PROGRESSIVE FAMILY HEALTH (NPI# 1942425517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942425517 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE FAMILY HEALTH |
| Practice Address |
1110 Arbor Dr Suite D Decatur IL 62526-9285 |
| Practice Telephone | 2178759995 |
| Mailing Telephone | 2178759995 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-28 |
| Authorized Official Name | KEVIN KROL (PRESIDENT) |
| Authorized Official Telephone | 2178759995 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 207Q00000X | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 05822882 | 01 |
| Street Address |
1110 ARBOR DR SUITE D |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-9285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598867707 | Mark David Scott | Family Medicine | 1110 Arbor Dr, Suite D, Decatur, IL 62526-9285 | 2006-09-01 |
| 1689117640 | Abc Counseling and Family Services | Community/Behavioral Health | 1110 Arbor Dr, Ste C, Decatur, IL 62526-9285 | 2016-11-23 |
| 1881147379 | Kyle Marc Kovski | Counselor | 1110 Arbor Dr, Suite A, Decatur, IL 62526-9285 | 2016-08-01 |
| 1972966893 | Guardian Headache and Pain Managment | Pain Medicine | 1110 Arbor Dr, Ste B, Decatur, IL 62526-9285 | 2016-03-29 |
| 1639418676 | Abc Counseling & Family Services | Counselor | 1110 Arbor Dr, Ste A, Decatur, IL 62526-9285 | 2013-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891975470 | Metro Vascular, P.C. | Legal Medicine | 2675 N Decatur Rd Ste 210, Suite 210, Decatur, GA 30033-6132 | 2007-11-12 |
| 1548672512 | Bj Med Clinic LLC | Legal Medicine | 1867 Lawrenceville Hwy, Decatur, GA 30033-5729 | 2014-05-27 |
| 1265844468 | Bj Med Clinic LLC | Legal Medicine | 1867 Lawrenceville Hwy, Decatur, GA 30033-5729 | 2014-05-22 |
| 1053543215 | Anthony O Amiewalan Md, Sc | Legal Medicine | 1750 E Lake Shore Dr, Suite 320, Decatur, IL 62521-3803 | 2009-08-20 |
| 1356591937 | Ob/gyn Women Specialists of Georgia, PC | Legal Medicine | 3951 Snapfinger Pkwy, Suite 350, Decatur, GA 30035-3202 | 2008-09-19 |
| 1538343439 | Total Health Medical Center Corporation | Legal Medicine | 4153 Flat Shoals Pkwy, Bldg A, Ste 104, Decatur, GA 30034-1680 | 2007-12-27 |
| 1558400150 | Macon County Medical Associates, P.C. | Legal Medicine | 2981 N Main St, Decatur, IL 62526-3259 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063962066 | Champaign County Coroner | Legal Medicine | 202 Art Bartell Rd, Urbana, IL 61802-2889 | 2016-10-13 |
| 1013356278 | Malgorzata K. Barnas | Legal Medicine | 4713 N New England Ave, Harwood Heights, IL 60706-3911 | 2013-06-20 |
| 1487923330 | Albert George Mitsos | Legal Medicine | 5675 Port Clinton Rd, Long Grove, IL 60047-5059 | 2011-12-22 |
| 1467737882 | North Shore Pediatrics | Legal Medicine | 9933 Lawler Ave Ste 305, Skokie, IL 60077-3713 | 2011-10-17 |
| 1992934673 | Remegio M Vilbar Mdsc | Legal Medicine | 1431 N Western Ave Ste 202, Chicago, IL 60622-7712 | 2009-07-02 |
| 1467669200 | Chicago North Medical Partnership | Legal Medicine | 5308 N Broadway St, Chicago, IL 60640-2312 | 2007-05-17 |
| 1730306358 | Shanmugavelayutham Ramasamy | Legal Medicine | 7933 Oakview Ln, Woodridge, IL 60517-3742 | 2007-04-18 |
| 1023231289 | Willowbrook Medical Center Ltd. | Legal Medicine | 535 Plainfield Road, Suite C, Willowbrook, IL 60527 | 2007-04-10 |
| 1508983651 | Ann M Bova | Legal Medicine | 907 Clock Tower Dr, Springfield, IL 62704-6023 | 2007-03-23 |
| 1669518163 | Ghulam J. Dhar | Legal Medicine | 404 Sherwood Rd, La Grange Park, IL 60526-1968 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PROGRESSIVE FAMILY HEALTH.
| 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.