DOCTOR CHARLES D MULLENIX MD SC (NPI# 1639361504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639361504 |
| Entity Type | Organization |
| Organization Name | DOCTOR CHARLES D MULLENIX MD SC |
| Practice Address |
1775 Glenview Rd Suite 114 Glenview IL 60025-2975 |
| Practice Telephone | 8477246617 |
| Practice Fax Number | 8477243123 |
| Mailing Telephone | 8477246617 |
| Mailing Fax Number | 8477243123 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-11-26 |
| Authorized Official Name | DR. CHARLES DENNIS MULLENIX (OWNER PRESIDENT) |
| Authorized Official Telephone | 8477246617 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AM6802525 | 01 | |
| DMERC | 0538000001 | 01 | |
| AETNA | 4028871 | 01 | |
| BLUE CROSS | 01605282 | 01 |
| Street Address |
1775 GLENVIEW RD SUITE 114 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-2975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083602379 | Dr Ron Riegelhaupt | Podiatrist | 1775 Glenview Rd, Ste 115, Glenview, IL 60025-2956 | 2005-10-11 |
| 1083889166 | Glenview Pediatrics, S.c. | Clinic/Center | 1775 Glenview Rd, Suite 113, Glenview, IL 60025-2956 | 2008-04-29 |
| 1437332277 | Theodore Damas | Dentist | 1775 Glenview Rd, Suite 208, Glenview, IL 60025-2956 | 2007-12-16 |
| 1821203548 | Ronald W Riegelhaupt | Podiatrist | 1775 Glenview Rd, Suite 115, Glenview, IL 60025-2956 | 2007-05-14 |
| 1992910392 | Best Endodontics of Glenview, Ltd | Dentist | 1775 Glenview Rd, 208, Glenview, IL 60025-2956 | 2007-05-11 |
| 1790803757 | Matthew C Davis | Dentist | 1775 Glenview Rd, Suite 208, Glenview, IL 60025-2956 | 2007-03-27 |
| 1013035773 | Martin Joseph Rogers | Dentist | 1775 Glenview Rd, 208, Glenview, IL 60025-2956 | 2007-03-27 |
| 1225156433 | John E Parzakonis | Dentist | 1775 Glenview Rd, Glenview, IL 60025-2956 | 2007-03-26 |
| 1346303559 | Kenneth William Bueltmann I | Dentist | 1775 Glenview Rd, Suite #212, Glenview, IL 60025-2956 | 2006-12-18 |
| 1366505570 | Associated Periodontists,ltd. | Dentist | 1775 Glenview Rd, Suite #212, Glenview, IL 60025-2956 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508960816 | Svetlana Tsipursky | Ophthalmology | 2640 Golf Rd, St 120, Glenview, IL 60025 | 2006-09-08 |
| 1164524021 | David J. Palmer, M.d., S.c. | Ophthalmology | 3633 W Lake Avenue, Suite 301, Glenview, IL 60026-5803 | 2006-09-02 |
| 1366458275 | Adam J Cohen | Ophthalmology | 2591 Compass Rd, Suite 115, Glenview, IL 60026-8043 | 2006-07-31 |
| 1912930322 | Madhu S.r. Gorla | Ophthalmology | 2640 Patriot Blvd, Suite 100, Glenview, IL 60026-8075 | 2006-07-09 |
| 1356373880 | Manvi P Maker | Ophthalmology | 2050 Pfingsten Road, Suite 280, Glenview, IL 60026 | 2006-07-07 |
| 1326028572 | Orrin M Scheff | Ophthalmology | 904 Waukegan Rd, Glenview, IL 60025-4315 | 2006-01-21 |
| 1245215060 | David J Palmer | Ophthalmology | 2701 Patriot Blvd, Glenview, IL 60026-8039 | 2005-12-14 |
| 1598019440 | North Shore Eye Consultants Ltd | Ophthalmology | 2440 Ravine Way, Suite 500, Glenview, IL 60025-7647 | 2012-10-30 |
| 1134381890 | Minou W.colis M.d.s.c | Ophthalmology | 2440 Ravine Way, Suite 600, Glenview, IL 60025-7648 | 2008-06-25 |
| 1346463429 | North Suburban Ophthalmologists, S.c. | Ophthalmology | 2150 Pfingsten Rd, Suite 2240, Glenview, IL 60026-1361 | 2007-04-10 |
| Find all providers in GLENVIEW | ||||
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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.