SOUTH BELOIT OFFICE (NPI# 1679839773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679839773 |
| Entity Type | Organization |
| Organization Name | SOUTH BELOIT OFFICE |
| Practice Address |
1407 Pate Plaza Dr South Beloit IL 61080-1431 |
| Practice Telephone | 6302192002 |
| Mailing Telephone | 6302192002 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |
| Authorized Official Name | MR. MUBEEN SALEEM (BILLER) |
| Authorized Official Telephone | 2246168645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 036126253 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-126253 | 05 |
| Street Address |
1407 PATE PLAZA DR |
| City | SOUTH BELOIT |
| State | IL |
| Zip Code | 61080-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265558837 | Joseph C Probst | Chiropractor | 1407 Pate Plaza Dr, South Beloit, IL 61080-1431 | 2007-03-22 |
| 1003028127 | Stateline Chiropractic & Sports Injury Clinic Sc | Chiropractor | 1407 Pate Plaza Dr, South Beloit, IL 61080 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033636907 | Teresa Ann Sambrook | Registered Nurse | 6605 Prairie Hill Road, South Beloit, IL 61080 | 2017-08-23 |
| 1497104335 | Nishant N Patel | Family Medicine | South Beloit Clinic-bhs, 1701 Blackhawk Blvd, South Beloit, IL 61080 | 2016-06-10 |
| 1144679085 | Thuy T Nguyen | Family Medicine | South Beloit Clinic- Bhs, 1701 Blackhawk Blvd, South Beloit, IL 61080 | 2016-06-10 |
| 1861652919 | Diane Marie Brandlein | Dentist | 1917 Blackhawk Blvd, South Beloit, IL 61080 | 2008-06-12 |
| 1366085383 | Susan D Geise | Registered Nurse | 1022 Fisher Rd, South Beloit, IL 61080-1102 | 2019-10-22 |
| 1700295334 | Erica Lynn Myher | Licensed Practical Nurse | 131 Elmo Ave, South Beloit, IL 61080-1218 | 2014-08-07 |
| 1669098844 | James Earl Brooks I | Counselor | 523 Clark St, South Beloit, IL 61080-1317 | 2020-06-23 |
| 1881110302 | Melissa Stucky | Speech-Language Pathologist | 464 Oak Grove Ave, South Beloit, IL 61080-1967 | 2017-08-16 |
| 1295768364 | City of South Beloit | Ambulance | 519 Blackhawk Blvd, South Beloit, IL 61080-1977 | 2006-07-09 |
| 1649472143 | County of Winnebago School District 320 | Local Education Agency (LEA) | 850 Hayes Ave, South Beloit, IL 61080-2119 | 2007-06-05 |
| Find all providers in zip 61080 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BELOIT |
| Zip Code | 61080 |
Please comment or provide details below to improve the information on SOUTH BELOIT OFFICE.
| 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.