ST MARY INTERNAL MEDICINE ASSOCIATES S C (NPI# 1710009204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710009204 |
Entity Type | Organization |
Organization Name | ST MARY INTERNAL MEDICINE ASSOCIATES S C |
Practice Address |
2320 S Route 59 Plainfield IL 60586-7756 |
Practice Telephone | 8156099480 |
Practice Fax Number | 8156099482 |
Mailing Telephone | 8156099480 |
Mailing Fax Number | 8156099482 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2010-11-30 |
Authorized Official Name | DR. ASHRAF ASSAAD ISKANDER (PRESIDENT) |
Authorized Official Telephone | 8156099480 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036094077 | IL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036094077 | 05 |
Street Address |
2320 S ROUTE 59 |
City | PLAINFIELD |
State | IL |
Zip Code | 60586-7756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437167541 | Ashraf A. Iskander | Internal Medicine | 2320 S Route 59, Plainfield, IL 60586-7756 | 2006-08-04 |
1003348103 | Ivy Millar Enger | Nurse Practitioner | 2320 S Route 59, Plainfield, IL 60586-7756 | 2017-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336658434 | Brigitte L Oetter | Social Worker | 6106 Pheasant Ridge Dr, Plainfield, IL 60586 | 2017-09-21 |
1851730717 | Michelle Sanchez Doersam | Physician Assistant | 16519 S. Route 59, Plainfield, IL 60586 | 2013-06-24 |
1295059665 | Joni Deanne Gruen | Physical Therapy Assistant | 2612 Discovery Dr., Plainfield, IL 60586 | 2010-03-15 |
1225229453 | James G Kulekowskis Jr. | Pharmacist | 16146 S Arbor Drive, Plainfield, IL 60586 | 2007-08-05 |
1346363355 | Beth Ann Boss | Speech-Language Pathologist | 16504 Mueller Cir., Plainfield, IL 60586 | 2007-04-06 |
1457457830 | Edward J Bruno | Radiology | 333 N Madison, Joliet, IL 60586 | 2006-09-15 |
1497850044 | Rachel Z Mika | Physical Therapist | 6619 Mountain Ridge Pass, Plainfield, IL 60586 | 2006-09-14 |
1427060888 | Neil R Fried | Podiatrist | 15921 Hometown Dr, Plainfield, IL 60586 | 2006-08-13 |
1497701924 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2480 S Route 59, Plainfield, IL 60586 | 2006-05-26 |
1164473609 | Women's Center for Health L P | Obstetrics & Gynecology | 15900 S Frederick St, Plainfield, IL 60586 | 2006-05-12 |
Find all providers in zip 60586 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295243731 | Quad/med, LLC | Clinic/Center | 9998 Allpoints Parkway, Plainfield, IN 46168 | 2018-01-18 |
1275063679 | Health-wise Family Care Center LLC | Clinic/Center | 400 W Front St Ofc 2, Plainfield, NJ 07060-1120 | 2017-06-18 |
1225581010 | Wellness for Life | Clinic/Center | 709 Stafford Rd, Plainfield, IN 46168-2269 | 2016-07-27 |
1558727719 | Ourhealth Physicians Group, LLC | Clinic/Center | 2685 E Main St, 101, Plainfield, IN 46168-2759 | 2016-01-04 |
1346669934 | Comprehensive Occupational Medicl Associates of Connecticut P C | Clinic/Center | 1421 Lowes Way, Plainfield, CT 06374-1963 | 2014-04-10 |
1346594892 | Forrayan LLC | Clinic/Center | 1416 Park Ave, Plainfield, NJ 07060-2911 | 2012-11-06 |
1962697474 | Family Doctors Associates | Clinic/Center | 1416 Park Ave, Plainfield, NJ 07060-2911 | 2007-09-07 |
1962538165 | Choice Allergy and Sinus Care PC | Clinic/Center | 1406 Park Ave, 1400 Park Ave, Plainfield, NJ 07060-2911 | 2007-02-24 |
1174673826 | Corwin Medical Care Ltd | Clinic/Center | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033724901 | Ar Healthcare | Clinic/Center | 11 E Main St Ste A, St Charles, IL 60174-1925 | 2020-09-08 |
1568073674 | Downers Grove Immediate Care Inc. | Clinic/Center | 425 Ogden Ave, Downers Grove, IL 60515-3066 | 2020-08-12 |
1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
1548808728 | Unitypoint Health At Work | Clinic/Center | 1100 13th Ave, East Moline, IL 61244-1455 | 2019-12-18 |
1265076749 | Inhome Primecare LLC | Clinic/Center | 6738 N Lockwood Ave, Lincolnwood, IL 60712-3107 | 2019-10-29 |
1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
1598248106 | Granite City Clinic Corp | Clinic/Center | 602 Farrish St, Madison, IL 62060-1567 | 2018-09-10 |
1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
Find all providers with the same taxonomy |
City | PLAINFIELD |
Zip Code | 60586 |
Please comment or provide details below to improve the information on ST MARY INTERNAL MEDICINE ASSOCIATES S C.
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.