MICHELLE K FLOYD REBOLLO (NPI# 1639132459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639132459 |
| Entity Type | Individual |
| Full Name | MICHELLE K FLOYD REBOLLO |
| Other Name | MICHELLE FLOYD |
| Credential | MD |
| Practice Address |
5912 W Cermak Rd Cicero IL 60804-2135 |
| Mailing Address |
902 W Wildwood Dr Prospect Heights IL 60070-1120 |
| Practice Telephone | 7087839800 |
| Practice Fax Number | 7087839810 |
| Mailing Telephone | 8474593642 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2013-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036-126091 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | ME90089 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2702851-00 | 05 |
| Street Address |
5912 W CERMAK RD |
| City | CICERO |
| State | IL |
| Zip Code | 60804-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972625333 | Miriam Whiteley | Family Medicine | 5912 W Cermak Rd, Cicero, IL 60804-2135 | 2007-04-05 |
| 1386764090 | Alfred Joseph Martin | Family Medicine | 5912 W Cermak Rd, Cicero, IL 60804-2135 | 2007-03-29 |
| 1114015054 | Erlinda Cabana | Pediatrics | 5912 W Cermak Rd, Cicero, IL 60804-2135 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265096945 | Jacqueline N/a Gonzalez | Physical Therapy Assistant | 3521 S 56th Ct, Cicero, IL 60804 | 2019-04-27 |
| 1265966832 | Jacqueline Calles | Substance Abuse Rehabilitation Facility | 4904 W. 32nd St, Cicero, IL 60804 | 2017-04-20 |
| 1346667771 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4741 W Cermak Rd, Cicero, IL 60804 | 2014-03-24 |
| 1538580469 | Jesus Paul Sanchez | Behavioral Analyst | 3100 S. Central Ave, Cicero, IL 60804 | 2013-12-19 |
| 1568712123 | Monil P Shah Dmd PC | Dentist | 5539 W Cermak Road, Cicero, IL 60804 | 2012-09-11 |
| 1699073148 | Lolita Aguinaga | Social Worker | 5341 W. Cermak Road, Cicero, IL 60804 | 2011-03-08 |
| 1699949263 | Anne T Gearhart | Pediatrics | 2307 S Cicero Ave, Chicago, IL 60804 | 2008-04-15 |
| 1437332467 | J S Vitamins and More Inc | Durable Medical Equipment & Medical Supplies | 4785 W Cermatz, Circero, IL 60804 | 2007-12-13 |
| 1427171339 | Barbara J Majchrowski | Optometrist | 5729 W 35th Street, Suite 1east, Cicero, IL 60804 | 2007-04-06 |
| 1124190269 | Gulliume Moor | Psychologist | 6117 West Cermak Road, Cicero, IL 60804 | 2006-11-14 |
| Find all providers in zip 60804 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003100942 | Cicero Pediatrics | Pediatrics | 5307 W Cermak Rd, Cicero, IL 60804-2817 | 2011-06-08 |
| 1114183738 | Hazel A Galicia | Pediatrics | 2307-09 S. Cicero Ave., Cicero, IL 60804-2452 | 2008-08-03 |
| 1871674184 | Nancy Martinez-amini | Pediatrics | 5535 W Cermak Rd, Cicero, IL 60804-2218 | 2006-10-17 |
| 1326159104 | Edwin Bautista Pascual | Pediatrics | 4941 W 14th St, Cicero, IL 60804-1419 | 2006-08-31 |
| 1871507236 | Luis F Santiago | Pediatrics | 5533 W Cermak Rd, Cicero, IL 60804-2236 | 2006-07-28 |
| 1205862422 | Nirupama Mahidhara | Pediatrics | 2307-09 S Cicero Ave, Cicero, IL 60804-2451 | 2006-06-23 |
| 1073583357 | David T Terasaka | Pediatrics | 6251 State Route 31, Cicero, NY 13039 | 2006-01-26 |
| 1851565725 | Marami Ltd | Pediatrics | 5535 W Cermak Rd, Cicero, IL 60804-2218 | 2008-04-22 |
| 1851577886 | Wee Care Pediatrics, Pllc | Pediatrics | 6251 State Route 31, Cicero, NY 13039 | 2008-01-22 |
| 1689899551 | Holy Family Medical Clinic | Pediatrics | 4941 W 14th St, Cicero, IL 60804-1419 | 2007-04-16 |
| Find all providers in CICERO | ||||
Please comment or provide details below to improve the information on MICHELLE K FLOYD REBOLLO.
| 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.