PEAK PERFORMANCE HEALTH CENTER LTD (NPI# 1669748018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669748018 |
Entity Type | Organization |
Organization Name | PEAK PERFORMANCE HEALTH CENTER LTD |
Practice Address |
1749 N Wells St Chicago IL 60614-5877 |
Practice Telephone | 3124409646 |
Mailing Telephone | 3124202513 |
Enumeration Date | 2012-03-30 |
Last Update Date | 2019-11-14 |
Authorized Official Name | DR. RONALD S. STUMBRIS (MEDICAL DIRECTOR) |
Authorized Official Telephone | 3124409646 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | PEAK PERFORMANCE HEALTH CARE, LTD |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497766257 | Peak Performance Health Center Ltd | Physical Medicine & Rehabilitation | 1749 N Wells St, Chicago, IL 60614-5877 | 2006-08-10 |
Street Address |
1749 N WELLS ST |
City | CHICAGO |
State | IL |
Zip Code | 60614-5877 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134164379 | Steven Arculeo | Chiropractor | 1749 N Wells St, Chicago, IL 60614-5877 | 2006-06-20 |
1871931840 | Krs Sports Medicine and Rehabilitation, Sc | Physical Medicine & Rehabilitation | 1749 N Wells St, Chicago, IL 60614-5877 | 2013-06-12 |
1588993935 | Marnie Elyse Ehrenberg | Counselor | 1749 N Wells St, Apt 227, Chicago, IL 60614-5877 | 2009-12-14 |
1821240086 | Shelley L Page | Chiropractor | 1749 N Wells St, Chicago, IL 60614-5877 | 2008-10-21 |
1588831838 | Jessica Franke | Developmental Therapist | 1749 N Wells St, Chicago, IL 60614-5877 | 2008-05-14 |
1932271715 | James B Hansen II | Dentist | 1749 N Wells St, Chicago, IL 60614-5877 | 2006-11-15 |
1336218551 | David H Baukol | Dentist | 1749 N Wells St, Chicago, IL 60614-5877 | 2006-11-06 |
1093884165 | David H Baukol Dds PC | Dentist | 1749 N Wells St, Chicago, IL 60614-5877 | 2006-11-06 |
1659382406 | Gustavo Cabagna | Physical Therapist | 1749 N Wells St, Chicago, IL 60614-5877 | 2006-08-10 |
1497766257 | Peak Performance Health Center Ltd | Physical Medicine & Rehabilitation | 1749 N Wells St, Chicago, IL 60614-5877 | 2006-08-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
Find all providers in zip 60614 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851889257 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 8501 W Higgins Rd Ste 100, Chicago, IL 60631-2814 | 2018-05-01 |
1922048677 | Carl B Toren Md | Non-Pharmacy Dispensing Site | 556 E 115th St, Chicago, IL 60628-5740 | 2006-06-08 |
1013957760 | Carl B Toren Md | Non-Pharmacy Dispensing Site | 9119 S Exchange Ave, Chicago, IL 60617-4225 | 2006-06-08 |
1467907741 | Foot & Ankle Healthcare Center Ltd | Non-Pharmacy Dispensing Site | 5501 W Belmont Ave, Chicago, IL 60641-4130 | 2016-08-17 |
1477944577 | Gold Coast Orthopaedic and Spine Surgery S C | Non-Pharmacy Dispensing Site | 33 W Delaware Pl, 1st Fl, Chicago, IL 60610-8115 | 2015-02-10 |
1639417496 | Jencare Neighborhood Medical Center Evergreen Park, LLC | Non-Pharmacy Dispensing Site | 2734 W 87th St, Chicago, IL 60652-3937 | 2013-01-29 |
1164768354 | Jencare Neighborhood Medical Center South Chicago, LLC | Non-Pharmacy Dispensing Site | 2231 E 95th St, Chicago, IL 60617-4804 | 2012-12-17 |
1093097040 | Northwestern Memorial Physicians Group | Non-Pharmacy Dispensing Site | 1460 N Halsted St, Suite 502, Chicago, IL 60642-2605 | 2011-09-15 |
1629244223 | Michael C Molay Dpm | Non-Pharmacy Dispensing Site | 5485 N Milwaukee Ave, Chicago, IL 60630-1249 | 2008-05-02 |
1477694198 | Theodore S. Wright, Md | Non-Pharmacy Dispensing Site | 4757 W Montrose Ave, Chicago, IL 60641-1504 | 2007-02-08 |
Find all providers in CHICAGO |
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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.