave, Glen Ellyn, IL 60137-5324 | 2012-06-25 |
| 1205129764 | Zbigniev Durlak | Preventive Medicine | 9930 Stratford L, Palos Hills, IL 60465 | 2011-05-17 |
| 1609168657 | New Life Pentecostal Medical Clinic for The Uninsured Inc | Preventive Medicine | 183 N Schuyler Ave, Kankakee, IL 60901-3828 | 2011-05-10 |
| 1821305269 | Daniel Alexander Bakston | Preventive Medicine | 835 S. Wolcott Ave E-144, University of Illinois Medical Center, Chicago, IL 60612-4006 | 2010-09-07 |
| 1194951913 | Sonya Meyers | Preventive Medicine | 835 S Wolcott Ave # E144, Chicago, IL 60612-3748 | 2009-06-08 |
| 1073755021 | Afiz A. Taiwo, Md. Mph. S.c. | Preventive Medicine | 309 Pinehurst Dr, Palos Heights, IL 60463-2911 | 2009-04-06 |
| 1104077494 | William Dawson | Preventive Medicine | 700 Woodmere Ln, Glenview, IL 60025-4469 | 2008-10-04 |
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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.