ENDOCRINE ASSOCIATES LLC (NPI# 1902979487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902979487 |
| Entity Type | Organization |
| Organization Name | ENDOCRINE ASSOCIATES LLC |
| Practice Address |
520 S Maple Ave Oak Park IL 60304-1022 |
| Mailing Address |
Po Box 378 Orland Park IL 60462-0378 |
| Practice Telephone | 7086605900 |
| Mailing Telephone | 7734333838 |
| Mailing Fax Number | 7083010600 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2009-01-12 |
| Authorized Official Name | JENNIFER CUNNINGHAM (MEMBER) |
| Authorized Official Telephone | 7086605900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | AETNA | 7304353 | 01 |
| IL | BCBS | 01633083 | 01 |
| IL | RAIL ROAD MEDICARE | CK2974 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720670 | Endocrine Associates LLC | Internal Medicine | 115 Technology Dr Unit C101, Trumbull, CT 06611-6300 | 2005-09-13 |
| Street Address |
520 S MAPLE AVE |
| City | OAK PARK |
| State | IL |
| Zip Code | 60304-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538126396 | Daniel M. Kruss | Internal Medicine | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2006-04-27 |
| 1306453527 | Ranya Elkhatib | Nurse Anesthetist, Certified Registered | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-10-01 |
| 1033721873 | Monica Huback | Registered Nurse | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-08-22 |
| 1295344091 | Samantha Gianakas | Dietitian, Registered | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-07-28 |
| 1104435908 | Molly Hodul | Dietitian, Registered | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-07-28 |
| 1942838594 | Alison Jordan | Nurse Practitioner | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-03-30 |
| 1265066518 | Caroline J Salozzo | Dietitian, Registered | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-02-26 |
| 1093348385 | Joyce Heather Brunner | Physical Therapist | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-02-15 |
| 1417410077 | Alexander Michael Lawson | Student in an Organized Health Care Education/Training Program | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2019-04-10 |
| 1578026662 | Ryan Alexander Haaksma | Student in an Organized Health Care Education/Training Program | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2019-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288532 | Kane Physiotherapy, LLC | Physical Therapist | 617 S. Harvey Ave., Oak Park, IL 60304 | 2020-09-08 |
| 1982221909 | Rachel Hunter | Marriage & Family Therapist | 283 Fillmore Street, Oak Park, IL 60304 | 2020-06-26 |
| 1073086211 | Miguel N Reyes Jr. | Behavioral Analyst | 6930 Roosevelt Rd., Oak Park, IL 60304 | 2019-01-10 |
| 1144722687 | Jesus Torres | Behavior Technician | 6930 W Roosevelt Rd, Oak Park, IL 60304 | 2018-03-01 |
| 1184143190 | Ruth Sharel Babcock | Social Worker | 927 S. Kenilworth Ave., Oak Park, IL 60304 | 2017-09-12 |
| 1053832774 | Anna M Bonick | Doula | 528 S. Taylor Ave., Oak Park, IL 60304 | 2017-07-03 |
| 1982968806 | Monica Singhvi | Family Medicine | 610 S Maple Ave Ste 4600, Oak Park, IL 60304 | 2012-06-25 |
| 1588954135 | Rachana Parag Shah | Physical Medicine & Rehabilitation | 610 S. Maple #3420, Oak Park, IL 60304 | 2011-04-17 |
| 1972825818 | Meghan Mcintyre | Counselor | 610 South Maple Avenue, Suite 3400, Oak Park, IL 60304 | 2010-02-19 |
| 1992953954 | Beverly Harrison Dale | Speech-Language Pathologist | 520 S. Maple Ave, Roph, Oak Park, IL 60304 | 2008-09-03 |
| Find all providers in zip 60304 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1841560141 | Rush Oak Park Physicians Group Center for Diabetes and Endocrine | Internal Medicine | 520 S Maple Ave, 3rd Floor, Oak Park, IL 60304-1022 | 2012-01-04 |
| 1639169972 | Vanessa Klugman | Internal Medicine | 1 Erie Ct, Oak Park, IL 60302-2566 | 2005-10-27 |
| 1790771962 | Jennifer Cunningham | Internal Medicine | 1 Erie Ct, Oak Park, IL 60302-2566 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961304 | Wahid Kassar Md Ltd | Internal Medicine | 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 | 2020-04-20 |
| 1245701812 | Chrysalis Health of Il P.C. | Internal Medicine | 402 Gardenia Ln, Buffalo Grove, IL 60089-1661 | 2018-12-07 |
| 1467920124 | Impact Physician Group, Illinois, LLC | Internal Medicine | 115 E South St Ste F, Plano, IL 60545-1595 | 2018-11-10 |
| 1538669510 | Oa Labs Clinic LLC. | Internal Medicine | 6321 Fairview Ave Ste B, Westmont, IL 60559-2886 | 2018-02-16 |
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1356861496 | Javier Alcid Duron Tabora | Internal Medicine | 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 | 2017-06-20 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1780135426 | Endocrine and Metabolic Center Inc | Internal Medicine | 280 Stonegate Rd, Algonquin, IL 60102-5600 | 2016-10-18 |
| 1174975601 | Bilal Shaikh | Internal Medicine | 1750 W Harrison St Ste 250, Chicago, IL 60612 | 2016-07-08 |
| 1316396294 | Melissa Faye Cohen | Internal Medicine | 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 | 2016-06-10 |
| 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.