GREGG S COCCARO (NPI# 1760587869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760587869 |
| Entity Type | Individual |
| Full Name | GREGG S COCCARO |
| Credential | M.D. |
| Practice Address |
1423 Chicago Rd Radiology Department Chicago Heights IL 60411-3400 |
| Practice Telephone | 7087561000 |
| Mailing Telephone | 7087561000 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2015-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036085552 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD ID | 300050047 | 01 | |
| HEALTH ALLIANCE | 078631 | 01 | |
| IL | 036085552 | 05 | |
| CHAMPUS | L022428 | 01 | |
| IL | BCBS ID | 1618334 | 01 |
| DEPARTMENT OF LABOR | 131719100 | 01 |
| Street Address |
1423 CHICAGO RD RADIOLOGY DEPARTMENT |
| City | CHICAGO HEIGHTS |
| State | IL |
| Zip Code | 60411-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942293832 | John M Abran | Pathology | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2005-08-25 |
| 1235625559 | Leticia Perea | Nurse Anesthetist, Certified Registered | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2018-07-10 |
| 1346751021 | Bethany J Woodyatt | Occupational Therapist | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2017-10-20 |
| 1053768556 | Andrea Lauren Navratil | Physician Assistant | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2016-05-16 |
| 1679933196 | Michael Toth | Nurse Anesthetist, Certified Registered | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2016-02-25 |
| 1225410574 | Julieanne Olegario | Nurse Anesthetist, Certified Registered | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2015-06-23 |
| 1164818076 | Karen Brown | Nurse Anesthetist, Certified Registered | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2015-04-08 |
| 1639574155 | Caitlin Marie Griffin | Physician Assistant | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2014-10-27 |
| 1538578224 | Ryan Pashia | Registered Nurse | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2014-08-06 |
| 1275963902 | Lindsay Dubnicek | Physician Assistant | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2013-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841202462 | Joseph E Judge | Radiology | St. James Hospital, Radiology Department, 1423 Chicago Rd, Chicago Heights, IL 60411 | 2006-08-12 |
| 1326143439 | Charisa M Spoo | Radiology | 1423 Chicago Rd, Radiology Department, Chicago Heights, IL 60411-3400 | 2006-09-13 |
| 1841395969 | Walter S Tan | Radiology | 1423 Chicago Rd, Radiology Department, Chicago Heights, IL 60411-3400 | 2006-09-13 |
| 1811092927 | Hang C Shen | Radiology | 1423 Chicago Rd, Radiology Department, Chicago Heights, IL 60411-3400 | 2006-09-13 |
| 1568567741 | Gabrielle Bosley Berry | Radiology | 1423 Chicago Rd, Radiology Department, Chicago Heights, IL 60411-3400 | 2006-09-13 |
| 1497850689 | Tony K Chan | Radiology | 1423 Chicago Rd, Radiology Department, Chicago Heights, IL 60411-3400 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1730652017 | Diaspora Radiology, Sc | Radiology | 2602 Mulberry Ln, Northbrook, IL 60062-5937 | 2019-01-09 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1043796543 | Quantum Medical Radiology of California, P.C. | Radiology | 374 W Seminary Ave, Wheaton, IL 60187-5002 | 2018-07-17 |
| 1215429501 | The Open Mri Center | Radiology | 3123 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-06-01 |
| 1649769746 | Envision Medical Imaging, LLC | Radiology | 915 National Pkwy Ste 915-20, Schaumburg, IL 60173-5160 | 2018-05-03 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1710427737 | Dorothea A Nazos | Radiology | 1810 Parkside Dr, Shorewood, IL 60404-0684 | 2017-02-24 |
| 1194275941 | Florida United Radiology, Lc | Radiology | 7 Pear Tree Ct, Charleston, IL 61920-4415 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
| City | CHICAGO HEIGHTS |
| Zip Code | 60411 |
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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.