PROGRESSIVE MEDICAL CENTER SC (NPI# 1851464549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851464549 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE MEDICAL CENTER SC |
| Practice Address |
229 W Grand Ave Suite R Bensenville IL 60106-3399 |
| Mailing Address |
229 W Grand Avenue Suite R Bensenville IL 60106-3365 |
| Practice Telephone | 6302389235 |
| Practice Fax Number | 6302380426 |
| Mailing Telephone | 6302389235 |
| Mailing Fax Number | 6302380426 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2011-04-07 |
| Authorized Official Name | GABRIELA HENRIQUEZ (OFFICE MANAGER) |
| Authorized Official Telephone | 6302389235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036103673 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 036078267 | IL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 036087152 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS GROUP NUMBER | 02205538 | 01 |
| IL | 036087152 | 05 | |
| IL | 036078267 | 05 | |
| IL | 036109448 | 05 | |
| IL | 036103673 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629128319 | Progressive Medical Center Sc | Family Medicine | 414 W Lake Street, Addison, IL 60101 | 2007-01-12 |
| Street Address |
229 W GRAND AVE SUITE R |
| City | BENSENVILLE |
| State | IL |
| Zip Code | 60106-3399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205385614 | Legacy Medical Care Inc | Clinic/Center | 229 W Grand Ave, Suite T, Bensenville, IL 60106-3399 | 2016-09-26 |
| 1982991980 | Mary Burgos | Optometrist | 229 W Grand Ave, Suite Qw, Bensenville, IL 60106-3399 | 2011-06-29 |
| 1134349889 | Cary Glenn Blumberg | Dentist | 229 W Grand Ave, Suite W, Bensenville, IL 60106-3399 | 2007-04-26 |
| 1124143789 | Bensenville Surgical Suite | Clinic/Center | 229 W Grand Ave, Suite R, Bensenville, IL 60106-3399 | 2007-03-20 |
| 1205962602 | Progressive Pharmacy | Pharmacy | 229 W Grand Ave, Unit V, Bensenville, IL 60106-3399 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1679941942 | Sarah Glawe | Physical Therapist | 460 W Irving Park Rd Ste G, Bensenville, IL 60106 | 2015-09-03 |
| 1235538539 | Manu Simon | Pharmacist | 871 Il 83, Bensenville, IL 60106 | 2014-08-22 |
| 1053619916 | Jill C. Mcmahon Dmd, PC | Dentist | 241 S Church Rd, Bensenville, IL 60106 | 2011-03-02 |
| 1821309055 | Monika Claire Robinett | Speech-Language Pathologist | 1000 W. Green Street, Fenton High School, Bensenville, IL 60106 | 2010-06-22 |
| 1245415850 | Brookfield Podiatry Center | Clinic/Center | 14 S. Addison Street, Bensenville, IL 60106 | 2008-01-02 |
| 1861614778 | Nancy E Baarman | Physical Therapist | 1130 Stearns Rd, Bartlett, IL 60106 | 2007-05-02 |
| 1013058379 | Miguel Burgos | Family Medicine | 229 W Grand Avenue, Suite Qw, Bensenville, IL 60106 | 2007-02-09 |
| 1033142484 | Home Medical Express Inc. | Durable Medical Equipment & Medical Supplies | 621 Il Route 83, Suite 101, Bensenville, IL 60106 | 2006-07-09 |
| 1275085003 | Seul Ong Hong | Pharmacist | 871 Illinois Route 83, Bensenville, IL 60106 | 2016-10-27 |
| Find all providers in zip 60106 | ||||
| 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 |
|---|---|---|---|---|
| 1053595934 | Pavana Radhakrishna | Internal Medicine | 110 George St, #400, Bensenville, IL 60106-3193 | 2007-12-27 |
| 1972693059 | Jason Alan Castator | Internal Medicine | 17 S Center St, Bensenville, IL 60106-2129 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002832 | Coleman Clinic, Inc. | Internal Medicine | 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 | 2020-10-29 |
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1447866579 | Jashan Gill | Internal Medicine | 3707 Doty Rd Ste Eandf, Woodstock, IL 60098-7530 | 2020-09-23 |
| 1649884636 | Maria Detolve Donoghue | Internal Medicine | 905 Eldorado St, Winnetka, IL 60093-1951 | 2020-09-07 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1659989937 | Consultant Physicians | Internal Medicine | 580 Bankview Dr, Frankfort, IL 60423-1382 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | BENSENVILLE |
| Zip Code | 60106 |
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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.