MARY MCKIMMON (NPI# 1841810389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841810389 |
| Entity Type | Individual |
| Full Name | MARY MCKIMMON |
| Credential | RDMS |
| Practice Address |
2250 W Berteau Ave Chicago IL 60618-2940 |
| Practice Telephone | 3124017706 |
| Mailing Telephone | 3124017706 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
240243 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2250 W BERTEAU AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568976892 | First Look Imaging Inc | Radiology | 3647 N Newland Ave, Chicago, IL 60634-2373 | 2017-11-22 |
| 1972639953 | Rudy E Sabbagha | Radiology | 680 N Lake Shore Dr Ste 1430, Chicago, IL 60611-8702 | 2007-02-26 |
| 1902806649 | Michael Applebaum | Radiology | 845 N Michigan Ave, Suite 935 East, Chicago, IL 60611-2252 | 2005-07-22 |
| 1114549631 | Brice Stettler | Radiology | 225 E Chicago Ave, Chicago, IL 60611 | 2020-05-07 |
| 1003043837 | Benjamin Jordan Meyer | Radiology | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2009-06-19 |
| 1851429054 | Obstetric & Gynecologic Ultrasound. | Radiology | 680 N Lake Shore Dr, Suite 1430, Chicago, IL 60611-4546 | 2007-03-01 |
| 1104953017 | Souma Diagnostics, Ltd | Radiology | 680 N Lake Shore Dr, Suite 1429, Chicago, IL 60611-4546 | 2007-02-27 |
| 1952456956 | Snz Diagnostics Inc | Radiology | 1544 W Chicago Ave, Chicago, IL 60622 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461783 | Illinois Mobile Imaging Inc | Radiology | 16170 Quail Ct, Orland Hills, IL 60487-5992 | 2020-09-13 |
| 1609498245 | Elizabeth Katherine Stoltz | Radiology | 1126 14th Ave, Fulton, IL 61252-1139 | 2020-05-16 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1952942039 | Intuitive Care Group | Radiology | 277 Boston St, Chicago Heights, IL 60411-4026 | 2019-09-30 |
| 1023575438 | Img Sound LLC | Radiology | 1363 Shermer Rd Ste 214, Northbrook, IL 60062-4575 | 2019-02-22 |
| 1659737401 | Dunne Medical Ltd. | Radiology | 888 S Kirk Ave, Elmhurst, IL 60126-5111 | 2016-01-10 |
| 1043641715 | Open Mri of Elk Grove, LLC | Radiology | 134 Biesterfield Rd, Elk Grove Village, IL 60007-3657 | 2013-12-06 |
| 1760725519 | Globus Group, Inc | Radiology | 752 S Parkside Dr, Round Lake, IL 60073-4260 | 2013-03-30 |
| 1588925143 | Advance Ultrasounds Ltd | Radiology | 2516 Oasis Dr, Plainfield, IL 60586-9849 | 2012-05-30 |
| 1851529473 | Thomas A. Cybulski | Radiology | 5012 Switchgrass Lane, Naperville, IL 60564 | 2009-06-23 |
| Find all providers with the same taxonomy | ||||
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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.