ELMHURST MEMORIAL HEALTHCARE (NPI# 1811057219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811057219 |
Entity Type | Organization |
Organization Name | ELMHURST MEMORIAL HEALTHCARE |
Other Organization Name | ELMHURST CLINIC |
Practice Address |
130 S Main St Lombard IL 60148-2670 |
Mailing Address |
172 E Schiller St Elmhurst IL 60126-2816 |
Practice Telephone | 6309935676 |
Mailing Telephone | 3312216377 |
Mailing Fax Number | 3312212706 |
Enumeration Date | 2006-12-08 |
Last Update Date | 2018-11-08 |
Authorized Official Name | DONALD LURYE (CEO) |
Authorized Official Telephone | 3312219055 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Elmhurst Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093996654 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 Berteau Ave., Elmhurst, IL 60126-2966 | 2007-11-23 |
1134311251 | Elmhurst Memorial Healthcare | Durable Medical Equipment & Medical Supplies | 471 W Army Trail Road, Bloomingdale, IL 60108-2673 | 2007-08-13 |
1063572683 | Elmhurst Memorial Healthcare | Clinic/Center | 236 E Irving Park Rd Ste C, Wood Dale, IL 60191-2020 | 2006-12-12 |
1396006524 | Elmhurst Memorial Healthcare | Chronic Disease Hospital | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2012-06-05 |
1497076392 | Elmhurst Memorial Healthcare | Internal Medicine | 172 E Schiller St, Elmhurst, IL 60126-2816 | 2010-06-15 |
1356661961 | Elmhurst Memorial Healthcare | General Practice | 675 W North Ave, Suite 416, Melrose Park, IL 60160-1634 | 2010-06-04 |
1003046103 | Elmhurst Memorial Healthcare | Durable Medical Equipment & Medical Supplies | 303 W Lake St, Suite 202, Addison, IL 60101-2586 | 2009-07-23 |
1124206081 | Elmhurst Memorial Healthcare | Clinic/Center | 303 W Lake St, Addison, IL 60101-2586 | 2008-02-03 |
1154504702 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-12-06 |
1790968345 | Elmhurst Memorial Healthcare | General Acute Care Hospital | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-12-06 |
Street Address |
130 S MAIN ST |
City | LOMBARD |
State | IL |
Zip Code | 60148-2670 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548512551 | Katherine Ann Becker | Physical Therapist | 130 S Main St, Lombard, IL 60148-2670 | 2012-10-15 |
1750691507 | Janet Marie Moloney | Nurse Practitioner | 130 S Main St, Lombard, IL 60148-2670 | 2010-10-14 |
1093966467 | Elmhurst Emergency Medical Services | Clinic/Center | 130 S Main St, Lombard, IL 60148-2670 | 2008-10-03 |
1750544250 | Daniel Owens | Ophthalmology | 130 S Main St, Suite 303, Lombard, IL 60148-2670 | 2008-07-03 |
1013102086 | Elmhurst Memorial Healthcare | Durable Medical Equipment & Medical Supplies | 130 S Main St, Lombard, IL 60148-2670 | 2007-09-12 |
1285755223 | Endocrinology Associates, S.c. | Internal Medicine | 130 S Main St, Suite 303, Lombard, IL 60148-2670 | 2007-04-03 |
1588708770 | Julie C Klemens | Allergy & Immunology | 130 S Main St, Suite 202, Lombard, IL 60148-2670 | 2007-02-19 |
1831238476 | Karim S. Yunez, M.d.s.c. | Internal Medicine | 130 S Main St, Suite 203, Lombard, IL 60148-2670 | 2007-02-06 |
1710033352 | Suburban Retina Ltd | Ophthalmology | 130 S Main St, Ste 303, Lombard, IL 60148-2670 | 2007-01-26 |
1972662781 | Karim S. Yunez | Internal Medicine | 130 S Main St, Suite 203, Lombard, IL 60148-2670 | 2006-12-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
Find all providers in zip 60148 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
1104460922 | Infinite Care Home Physicians LLC | Clinic/Center | 6044 N Nassau Ave, Chicago, IL 60631-2649 | 2019-11-05 |
1962051607 | Wilkes Post Acute Care Inc | Clinic/Center | 400 W 76th St Ste 303, Chicago, IL 60620-1640 | 2019-09-05 |
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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.