JULIA RACKLEY PERRY MEMORIAL HOSPITAL (NPI# 1952877243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952877243 |
| Entity Type | Organization |
| Organization Name | JULIA RACKLEY PERRY MEMORIAL HOSPITAL |
| Other Organization Name | PERRY MEMORIAL PODIATRY CLINIC |
| Practice Address |
530 Park Ave E Ste 303 Princeton IL 61356-3903 |
| Mailing Address |
530 Park Ave E Princeton IL 61356-3901 |
| Practice Telephone | 8158723034 |
| Practice Fax Number | 8158723019 |
| Mailing Telephone | 8158764419 |
| Mailing Fax Number | 8158764455 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | JEAN WELTE (MEDICAL STAFF SERVICES COORDINATOR) |
| Authorized Official Telephone | 8158762293 |
| Is Organization Subpart | Y |
| Parent Organization Name | JULIA RACKLEY PERRY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Perry Memorial Podiatry Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932610110 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 530 Park Ave E Fl 3, Princeton, IL 61356-3901 | 2017-10-16 |
| 1578083051 | Julia Rackley Perry Memorial Hospital | Surgery | 530 Park Ave E Ste 205, Princeton, IL 61356-3902 | 2017-06-26 |
| 1629598602 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 327 Edward St, Henry, IL 61537-1539 | 2017-06-21 |
| 1033649967 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 105 N Main St Ste 1, Walnut, IL 61376-9707 | 2017-06-13 |
| 1124021308 | Julia Rackley Perry Memorial Hospital | General Acute Care Hospital | 530 Park Ave E, Princeton, IL 61356-3901 | 2005-05-23 |
| 1134695422 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 327 Edward St, Henry, IL 61537-1539 | 2018-10-15 |
| 1043786338 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 105 N Main St Ste 1, Walnut, IL 61376-9707 | 2018-10-15 |
| 1699229823 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 2128 N Main St, Princeton, IL 61356-9728 | 2016-08-04 |
| 1326408204 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 2128 N Main St, Princeton, IL 61356-9728 | 2016-03-04 |
| 1578922050 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 535 Park Ave E, Princeton, IL 61356-3901 | 2016-02-12 |
| Street Address |
530 PARK AVE E STE 303 |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417986001 | Mark Wayne Williams Sr. | Surgery | 530 Park Ave E Ste 303, Princeton, IL 61356-3903 | 2006-07-03 |
| 1124470745 | Amanda Mcguire | Podiatrist | 530 Park Ave E Ste 303, Princeton, IL 61356-3903 | 2016-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
| 1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
| 1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
| Find all providers in zip 61356 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399509 | G3 Medical LLC | Clinic/Center | 8751 S Greenwood Ave Ste 100, Chicago, IL 60619-7051 | 2020-08-31 |
| 1528610771 | Young Foot and Ankle | Clinic/Center | 1932 W Crystal St # 1, Chicago, IL 60622-3132 | 2019-07-09 |
| 1639455470 | Prairie Path Podiatry, P.C. | Clinic/Center | 4 S 6th St, Geneva, IL 60134-2163 | 2011-10-25 |
| 1902194673 | Ambulatory Medical Ltd | Clinic/Center | 24103 W Lockport St Ste 103, Suite 103, Plainfield, IL 60544-1722 | 2011-07-15 |
| 1194043539 | True Care Foot and Ankle Institute PC | Clinic/Center | 9500 W Lincoln Hwy, Unit 6, Frankfort, IL 60423-1939 | 2010-05-10 |
| 1528205168 | Associated Foot Surgeons of Joliet Ltd | Clinic/Center | 2204 Weber Road, Crest Hill, IL 60403 | 2009-01-20 |
| 1346407301 | Berwyn Foot & Ankle Center | Clinic/Center | 3100 South Oak Park Ave, Berwyn, IL 60402-3031 | 2008-05-19 |
| 1639343049 | The Medical & Surgical Center of Illinois | Clinic/Center | 3818 Nottingham Dr, Long Grove, IL 60047-5240 | 2008-04-16 |
| 1245415850 | Brookfield Podiatry Center | Clinic/Center | 14 S. Addison Street, Bensenville, IL 60106 | 2008-01-02 |
| 1700099868 | Dr. David F. Bowers P.C. | Clinic/Center | 2100 N Us Highway 12, Ste 201, Spring Grove, IL 60081-8308 | 2007-05-07 |
| 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.