DR. COLLEEN HELEN RUSCIOLELLI (NPI# 1659537371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659537371 |
Entity Type | Individual |
Full Name | DR. COLLEEN HELEN RUSCIOLELLI |
Other Name | COLLEEN HELEN DROSTE |
Credential | MD |
Practice Address |
4709 Golf Rd Ste 900 Skokie IL 60076-1244 |
Practice Telephone | 8476765394 |
Practice Fax Number | 8476797183 |
Mailing Telephone | 8476765394 |
Enumeration Date | 2008-08-01 |
Last Update Date | 2020-09-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 036.127652 | IL | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 125055052 | IL | Allopathic & Osteopathic Physicians |
Street Address |
4709 GOLF RD STE 900 |
City | SKOKIE |
State | IL |
Zip Code | 60076-1244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407852817 | Cathy Divincenzo | Pediatrics | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2005-06-22 |
1881183580 | Delia Mihaela Groza | Nurse Practitioner | 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 | 2018-05-08 |
1043742885 | Pauline Ahn | Pediatrics | 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 | 2017-03-31 |
1255705794 | Jessica A Fanucchi | Nurse Practitioner | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2015-11-20 |
1437549938 | Kirsten Hollett | Pediatrics | 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 | 2015-02-04 |
1881008738 | Mary Maureen Boren | Pediatrics | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2014-06-19 |
1972807576 | Karen Lynn Gentile | Nurse Practitioner | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2010-12-22 |
1992023535 | Jean A. Russo | Nurse Practitioner | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2010-05-06 |
1215141775 | Patricia B. Lawrence | Nurse Practitioner | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2007-05-10 |
1326263476 | Cathy Divincenzo Md Pediatrics Sc | Pediatrics | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2007-04-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
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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 |
---|---|---|---|---|
1356722961 | Sadia Hussain | Pediatrics | 9977 Woods Dr Ste 200, Skokie, IL 60077 | 2015-06-10 |
1417299272 | Seed Pediatrics S.c. | Pediatrics | 9669 N Kenton Ave Ste 405, Skokie, IL 60076 | 2013-03-20 |
1407159452 | Joon Han Pai | Pediatrics | 7420 Lincoln Ave # C, Skokie, IL 60076-5808 | 2010-12-14 |
1982868840 | Jonathan Ahn | Pediatrics | 9669 Kenton Ave Ste 405, Skokie, IL 60076-1267 | 2008-07-10 |
1326255837 | Christine A Mcguire | Pediatrics | 4611 Golf Rd Ste 200, Skokie, IL 60076-1263 | 2007-05-16 |
1831208107 | Elana Comrov | Pediatrics | 4709 Golf Rd Ste 1250, Skokie, IL 60076-1238 | 2006-08-30 |
1548231558 | Shaheena Ahmed | Pediatrics | 8320 Skokie Blvd, Skokie, IL 60077 | 2006-01-28 |
1003891987 | Michael Perry Rosenbaum | Pediatrics | 9977 Woods Dr, Skokie, IL 60077-1057 | 2005-12-13 |
1407852817 | Cathy Divincenzo | Pediatrics | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2005-06-22 |
1043742885 | Pauline Ahn | Pediatrics | 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 | 2017-03-31 |
Find all providers in SKOKIE |
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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.