MARY GRETCHEN O CONNOR (NPI# 1861941346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861941346 |
| Entity Type | Individual |
| Full Name | MARY GRETCHEN O CONNOR |
| Credential | PT |
| Practice Address |
997 N Corporate Cir Grayslake IL 60030-7822 |
| Practice Telephone | 8472238001 |
| Mailing Telephone | 8472238001 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
070.019894 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
997 N CORPORATE CIR |
| City | GRAYSLAKE |
| State | IL |
| Zip Code | 60030-7822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750412474 | Sheila A. Taylor | Physical Therapist | 997 N Corporate Cir, Grayslake, IL 60030-7822 | 2007-03-07 |
| 1326426248 | Nancy Lambert | Dietitian, Registered | 997 N Corporate Cir, Grayslake, IL 60030-7822 | 2015-05-12 |
| 1669869251 | Kathy Smith | Counselor | 997 N Corporate Cir, Grayslake, IL 60030-7822 | 2015-04-21 |
| 1619364502 | Amie Pathmann | Counselor | 997 N Corporate Cir, Grayslake, IL 60030-7822 | 2015-04-19 |
| 1619370590 | Heather Scott | Counselor | 997 N Corporate Cir, Grayslake, IL 60030-7822 | 2014-10-06 |
| 1437562162 | Sandra Schmidt | Dietitian, Registered | 997 N Corporate Cir, Grayslake, IL 60030-7822 | 2014-06-10 |
| 1174953012 | Lisa Lucchese | Counselor | 997 N Corporate Cir, Grayslake, IL 60030-7822 | 2013-11-13 |
| 1982726683 | Grayslake Rehabilitation and Complete Physical Therapy LLC | Clinic/Center | 997 N Corporate Cir, Grayslake, IL 60030-7822 | 2007-04-04 |
| 1417073180 | Grace Tivnan Whiteford | Dietitian, Registered | 997 N Corporate Cir, Grayslake, IL 60030-7822 | 2007-03-22 |
| 1790816429 | Robin K Erker | Physical Therapist | 997 N Corporate Cir, Grayslake, IL 60030-7822 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393781 | Camelot Care Centers, LLC | Clinic/Center | 34121 North Route 45 Suite 207, Grayslake, IL 60030 | 2020-10-13 |
| 1992347892 | Pier London | Social Worker | 18640 Belivdere Rd., Grayslake, IL 60030 | 2019-10-11 |
| 1972156529 | Elizabeth Reeve | Counselor | 18640 Belvidere, Grayslake, IL 60030 | 2019-07-23 |
| 1144725987 | Michael Kraft | Family Medicine | 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 | 2018-03-26 |
| 1255850780 | Megan B March | Speech-Language Pathologist | 33089 N Battershall Rd, Grayslake, IL 60030 | 2017-09-15 |
| 1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
| 1184163628 | Surprenant Chiropractic LLC | Clinic/Center | 1227 N Illinois Route 83, Suite A, Grayslake, IL 60030 | 2017-02-16 |
| 1700230976 | Camelot Care Centers, LLC. | Foster Care Agency | 34121 North Route 45, Suite 207, Grayslake, IL 60030 | 2016-04-14 |
| 1932560414 | Vital Therapeutics Inc | Physical Therapist | 34121 N Us 45, Suite 101, Grayslake, IL 60030 | 2016-03-11 |
| 1093175804 | Zigma Visiting Physician, LLC | General Practice | 4 N Deer Point Dr, 1002, Hainesville, IL 60030 | 2016-03-07 |
| Find all providers in zip 60030 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790816429 | Robin K Erker | Physical Therapist | 997 N Corporate Cir, Grayslake, IL 60030-7822 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310247 | Direct Mobile Pt and Wellness, LLC | Physical Therapist | 0n553 Dorchester Ave, Wheaton, IL 60187-1709 | 2020-09-14 |
| 1285259507 | Sheila Valencia Punzalan | Physical Therapist | 7825 Crawford Ave, Skokie, IL 60076-3609 | 2020-06-11 |
| 1912471913 | Heidi Moyer | Physical Therapist | 665 W North Ave Ste 500, Lombard, IL 60148-1135 | 2019-01-14 |
| 1801362314 | Eric John Grahn | Physical Therapist | 655 White Oak Way, Yorkville, IL 60560-9581 | 2018-10-23 |
| 1588139141 | Marc Brown | Physical Therapist | 930 Monroe St, Galesburg, IL 61401-2538 | 2018-10-10 |
| 1215388244 | Shefali Chandnani | Physical Therapist | 332 Veneto, Bloomingdale, IL 60108-1036 | 2016-06-30 |
| 1154777373 | Tejaswini Savarkar | Physical Therapist | 1412 Frenchmans Bend Dr, Naperville, IL 60564-9714 | 2016-05-06 |
| 1760879969 | Joseph Albert De Mesa Montemayor | Physical Therapist | 3639 N Ottawa Ave, Unit 2, Chicago, IL 60634-3108 | 2015-04-25 |
| 1740686229 | Cynthia Valaitis | Physical Therapist | 17 Ottawa Ct, Oswego, IL 60543-9165 | 2014-11-11 |
| 1538563671 | Jigeeh Mantujac | Physical Therapist | 4559 Imperial Dr, 3e, Richton Park, IL 60471-2437 | 2014-10-17 |
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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.