DR. CARMEL LYNN GOUDZWAARD (NPI# 1851547194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851547194 |
Entity Type | Individual |
Full Name | DR. CARMEL LYNN GOUDZWAARD |
Credential | M.D. |
Practice Address |
25 N. Winfield Rd. Winfield IL 60190-1295 |
Practice Telephone | 6309334700 |
Practice Fax Number | 6309334427 |
Mailing Telephone | 6309334700 |
Mailing Fax Number | 6309334427 |
Enumeration Date | 2008-08-18 |
Last Update Date | 2013-04-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 036123732 | IL | Allopathic & Osteopathic Physicians |
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036123732 | IL | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036123732 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE PTAN (INDIVIDUAL) | 206147112 | 01 |
IL | 036123732 | 05 | |
IL | RAILROAD MEDICARE INDIVIDUAL PTAN | P01144148 | 01 |
IL | MEDICARE PTAN (GROUP) | 206147 | 01 |
Street Address |
25 N. WINFIELD RD. |
City | WINFIELD |
State | IL |
Zip Code | 60190-1295 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700876307 | Barbara Buttin | Obstetrics & Gynecology | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2005-10-25 |
1669713616 | Lindsay Stanek | Nurse Practitioner | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2013-03-14 |
1285911149 | Susan D Clark | Social Worker | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2011-11-07 |
1710261938 | Nicole Renee Rissman | Nurse Practitioner | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2011-10-06 |
1427378413 | Marc Josef Conte-russian | Internal Medicine | 25 N. Winfield Rd., Suite 419, Winfield, IL 60190 | 2010-06-02 |
1366675332 | James Matthew Towne | Internal Medicine | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2009-08-25 |
1215166723 | Alfredo Ceballos Jr. | Anesthesiology | 25 N. Winfield Rd., Dept of Anesthesia, Winfield, IL 60190 | 2009-07-06 |
1891943619 | Isis M Duran | Specialist | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2008-09-04 |
1679754642 | Julia Blaize Wilkinson | Internal Medicine | 25 N. Winfield Rd., Ste 103, Winfield, IL 60190 | 2007-11-19 |
1841498672 | Renato Ripamonti | Radiology | 25 N. Winfield Rd., Winfield, IL 60190 | 2007-07-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
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Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
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 |
---|---|---|---|---|
1770648073 | Benjamin Jason Seides | Internal Medicine | 25 N Winfield Rd Ste 204, Winfield, IL 60190-1222 | 2006-12-27 |
1942472600 | Sanda Vujnic | Internal Medicine | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2008-04-01 |
1891966982 | David Joseph Mcelligott Iv | Internal Medicine | 25 N Winfield Rd, Ste 300, Winfield, IL 60190 | 2008-03-17 |
1841200409 | Stephen Littleton | Internal Medicine | 25 Winfield Road, Winfield, IL 60190 | 2006-08-08 |
1023061116 | Timothy J Mcgee | Internal Medicine | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2006-05-18 |
1700839354 | Linda Lam | Internal Medicine | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2006-05-17 |
1295796217 | Jaime Villanueva | Internal Medicine | 25 N Winfield Rd, Ste 300, Winfield, IL 60190 | 2006-03-29 |
1588630495 | Andrew Korcek | Internal Medicine | 25 N Winfield Road, Ste 300, Winfield, IL 60190 | 2006-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861970626 | Suburban Pulmonary & Critical Care Assoc, Inc | Internal Medicine | 3 Erie Ct Ste 7010, Oak Park, IL 60302-2519 | 2018-08-03 |
1265883441 | Kunal H. Patel | Internal Medicine | 9600 Gross Point Rd. Im/icu Hospitalists, Skokie, IL 60076-1900 | 2016-06-28 |
1760896633 | Zohaib Akhtar | Internal Medicine | 301 S Park Ave, Herrin, IL 62948-3603 | 2014-06-18 |
1699187344 | Said Abuhasna | Internal Medicine | 800 Biesterfield Rd Ste 105, Elk Grove Village, IL 60007-3372 | 2014-05-29 |
1053678755 | Nida Junaid | Internal Medicine | 305 W Jackson St Ste 301, Carbondale, IL 62901-1474 | 2012-04-18 |
1730446998 | Steven Jay Quinn | Internal Medicine | 11900 Southwest Hwy Ste 101, Palos Park, IL 60464 | 2012-04-12 |
1588970933 | Farbod Ghods | Internal Medicine | 5841 S Maryland Ave # Mc6026, Chicago, IL 60637-1447 | 2010-08-24 |
1225340045 | Praveen R. Anegondhi Sudhindra | Internal Medicine | 5401 N Knoxville Ave Ste 412b, Peoria, IL 61614-5082 | 2010-07-09 |
1588984454 | James M Walter | Internal Medicine | 240 East Huron, Mcgaw M-300, Chicago, IL 60611 | 2010-06-02 |
1568789485 | Suleman A Umar | Internal Medicine | 4440 W 95th St Rm 190s, Oak Lawn, IL 60453-2600 | 2010-05-03 |
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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.