KATHLEEN A MAHAN (NPI# 1639100464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639100464 |
Entity Type | Individual |
Full Name | KATHLEEN A MAHAN |
Other Name | KATHLEEN A MARTEN |
Credential | MD |
Practice Address |
1801 S Highland Ave Ste 130 Lombard IL 60148-4932 |
Practice Telephone | 6306274722 |
Practice Fax Number | 6306279134 |
Mailing Telephone | 6306274722 |
Mailing Fax Number | 6306279134 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2016-12-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 4301093916 | MI | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | 4301093916 | MI | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 4301093916 | MI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467989590 | Kathleen Mahan | Behavior Technician | 5500 Tramore Ct, Fairfax, VA 22032-3126 | 2017-05-19 |
1669474532 | Kathleen Ellen Mahan | Nurse Practitioner | 7381 College Pkwy, Suite 110, Fort Myers, FL 33907-5548 | 2005-08-11 |
1184068298 | Kathleen Mahan | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2013-04-18 |
1053488809 | Kathleen Mahan | Nurse Practitioner | 400 W 30th St, Los Angeles, CA 90007-3320 | 2006-11-29 |
Street Address |
1801 S HIGHLAND AVE STE 130 |
City | LOMBARD |
State | IL |
Zip Code | 60148-4932 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073994851 | Charles Richard Schwartz | Internal Medicine | 1801 S Highland Ave Ste 130, Lombard, IL 60148-4932 | 2015-06-17 |
1376938431 | Labianca Nona Wright | Internal Medicine | 1801 S Highland Ave Ste 130, Lombard, IL 60148-4932 | 2015-04-05 |
1538442918 | Tekekee Desha Buckner | Nurse Practitioner | 1801 S Highland Ave Ste 130, Lombard, IL 60148-4932 | 2011-09-22 |
1326189515 | Mary Rose Iovinelli Buescher | Dietitian, Registered | 1801 S Highland Ave Ste 130, Lombard, IL 60148-4932 | 2007-02-09 |
1255421558 | Michael Miller | Internal Medicine | 1801 S Highland Ave Ste 130, Lombard, IL 60148-4932 | 2006-10-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
Find all providers in zip 60148 |
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 |
---|---|---|---|---|
1821569054 | Rhombus Medical Solutions, LLC | Family Medicine | 368 E 17th Pl, Lombard, IL 60148-4926 | 2018-12-16 |
1508215708 | Zubair Zaheer | Family Medicine | 1125 S Main St Ste D, Lombard, IL 60148-3900 | 2016-06-08 |
1073800462 | Illinois Home Physicians LLC | Family Medicine | 124 E Harrison Rd, Lombard, IL 60148-3418 | 2011-07-06 |
1396056503 | Midwest Medical Home Inc | Family Medicine | 18w511 Roosevelt Rd, Lombard, IL 60148-4184 | 2010-06-23 |
1073746871 | Maria D. Ariza Altahona | Family Medicine | 130 S Main St Ste 201, Lombard, IL 60148-2670 | 2009-08-26 |
1326224643 | Hussein Orellana Ltd | Family Medicine | 79 Oakton Dr, Lombard, IL 60148-7105 | 2008-01-16 |
1427276880 | Kaniz Fatema Bhuiyan | Family Medicine | 146 Arboretum Dr, Lombard, IL 60148-7114 | 2007-04-23 |
1295761484 | Shafeequr Rizwan | Family Medicine | 331 W Harding Rd, Lombard, IL 60148-3209 | 2006-06-23 |
1962449140 | Gartrell D King | Family Medicine | 2 E 22nd St, Suite 306, Lombard, IL 60148-4976 | 2006-05-31 |
1720064660 | Badar Zaheer | Family Medicine | 1196 S Main St, Lombard, IL 60148-3951 | 2005-12-22 |
Find all providers in LOMBARD |
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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.