MOKENA FAMILY PHYSICIANS LLC (NPI# 1740359876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740359876 |
| Entity Type | Organization |
| Organization Name | MOKENA FAMILY PHYSICIANS LLC |
| Practice Address |
11243 W La Porte Rd Mokena IL 60448-1374 |
| Practice Telephone | 7084794681 |
| Practice Fax Number | 7084798516 |
| Mailing Telephone | 7084794681 |
| Mailing Fax Number | 7084798516 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2013-06-25 |
| Authorized Official Name | RHONDA A DAVIS (MANAGER) |
| Authorized Official Telephone | 7084794681 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 036085722 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036077425 | 05 | |
| IL | 036085722 | 05 |
| Street Address |
11243 W LA PORTE RD |
| City | MOKENA |
| State | IL |
| Zip Code | 60448-1374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669480547 | Core Therapy Group, Ltd | Physical Therapist | 11243 W La Porte Rd, Mokena, IL 60448 | 2006-08-04 |
| 1760551980 | Bone & Joint Surgeons, Ltd | Specialist | 11243 W La Porte Rd, Mokena, IL 60448-1374 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093372187 | Vital Ambulance Services LLC | Ambulance | 18781 90th Ave., Suite A, Mokena, IL 60448 | 2019-05-23 |
| 1881173656 | Instarx Pharmacy LLC | Pharmacy | 18927 Hickory Creek Dr Ste 135, Mokena, IL 60448 | 2018-08-12 |
| 1124535240 | Three Point Healthcare LLC | Physical Therapist | 19807 S La Grange Rd, Mokena, IL 60448 | 2018-01-10 |
| 1831618545 | Erica Cundiff | Developmental Therapist | 10352 Aileen Ave., Mokena, ID 60448 | 2017-09-13 |
| 1346769122 | Haley Mccabe | Specialist/Technologist | 11520 Plattner Dr, Mokena, IL 60448 | 2017-09-13 |
| 1215450408 | Valley Creek Family Dental Ltd | Clinic/Center | 11244 W Laporte Rd, Mokena, IL 60448 | 2017-07-20 |
| 1477084861 | Ellen Marie Spiese | Marriage & Family Therapist | 19518 116th Ave Unit D, Mokena, IL 60448 | 2017-03-27 |
| 1851714190 | Oasis Hospice & Palliative Care, Inc. | Hospice Care, Community Based | 10010 W 190th Pl, Mokena, IL 60448 | 2014-01-22 |
| 1396167201 | Tammy S Grode | Counselor | 9200 W 191st St Ste 6, Mokena, IL 60448 | 2014-01-11 |
| 1467725119 | Easter Seals | Specialist | 10039 Cambridge Ct, Mokena, IL 60448 | 2012-02-10 |
| Find all providers in zip 60448 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598700841 | Southwest Surgery Center, LLC | Clinic/Center | 19110 Darvin Drive, Mokena, IL 60448 | 2006-06-19 |
| 1770914988 | Danaher Family Medicine Sc | Clinic/Center | 19401 Wolf Rd, Mokena, IL 60448-1100 | 2013-12-13 |
| 1841541745 | Cvs Minute Clinic | Clinic/Center | 11200 Lincoln Hwy, Mokena, IL 60448-8208 | 2012-10-02 |
| 1932400041 | Jill A. Patterson, Md, S.c. | Clinic/Center | 11148 Front St, Mokena, IL 60448-1525 | 2010-11-04 |
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| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
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| Find all providers with the same taxonomy | ||||
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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.