TIMOTHY E JESSEN (NPI# 1831165034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831165034 |
| Entity Type | Individual |
| Full Name | TIMOTHY E JESSEN |
| Credential | MD |
| Practice Address |
1010 Fairway Dr Freeport IL 61032-6600 |
| Mailing Address |
421 W Exchange St Po Box 268 Freeport IL 61032-4030 |
| Practice Telephone | 8155996930 |
| Practice Fax Number | 8155997613 |
| Mailing Telephone | 8155997950 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2017-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 036077588 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036077588 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036077588 | 05 |
| Street Address |
1010 FAIRWAY DR |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070933 | Susan K. Rahn | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2005-06-01 |
| 1073163838 | Tamisha Verner | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2019-09-13 |
| 1629628326 | Heather Lutz | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2019-09-13 |
| 1265081681 | Judy Cullor | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2019-09-09 |
| 1336623453 | Jane Addams Community Mental Health Center | Clinic/Center | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2018-09-25 |
| 1003334905 | Madison E Pickard | Physical Therapist | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2017-08-31 |
| 1114449519 | Lynda A Shiro | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2017-07-07 |
| 1699212043 | Timothy Rupnow | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2017-01-24 |
| 1972973238 | Cody Gallagher | Physical Medicine & Rehabilitation | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2015-09-30 |
| 1578993929 | Allyson Wilken | Physical Therapy Assistant | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2013-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in zip 61032 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457337016 | Freeport Regional Health Care Foundation | Allergy & Immunology | 1036 W Stephenson St, Freeport, IL 61032-4865 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649749813 | Thao T Doan | Allergy & Immunology | 523 Sandy Ln, Libertyville, IL 60048-3553 | 2018-11-17 |
| 1275063695 | Chicago Allergy & Asthma, LLC | Allergy & Immunology | 7447 W Talcott Ave Ste 308, Chicago, IL 60631-3714 | 2017-06-18 |
| 1982022810 | Kirk Van Shepard II | Allergy & Immunology | 3000 N Halsted St Ste 400, Chicago, IL 60657-8480 | 2014-03-28 |
| 1790102176 | Jennifer Christine Simonaire | Allergy & Immunology | 908 N Elm St Ste 205, Hinsdale, IL 60521-3637 | 2014-03-24 |
| 1558794446 | Sarah M Boudreau-romano | Allergy & Immunology | 1300 N Lake Shore Dr Apt 3a, Chicago, IL 60610-2157 | 2013-08-14 |
| 1821420209 | Donald Ernest Temple | Allergy & Immunology | 110 E Delaware Pl, Chicago, IL 60611-1481 | 2013-08-07 |
| 1013259647 | Melissa Lee Robinson | Allergy & Immunology | 430 Pennsylvania Ave Ste 220, Glen Ellyn, IL 60137 | 2013-03-21 |
| 1871859645 | Sarah Garon | Allergy & Immunology | 1460 N Halsted St Ste 506, Chicago, IL 60642-2605 | 2012-04-06 |
| 1386919421 | Henry J. Dold | Allergy & Immunology | 1300 Kenilworth Av, Glenview, IL 60025-2204 | 2012-03-21 |
| 1386919538 | Diosdado T Lim | Allergy & Immunology | 7520 W. Ute Ln, Palos Heights, IL 60463-2076 | 2012-03-20 |
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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.