NORTHERN STAR MGMT INC (NPI# 1699092494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699092494 |
| Entity Type | Organization |
| Organization Name | NORTHERN STAR MGMT INC |
| Practice Address |
1755 Park St Suite 200 Naperville IL 60563-4861 |
| Practice Telephone | 6307786617 |
| Mailing Telephone | 6307786617 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |
| Authorized Official Name | OTABEK FAYZIYEV (PRESIDENT / OWNER) |
| Authorized Official Telephone | 6307786617 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1755 PARK ST SUITE 200 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-4861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225098445 | Leslie S Mcilvried | Nurse Practitioner | 1755 Park St, Suite #300, Naperville, IL 60563-4861 | 2006-03-23 |
| 1932636339 | Leslie Mcilvried Aprn Bc LLC | Nurse Practitioner | 1755 Park St, Naperville, IL 60563-4861 | 2017-05-16 |
| 1700277563 | Monica A Schmitt, Psy.d., LLC | Psychologist | 1755 Park St, Ste 300, Naperville, IL 60563-4861 | 2015-02-13 |
| 1962814178 | D. Gordon & Associates | Community/Behavioral Health | 1755 Park St, Suite 225, Naperville, IL 60563-4861 | 2014-05-22 |
| 1841540572 | Jill Marie Hooten | Counselor | 1755 Park St, Suite 200, Naperville, IL 60563-4861 | 2012-09-10 |
| 1497005128 | Lauren Ashley Pac | Counselor | 1755 Park St, Suite 200, Naperville, IL 60563-4861 | 2012-09-10 |
| 1992051130 | Neurobehavioral Group PC | Psychologist | 1755 Park St, #200, Naperville, IL 60563-4861 | 2012-07-25 |
| 1386930436 | Amy Helen Bilka | Counselor | 1755 Park St, Suite 300, Naperville, IL 60563-4861 | 2011-06-27 |
| 1245540640 | Susan Samuel | Psychologist | 1755 Park St, Suite 200, Naperville, IL 60563-4861 | 2010-10-19 |
| 1699980979 | Susan Marie Riley | Counselor | 1755 Park St, Suite 300, Naperville, IL 60563-4861 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1184633950 | Young S Park | General Practice | 2123 Skylane Dr, Naperville, IL 60564-9477 | 2006-08-07 |
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| 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 | NAPERVILLE |
| Zip Code | 60563 |
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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.