DR. KATHLEEN MARIE MANSOUR (NPI# 1720137441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720137441 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN MARIE MANSOUR |
| Credential | M.D. |
| Practice Address |
1012 95th St Naperville IL 60564-5041 |
| Practice Telephone | 6305481100 |
| Practice Fax Number | 6304284211 |
| Mailing Telephone | 6305481100 |
| Mailing Fax Number | 6304284211 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2014-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | A65218 | CA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 036-116906 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427094432 | Kathleen Anne Mansour | Internal Medicine | 1513 E Union St, Greenville, MS 38703-3249 | 2006-06-20 |
| Street Address |
1012 95TH ST |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60564-5041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972504363 | Primary Care of South Naperville Area Sc | Family Medicine | 1012 95th St, 5, Naperville, IL 60564-5041 | 2005-08-09 |
| 1598121113 | Grassi Retina Md Sc | Ophthalmology | 1012 95th St, Suite 9, Naperville, IL 60564-5041 | 2016-01-12 |
| 1124455126 | Adventist Health Partners, Inc | Internal Medicine | 1012 95th St, Suite 3, Naperville, IL 60564-5041 | 2013-10-04 |
| 1386912046 | Adventist Health Partners, Inc | Obstetrics & Gynecology | 1012 95th St, Suite 3, Naperville, IL 60564-5041 | 2011-12-09 |
| 1659664936 | Adventist Health Partners, Inc | Family Medicine | 1012 95th St, Suite 8, Naperville, IL 60564-5041 | 2011-05-19 |
| 1043510597 | Kimberly Ellen Starr | Nurse Practitioner | 1012 95th St, 3, Naperville, IL 60564-5041 | 2010-11-01 |
| 1205082427 | Plainfield Healthcare Associates, LLC | Family Medicine | 1012 95th St, Suite #8, Naperville, IL 60564-5041 | 2008-08-08 |
| 1497965487 | Terri M Hannon | Nurse Practitioner | 1012 95th St, Naperville, IL 60564-5041 | 2007-05-22 |
| 1407062557 | Lori A Dzielawa | Occupational Therapist | 1012 95th St, Naperville, IL 60564-5041 | 2007-05-15 |
| 1225241979 | Buthaina M Jabir | Obstetrics & Gynecology | 1012 95th St, Suite 7, Naperville, IL 60564-5041 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
| 1083187660 | Erin Michelle Hankins | Counselor | 2132 Deep Water Lane, Suite # 240, Naperville, IL 60564 | 2019-01-07 |
| 1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1831608397 | Courtney Srum | Speech-Language Pathologist | Graham Elementary School 2315 High Meadow Rd., Naperville, IL 60564 | 2017-09-27 |
| 1447707880 | Isabel Betancourt | Registered Nurse | 1315 Macom Dr Ste 5, Naperville, IL 60564 | 2016-09-01 |
| 1134577802 | Rosa Maria Felix-jones | Massage Therapist | 3420 Lacrosse, Suite 100, Unit 2 & 3, Naperville, IL 60564 | 2016-06-02 |
| 1245618412 | Ian E Evans | Counselor | 2948 Artesian Rd., Suite 112, Naperville, IL 60564 | 2015-05-08 |
| 1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
| 1154745891 | Antonina Rosaria Sullivan | Occupational Therapist | 10350 Brenner Ct, Naperville, IL 60564 | 2014-02-18 |
| Find all providers in zip 60564 | ||||
| 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 |
|---|---|---|---|---|
| 1316597164 | Pm Pediatrics of Illinois | Pediatrics | 2835 Showplace Dr Ste 119, Naperville, IL 60564-5056 | 2019-09-13 |
| 1235464165 | Jerome O. Gronli | Pediatrics | 636 Raymond Dr Ste 205, Naperville, IL 60563-9791 | 2009-10-09 |
| 1821216086 | Michael J. Reicherts, Md Sc | Pediatrics | 4043 South State Route 59, Naperville, IL 60564 | 2007-04-23 |
| 1699801696 | Twenty First Century Pediatrics | Pediatrics | 640 S Washington Street, Suite 224, Naperville, IL 60540 | 2007-02-26 |
| 1609917491 | Midwestpediatrics,ltd | Pediatrics | 1020 E Ogden Ave Ste 306, Naperville, IL 60563-8611 | 2007-02-12 |
| 1194867713 | Whitney Lauren Fose | Pediatrics | 2940 Rolling Ridge Rd. Ste 300, Naperville, IL 60564 | 2007-02-12 |
| 1992870984 | Millennium Pediatrics LLC | Pediatrics | 1012 West 95th St, Suite 4, Naperville, IL 60564 | 2006-11-22 |
| 1053406447 | Robin Kalish | Pediatrics | Millennium Pediatrics, 1012 95th St, Naperville, IL 60564 | 2006-10-03 |
| 1417972738 | Nancy Thomas Thomas | Pediatrics | 636 Raymond Drive, Suite 205, Naperville, IL 60563-9791 | 2006-07-13 |
| 1922030055 | Karen Marie Kreiling | Pediatrics | 2007 95th St Ll-a, Childrens Health Partners Sc, Naperville, IL 60564 | 2006-07-07 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60564 |
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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.