DR. EILEEN PATRICE LAURENCE (NPI# 1780851428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780851428 |
| Entity Type | Individual |
| Full Name | DR. EILEEN PATRICE LAURENCE |
| Other Name | EILEEN PATRICE EPSTEIN |
| Credential | M.D. |
| Practice Address |
28 Chick St Metropolis IL 62960-2467 |
| Mailing Address |
26633 North Middleton Parkway Mundelein IL 60060-9124 |
| Practice Telephone | 6185242176 |
| Practice Fax Number | 6185244131 |
| Mailing Telephone | 8472564123 |
| Mailing Fax Number | 2247785134 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
036054682 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
28 CHICK ST |
| City | METROPOLIS |
| State | IL |
| Zip Code | 62960-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788578 | Massac Memorial Hospital | General Acute Care Hospital | 28 Chick St, Metropolis, IL 62960-2467 | 2005-05-24 |
| 1235772328 | Kincaid King Physician Services, P.C. | Physician Assistant | 28 Chick St, Metropolis, IL 62960-2467 | 2019-10-22 |
| 1598253361 | Kelly Sue Clark | Registered Nurse | 28 Chick St, Metropolis, IL 62960-2467 | 2018-04-27 |
| 1104283035 | Massac Ems | Ambulance | 28 Chick St, Metropolis, IL 62960-2467 | 2016-01-22 |
| 1801159835 | Jennifer Shoemate | Speech-Language Pathologist | 28 Chick St, Metropolis, IL 62960-2467 | 2012-06-25 |
| 1952663254 | Lori Miller | Physical Therapist | 28 Chick St, Metropolis, IL 62960-2467 | 2012-06-12 |
| 1942531835 | Michael J. & Beverly Hicks | Audiologist | 28 Chick St, Metropolis, IL 62960-2467 | 2010-01-17 |
| 1861633380 | Illinois Emergency Physicians LLP | Emergency Medicine | 28 Chick St, Metropolis, IL 62960-2467 | 2009-03-12 |
| 1417142449 | Michael Joe Hicks | Audiologist | 28 Chick St, Metropolis, IL 62960-2467 | 2007-09-12 |
| 1831226901 | Massac Memorial Hospital | Medicare Defined Swing Bed Unit | 28 Chick St, Metropolis, IL 62960-2467 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069078 | Amber Nicole Garcia | Social Worker | 205 W 5th Street, Metropolis, IL 62960 | 2019-02-13 |
| 1407251622 | Massac County Surgery Center LLC | Clinic/Center | 1811 E 5th St, Metropolis, IL 62960 | 2014-10-30 |
| 1750535761 | Robert Hays Bryan | Dentist | 805 Market St., Metropolis, IL 62960 | 2008-11-05 |
| 1518144682 | Rebecca Louise Mcquage | Counselor | 206 West 5th St, Metropolis, IL 62960 | 2008-01-30 |
| 1154640902 | Syed S Kazmi | Family Medicine | 12 Hospital Drive, Metropolis, IL 62960 | 2007-04-20 |
| 1083736680 | Bharat K Patel Sc | Internal Medicine | 12 Hospital Dr., Memorial Heights, Metropolis, IL 62960 | 2007-04-04 |
| 1467594747 | Peggy Sue Legereit | Speech-Language Pathologist | 3037 Lakeview Dr, Metropolis, IL 62960 | 2007-02-13 |
| 1821150475 | Ruth E Johnson | Counselor | 206 West 5th, Metropolis, IL 62960 | 2006-12-13 |
| 1720140379 | James Allen Haley | Counselor | 206 West 5th Street, Metropolis, IL 62960 | 2006-12-13 |
| 1659432185 | Gary T Brush | Optometrist | 1801 E 5th Street, Metropolis, IL 62960 | 2006-12-12 |
| Find all providers in zip 62960 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760715 | Michael James Doolin | Emergency Medicine | 1338 S Clinton St, Chicago, IL 60607-5037 | 2019-09-24 |
| 1578091971 | The Board of Trustee for The University of Illinois | Emergency Medicine | 10000 West O'hare, Terminal 2, Chicago, IL 60660-0508 | 2017-05-30 |
| 1669712808 | Kathryn Theresa Pajak | Emergency Medicine | 5659 S Oak Park Ave, Chicago, IL 60638-3227 | 2013-02-26 |
| 1174832976 | Craig William Dean | Emergency Medicine | 155 N Harbor Dr Apt 309, Chicago, IL 60601-7386 | 2010-09-28 |
| 1770809881 | King, Ltd | Emergency Medicine | 9332 S Vanderpoel Ave, Chicago, IL 60643-5852 | 2010-04-14 |
| 1306098231 | Robert Dietz Tetik | Emergency Medicine | 2272 95th St Ste 106, Naperville, IL 60564-8942 | 2008-10-22 |
| 1831384643 | Primus Trauma Care LLC | Emergency Medicine | 1304 Franklin Avenue, Normal, IL 61761 | 2007-09-14 |
| 1245355411 | Pekin Memorial Hospital | Emergency Medicine | 600 So 13th Street, Pekin, IL 61554-4969 | 2007-03-20 |
| 1396879268 | Nanci A Cherry | Emergency Medicine | 7419 Bell Harbour Dr, Rockford, IL 61114-6600 | 2007-03-15 |
| 1972609782 | Jennifer Lynn Webb | Emergency Medicine | 15730 Robert Louis Dr, Plainfield, IL 60544-2146 | 2006-09-16 |
| Find all providers with the same taxonomy | ||||
| City | METROPOLIS |
| Zip Code | 62960 |
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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.