PHYSICIANS COMMUNITY MEDICAL CENTER NORTH, S.C. (NPI# 1649553892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649553892 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS COMMUNITY MEDICAL CENTER NORTH, S.C. |
| Practice Address |
5320 159th St # 2n Oak Forest IL 60452-4705 |
| Mailing Address |
5320 159th St Ste 400 Oak Forest IL 60452-3334 |
| Practice Telephone | 7087988112 |
| Practice Fax Number | 7085356396 |
| Mailing Telephone | 7087988112 |
| Mailing Fax Number | 7085356396 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2012-09-18 |
| Authorized Official Name | MS. CHERISE ELMORE (MEDICAL BILLING MANGER) |
| Authorized Official Telephone | 7087988112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
5320 159TH ST # 2N |
| City | OAK FOREST |
| State | IL |
| Zip Code | 60452-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713098 | Oak Family Dental | Dentist | 6056 W. 159th Ave., Oak Forest, IL 60452 | 2020-06-03 |
| 1457982340 | Cook County | Family Medicine | 15900 S. Cicero, Oak Forest, IL 60452 | 2020-01-29 |
| 1265942718 | Suzanne Ankarlo | Speech-Language Pathologist | 3545 West Victoria Drive, Oak Forest, IL 60452 | 2017-10-10 |
| 1154855112 | True Laboratories LLC | Clinical Medical Laboratory | 5320 159th St Ste 505, Oak Forest, IL 60452 | 2017-04-17 |
| 1902347297 | Mena Loka Sr. | Physical Therapy Assistant | 6404 Nature Dr, Oak Forest, IL 60452 | 2017-03-20 |
| 1447797097 | Angelique Mayes-lamon | Clinic/Center | 15900 S Cicero Avenue, Building E, Oak Forest, IL 60452 | 2017-01-20 |
| 1265980759 | Surinder Sharma I | Pharmacist | 15900 So Cicero Ave, 15900 So Cicero Ave Bldg F, Oak Forest, IL 60452 | 2016-09-14 |
| 1326596800 | Gervaise Hunter-morris | Pharmacist | 15900 S. Cicero Avenue, Oak Forest, IL 60452 | 2016-09-14 |
| 1538519111 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 15350 Oak Park Ave., Oak Forest, IL 60452 | 2016-06-15 |
| 1760836720 | Thh Acquisition LLC I | Durable Medical Equipment & Medical Supplies | 4149 166th St, Oak Forest, IL 60452 | 2016-04-15 |
| Find all providers in zip 60452 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609303320 | Brianne C Brown | Family Medicine | 1111 N Milwaukee Ave Unit 242, Vernon Hills, IL 60061-1658 | 2017-05-11 |
| 1538469739 | John Thomas Johns Jr. | Family Medicine | 210 N. Ashland, Chicago, IL 60607-1402 | 2010-10-22 |
| 1548447956 | Total Care Medical Clinic | Family Medicine | 6929 Ogden Ave, Berwyn, IL 60402-3649 | 2008-01-28 |
| 1205979028 | Gloria J Mouzon | Family Medicine | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2007-02-14 |
| 1760448674 | Richard J Ready | Family Medicine | 999 Oakmont Plaza Dr Ste 100, Westmont, IL 60559-1381 | 2006-04-21 |
| 1841251378 | Britt Michael Borden | Family Medicine | 180 N Stetson Ave, Chicago, IL 60601-6710 | 2006-04-02 |
| 1992704381 | James Edward Beckett | Family Medicine | 326 W 64th St, St Bernard Hospital Dept Radiology, Chicago, IL 60621-3114 | 2005-07-18 |
| 1912519786 | Shark Addiction Treatment | Family Medicine | 1111 N Milwaukee Ave Unit 242, Vernon Hills, IL 60061-1658 | 2020-08-21 |
| 1831748573 | Recoveruscenters-carbondale LLC | Family Medicine | 2250 Reed Station Pkwy Ste 204, Carbondale, IL 62901-8104 | 2019-09-05 |
| 1609303940 | Great Heights Medical Ltd. | Family Medicine | 315 E Mckinley Rd, Ottawa, IL 61350-4805 | 2017-05-17 |
| Find all providers with the same taxonomy | ||||
| City | OAK FOREST |
| Zip Code | 60452 |
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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.