SERENITY FOOT AND ANKLE SPECIALISTS (NPI# 1922617778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922617778 |
Entity Type | Organization |
Organization Name | SERENITY FOOT AND ANKLE SPECIALISTS |
Practice Address |
5250 Old Orchard Rd Ste 300 Skokie IL 60077-4462 |
Practice Telephone | 7737594336 |
Mailing Telephone | 7737594336 |
Enumeration Date | 2020-07-28 |
Last Update Date | 2020-07-28 |
Authorized Official Name | DR. NOOREEN IBRAHIM (PHYSICIAN) |
Authorized Official Telephone | 7737594336 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
Street Address |
5250 OLD ORCHARD RD STE 300 |
City | SKOKIE |
State | IL |
Zip Code | 60077-4462 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588694707 | Lisa Oldson | Internal Medicine | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2006-07-04 |
1245703206 | Amys Aba Therapy Services | Behavioral Analyst | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2019-01-02 |
1952896581 | Noragishomecare Agency,inc | In Home Supportive Care | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2018-06-26 |
1982199865 | Nonye Iwuh | Respiratory Therapist, Certified | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2018-06-24 |
1467946517 | Jennifer Denise Jackson | Nurse Practitioner | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2018-06-20 |
1275025314 | Integrative Mental Health Services LLC | Counselor | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2018-06-05 |
1285136994 | Julie Anne Leopold | Dietitian, Registered | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2018-03-08 |
1194225235 | Meghan Mulcahy | Registered Nurse | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2018-02-15 |
1740702414 | Lori Ann Turner | Registered Nurse | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2017-07-13 |
1831611029 | Wellchoice, Inc. | Clinic/Center | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2017-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
Find all providers in zip 60077 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
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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.