WESTERN DUPAGE OB/GYN (NPI# 1831475466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831475466 |
| Entity Type | Organization |
| Organization Name | WESTERN DUPAGE OB/GYN |
| Practice Address |
3800 Highland Ave Downers Grove IL 60515-1557 |
| Mailing Address |
609 Rebecca Ln Bolingbrook IL 60440-4859 |
| Practice Telephone | 6308100777 |
| Mailing Telephone | 6303925025 |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |
| Authorized Official Name | DANIELLE MARIE EVERETT (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 6308100777 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN DUPAGE OB/GYN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085004210 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3800 HIGHLAND AVE |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167168 | Todd Arthur Robert | Optometrist | 3800 Highland Ave, Ste. 100, Downers Grove, IL 60515-1557 | 2005-07-08 |
| 1285024281 | Sara Banuelos D.d.s Sc | Dentist | 3800 Highland Ave, Suite 108, Downers Grove, IL 60515-1557 | 2015-01-28 |
| 1316353881 | Midwest Plastic Surgery Institute, Inc. | Plastic Surgery | 3800 Highland Ave, Suite 106, Downers Grove, IL 60515-1557 | 2014-07-06 |
| 1043566870 | Hardesty Eye Care Associates LLC | Optometrist | 3800 Highland Ave, Suite 100, Downers Grove, IL 60515-1557 | 2012-07-30 |
| 1700018710 | Downers Grove Geriatrics LLC | Internal Medicine | 3800 Highland Ave, Suite 111, Downers Grove, IL 60515-1557 | 2009-08-10 |
| 1295997104 | Louis Raymond A Jison | Optometrist | 3800 Highland Ave, Downers Grove, IL 60515-1557 | 2008-07-01 |
| 1487841904 | Harold Jaimes, M.d., S.c. | Internal Medicine | 3800 Highland Ave, Suite 111, Downers Grove, IL 60515-1557 | 2007-09-28 |
| 1477632818 | Ronald Clyde Freeman | Dentist | 3800 Highland Ave, Suite #109, Downers Grove, IL 60515-1557 | 2006-11-05 |
| 1740274851 | Margaret Anne Supple | Pediatrics | 3800 Highland Ave, Suite 104, Downers Grove, IL 60515-1557 | 2005-09-02 |
| 1063410033 | Linda S Weil | Optometrist | 3800 Highland Ave, Ste. 100, Downers Grove, IL 60515-1557 | 2005-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669955936 | Olivia Schultz | Physician Assistant | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2018-09-12 |
| 1255799839 | Midwestern University | Physician Assistant | 555 31st St, Downers Grove, IL 60515-1235 | 2016-02-10 |
| 1417069709 | Diane Briley Foster | Physician Assistant | 3825 Highland Ave, Suite 203, Downers Grove, IL 60515-1552 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
Please comment or provide details below to improve the information on WESTERN DUPAGE OB/GYN.
| 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.