MARY THERESE UCKERMAN (NPI# 1801809322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801809322 |
Entity Type | Individual |
Full Name | MARY THERESE UCKERMAN |
Credential | MD |
Practice Address |
701 W North Ave Melrose Park IL 60160-1612 |
Practice Telephone | 7086813200 |
Enumeration Date | 2006-08-14 |
Last Update Date | 2011-05-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
036087252 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036087252 | 05 | |
IL | BLUE SHIELD ILLINOIS | 01623819 | 01 |
Street Address |
701 W NORTH AVE |
City | MELROSE PARK |
State | IL |
Zip Code | 60160-1612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831170232 | Gottlieb Memorial Hospital | General Acute Care Hospital | 701 W North Ave, Melrose Park, IL 60160-1612 | 2005-11-11 |
1447889092 | Gottlieb Emergency Physicians LLC | Emergency Medicine | 701 W North Ave, Melrose Park, IL 60160-1612 | 2020-04-06 |
1851930283 | Brian Joseph Iacopelli | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1612 | 2020-01-02 |
1164061594 | Jonathan Bickmann | Registered Nurse | 701 W North Ave, Melrose Park, IL 60160-1612 | 2020-01-02 |
1952940306 | Cory Daniel Ott | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1699 | 2020-01-02 |
1790324226 | Andrew Reichard | Nurse Anesthetist, Certified Registered | 701 W North Ave, Melrose Park, IL 60160-1612 | 2020-01-01 |
1235778200 | Ryan Mcguire | Occupational Therapist | 701 W North Ave, Melrose Park, IL 60160-1612 | 2019-12-23 |
1053962340 | Fabiola Adriana Nava-lopez | Nurse Practitioner | 701 W North Ave, Melrose Park, IL 60160-1699 | 2019-09-27 |
1114581741 | Julie Bartoski | Occupational Therapist | 701 W North Ave, Melrose Park, IL 60160 | 2019-04-29 |
1831660448 | Michael J Sit | Registered Nurse | 701 W North Ave, Melrose Park, IL 60160-1699 | 2018-12-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
Find all providers in zip 60160 |
Taxonomy Code | 207ZP0105X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Clinical Pathology/Laboratory Medicine |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427061936 | Rjm Pathology Consultants Ltd | Pathology | 701 W North Ave, Melrose Park, IL 60160-1612 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
1437272549 | Robert E. Merrick | Pathology | 1633 W Berwyn Ave, Chicago, IL 60640-2005 | 2007-04-06 |
1740201003 | Apl Clinical Pathology | Pathology | 800 E Carpenter, Springfield, IL 62769-0001 | 2006-07-22 |
1235163056 | Renuka Bhaskar | Pathology | 105 Krispy Kreme Dr, Ste 4, Bloomington, IL 61704-3751 | 2006-07-10 |
1881625341 | Winfield Laboratory Consultants, S.c. | Pathology | 25 Winfield Rd, Winfield, IL 60190 | 2006-07-05 |
1790747517 | Anjen Chenn | Pathology | 303 E Chicago Ave, Ward 3-200, Chicago, IL 60611-4296 | 2006-04-05 |
1720063217 | Roy M.y. Nomura | Pathology | 1270 Mercantile Dr, Highland, IL 62249-1256 | 2005-12-07 |
1801880976 | William K Drake | Pathology | 400 Caldwell, Staunton, IL 62088-1173 | 2005-09-06 |
1265433312 | Prairie Pathology and Laboratory Physicians | Pathology | Virginia At Franklin, Bromenn Regional Medical Center, Normal, IL 61761 | 2005-08-10 |
1598111403 | Kyle G Parker | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1447 | 2016-05-10 |
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City | MELROSE PARK |
Zip Code | 60160 |
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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.