SERENITY INTERNAL MEDICINE & WELLNESS CENTER (NPI# 1629696679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629696679 |
| Entity Type | Organization |
| Organization Name | SERENITY INTERNAL MEDICINE & WELLNESS CENTER |
| Practice Address |
3330 W 177th St # 2d-1 Hazel Crest IL 60429-2184 |
| Practice Telephone | 7732349662 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | CHRISTEN TIBBS (PHYSICIAN) |
| Authorized Official Telephone | 7732349662 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3330 W 177TH ST # 2D-1 |
| City | HAZEL CREST |
| State | IL |
| Zip Code | 60429-2184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
| 1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
| 1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
| 1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
| 1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
| 1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
| 1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| Find all providers in zip 60429 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518123363 | Christen Tibbs | Internal Medicine | 3330 W 177th St Ste 2d-1, Hazel Crest, IL 60429-2184 | 2008-07-31 |
| 1992881445 | William I Crevier Md Ltd | Internal Medicine | 3330 W 177th St Ste 3e, Hazel Crest, IL 60429-2186 | 2006-10-27 |
| 1780673897 | Nader M Beshay | Internal Medicine | 3330 W 177th St, Suite 3 H, Hazel Crest, IL 60429-2001 | 2005-10-20 |
| 1164954707 | Mariam Tariq Mir | Internal Medicine | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2017-04-02 |
| 1477818961 | Primary Care for You Ltd. | Internal Medicine | 3330 W 177th St, Suite 3h, Hazel Crest, IL 60429-2184 | 2012-07-10 |
| 1093028359 | Gladys Macagba | Internal Medicine | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2010-07-15 |
| 1356530547 | Sfz Corporation | Internal Medicine | 3330 W 177th St, Suite 3d, Hazel Crest, IL 60429-2184 | 2007-10-24 |
| 1326249293 | Gupta Internal Medicine Associates,s.c. | Internal Medicine | 17850 South Kedzie Avenue, Suite 3300, Hazel Crest, IL 60429 | 2007-05-30 |
| 1609905348 | Philippa Norman | Internal Medicine | 17850 Kedzie Ave, Ste 1100, Hazel Crest, IL 60429-2055 | 2007-03-05 |
| 1376694299 | Nader Beshay, Md Sc | Internal Medicine | 3330 W 177th St, Suite 3 H, Hazel Crest, IL 60429-2184 | 2007-01-16 |
| Find all providers in HAZEL CREST | ||||
| City | HAZEL CREST |
| Zip Code | 60429 |
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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.