DR. CLYDE THOMAS WEBB (NPI# 1811984222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811984222 |
| Entity Type | Individual |
| Full Name | DR. CLYDE THOMAS WEBB |
| Other Name | DR. THOMAS WEBB |
| Credential | MD |
| Practice Address |
303 W Lake St Addison IL 60101 |
| Mailing Address |
172 Schiller Elmhurst IL 60126-2885 |
| Practice Telephone | 3312219001 |
| Mailing Telephone | 3312219001 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2016-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036064806 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ELMCARE | 2391 | 01 |
| AETNA | 4097651 | 01 | |
| IL | 0360648062 | 05 | |
| OWCP | 215791200 | 01 | |
| IL | BCBS | 2215351 | 01 |
| RR MEDICARE | 110132734 | 01 |
| Street Address |
303 W LAKE ST |
| City | ADDISON |
| State | IL |
| Zip Code | 60101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336770239 | Mary Jo Mcdonnell | Counselor | 303 W Lake St, Addison, IL 60101-2586 | 2020-01-29 |
| 1053766840 | Anastasia Munoz | Family Medicine | 303 W Lake St, Suite 200, Addison, IL 60101 | 2016-04-28 |
| 1396127239 | Krunal Patel | Internal Medicine | 303 W Lake St, Suite 200, Addison, IL 60101 | 2015-06-28 |
| 1336576792 | Upgrade Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 303 W Lake St, Addison, IL 60101-2586 | 2013-10-01 |
| 1679836647 | Andrew W Francis | Ophthalmology | 303 W Lake St, Ste 303, Addison, IL 60101-2586 | 2012-06-24 |
| 1003046103 | Elmhurst Memorial Healthcare | Durable Medical Equipment & Medical Supplies | 303 W Lake St, Suite 202, Addison, IL 60101-2586 | 2009-07-23 |
| 1316189343 | Karen Ann Kowalczyk | Nurse Practitioner | 303 W Lake St, Suite 200, Addison, IL 60101 | 2009-04-06 |
| 1225274467 | Elmhurst Memorial Affiliated Primary Care Physicians, LLC | Clinic/Center | 303 W Lake St, Suite 206, Addison, IL 60101-2586 | 2008-12-17 |
| 1265686604 | Minhxuyen Nguyen | Physician Assistant | 303 W Lake St, Suite 200, Addison, IL 60101 | 2008-11-12 |
| 1033368352 | Dale Liaugminas, M.d. S.c. | Specialist | 303 W Lake St, #201, Addison, IL 60101-2586 | 2008-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| Find all providers in zip 60101 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710285143 | Addison Medical Office, Inc | Internal Medicine | 11 N Addison Rd, Addison, IL 60101-3805 | 2011-03-09 |
| 1104002245 | Nitin Kumar | Internal Medicine | 1450 W Lake St, Suite 101, Addison, IL 60101-5767 | 2008-01-18 |
| 1124232384 | Soumya Yemme | Internal Medicine | 14131 Midway Rd Ste 620, Addison, TX 75001-3669 | 2007-05-09 |
| 1144370990 | Rolando Henriquez | Internal Medicine | 1841 W Army Trail Rd, Addison, IL 60101-1901 | 2007-01-12 |
| 1124188081 | Mohammed Musadiq Saeed | Internal Medicine | 276 West Fullerton Avenue, Addison, IL 60101 | 2006-12-11 |
| 1871698316 | Joseph Shaun Murphy | Internal Medicine | 17051 North Dallas Parkway, Suite 150, Addison, TX 75001 | 2006-09-13 |
| 1821107525 | Marguerite Giuliani Wuebker | Internal Medicine | 14632 Windsor Ct, Addison, TX 75001-7974 | 2006-08-29 |
| 1053365577 | Bozena Ewa Scigacz | Internal Medicine | 28 W Lake St, Suite # 2, Addison, IL 60101-2709 | 2006-05-20 |
| 1922095546 | Emmanuel C Linchangco | Internal Medicine | 303 W. Lake St, Addison, IL 60101 | 2005-09-29 |
| 1497750277 | Olubukola David Bolaji | Internal Medicine | 14131 Midway Rd, Suite 620, Addison, TX 75001-3623 | 2005-06-17 |
| Find all providers in ADDISON | ||||
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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.