HEART OF ILLINOIS OBSTETRICS AND GYNECOLOGY, S.C. (NPI# 1942592118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942592118 |
| Entity Type | Organization |
| Organization Name | HEART OF ILLINOIS OBSTETRICS AND GYNECOLOGY, S.C. |
| Other Organization Name | HAROLD A. NORD OBSTETRICS AND GYNECOLOGY, S.C. |
| Practice Address |
1302 Franklin Ave Ste 2800 Normal IL 61761-6526 |
| Practice Telephone | 3094543456 |
| Practice Fax Number | 3094546977 |
| Mailing Telephone | 3094543456 |
| Mailing Fax Number | 3094546977 |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | JOSEPH DALTON (CHIEF OPERATIONS MANAGER) |
| Authorized Official Telephone | 3094543456 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036068939 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 557210 | 01 | |
| HEALTH ALLIANCE | 004750 | 01 | |
| IL | ABIGAIL CERVANTES NPI | 1255700316 | 01 |
| IL | 036068939 | 05 | |
| HAROLD NORD INDIVIDUAL NPI | 1548206519 | 01 | |
| GENEVA A. PETERSEN NPI | 1750321667 | 01 |
| Other Name | Type Code |
|---|---|
| Harold A. Nord Obstetrics and Gynecology, S.C. | Former Legal Business Name - Organization |
| Street Address |
1302 FRANKLIN AVE STE 2800 |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-6526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750321667 | Geneva A. Petersen | Nurse Practitioner | 1302 Franklin Ave Ste 2800, Normal, IL 61761-6526 | 2006-06-08 |
| 1659632958 | Rachel Maxwell | Nurse Practitioner | 1302 Franklin Ave Ste 2800, Normal, IL 61761 | 2012-06-04 |
| 1235360199 | Rachel Marie Hatfield Dalton | Obstetrics & Gynecology | 1302 Franklin Ave Ste 2800, Normal, IL 61761-6526 | 2009-07-27 |
| 1093956815 | Jared K Zotz | Obstetrics & Gynecology | 1302 Franklin Ave Ste 2800, Normal, IL 61761 | 2009-03-09 |
| 1700042959 | Angela Therese Klein | Nurse Practitioner | 1302 Franklin Ave Ste 2800, Normal, IL 61761-6526 | 2008-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162210 | Clair L Casagrande | Obstetrics & Gynecology | 1300 Franklin Ave Ste 330, Normal, IL 61761-4204 | 2020-10-23 |
| 1134398225 | Susan Svientek, Md, Sc | Obstetrics & Gynecology | 1302 Franklin Avenue Suite, Suite 2200, Normal, IL 61761-6500 | 2008-02-22 |
| 1669506812 | Patricia I Ristic | Obstetrics & Gynecology | 1300 Franklin Ave 270, Normal, IL 61761-3691 | 2007-03-16 |
| 1619974227 | Nona P Fulk | Obstetrics & Gynecology | 1300 Franklin Ave Ste 360, Normal, IL 61761-4204 | 2005-06-29 |
| 1184913881 | Premier Medical Group, LLC | Obstetrics & Gynecology | 1300 Franklin Ave, Suite 360, Normal, IL 61761-3592 | 2011-04-04 |
| 1982903670 | Premier Medical Group, LLC | Obstetrics & Gynecology | 1300 Franklin Ave, Suite 270, Normal, IL 61761-3592 | 2011-03-21 |
| 1063745883 | Nona Fulk, M.d., S.c. | Obstetrics & Gynecology | 1300 Franklin Ave, Suite 360, Normal, IL 61761-3592 | 2009-09-11 |
| 1568694594 | Galvan Ob/gyn & Associates LLC | Obstetrics & Gynecology | 1300 Franklin Ave, Suite 330, Normal, IL 61761-3592 | 2009-08-08 |
| 1235360199 | Rachel Marie Hatfield Dalton | Obstetrics & Gynecology | 1302 Franklin Ave Ste 2800, Normal, IL 61761-6526 | 2009-07-27 |
| 1093956815 | Jared K Zotz | Obstetrics & Gynecology | 1302 Franklin Ave Ste 2800, Normal, IL 61761 | 2009-03-09 |
| Find all providers in NORMAL | ||||
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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.