DR. DEIRDRA GREATHOUSE-WILLIAMS (NPI# 1871549238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871549238 |
| Entity Type | Individual |
| Full Name | DR. DEIRDRA GREATHOUSE-WILLIAMS |
| Credential | MD |
| Practice Address |
1890 Silver Cross Blvd Suite 570 New Lenox IL 60451-9524 |
| Practice Telephone | 8154633700 |
| Practice Fax Number | 8154633701 |
| Mailing Telephone | 8154633700 |
| Mailing Fax Number | 8154633701 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036114405 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 01061341A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036114405 | 05 |
| Street Address |
1890 SILVER CROSS BLVD SUITE 570 |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451-9524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841289691 | Mohammad Ashraf Toor | Internal Medicine | 1890 Silver Cross Blvd, Ste 320, New Lenox, IL 60451-9508 | 2005-10-14 |
| 1194373662 | Alyssa M Monsivais | Advanced Practice Midwife | 1890 Silver Cross Blvd, New Lenox, IL 60451-9524 | 2019-08-28 |
| 1346775574 | Andrew Hatfield | Nurse Practitioner | 1890 Silver Cross Blvd, Suite 570, New Lenox, IL 60451-9524 | 2017-04-25 |
| 1104367655 | Julia Grace Bania | Nurse Practitioner | 1890 Silver Cross Blvd, #210, New Lenox, IL 60451-9524 | 2017-03-16 |
| 1407390743 | Alison Barna | General Acute Care Hospital | 1890 Silver Cross Blvd, New Lenox, IL 60451-9524 | 2016-12-06 |
| 1215479621 | Lisa Abu-samra | Advanced Practice Midwife | 1890 Silver Cross Blvd, New Lenox, IL 60451-9524 | 2016-11-16 |
| 1841746567 | Becky Strilko | Registered Nurse | 1890 Silver Cross Blvd, New Lenox, IL 60451-9524 | 2016-09-01 |
| 1114370517 | Zafer Jawich Md Sc | Clinic/Center | 1890 Silver Cross Blvd, Ste 350, New Lenox, IL 60451-9524 | 2016-07-20 |
| 1154793412 | Forefront Dermatology, S.c. | Dermatology | 1890 Silver Cross Blvd, Suite 505, New Lenox, IL 60451 | 2015-10-27 |
| 1154704104 | Maria Wemple | Physician Assistant | 1890 Silver Cross Blvd, Suite 210, New Lenox, IL 60451-9524 | 2015-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
| 1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
| Find all providers in zip 60451 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386099133 | Omar Akhtar | Family Medicine | 1890 Silver Cross Blvd Ste 275, New Lenox, IL 60451-9528 | 2016-04-29 |
| 1629334305 | Ronald Tupik D O Ltd | Family Medicine | 500 E Maple, Suite 203, New Lenox, IL 60451-2908 | 2012-04-06 |
| 1831362946 | Adam S Cohen-lewe | Family Medicine | 410 E Lincoln Hwy, Ste 251, New Lenox, IL 60451-1975 | 2008-04-09 |
| 1487854006 | C&r Medical Group Sc | Family Medicine | 1890 Silver Cross Blvd Ste 570, New Lenox, IL 60451-9606 | 2007-07-22 |
| 1831243419 | Ronald Edward Tupik | Family Medicine | 500 W Maple Street, Suite 203, New Lenox, IL 60451 | 2007-01-22 |
| 1720160179 | Rajasekhar Kolla | Family Medicine | 100 Batson Ct Ste 204, New Lenox, IL 60451-1571 | 2006-10-19 |
| 1891883773 | Jerome T Daly | Family Medicine | 1890 Silver Cross Blvd Ste 265, New Lenox, IL 60451-9623 | 2006-10-10 |
| 1346346236 | Joan M Covault | Family Medicine | 305 Vine St, New Lenox, IL 60451 | 2006-09-16 |
| 1851323257 | Health Services Systems, Inc | Family Medicine | 1851 Silver Cross Boulevard, Suite 110, New Lenox, IL 60451 | 2006-07-07 |
| 1386615607 | Yousuf Mohammed | Family Medicine | 410 E Lincoln Hwy Ste 251, New Lenox, IL 60451 | 2006-01-27 |
| Find all providers in NEW LENOX | ||||
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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.