KRISTIN EGAN (NPI# 1962711184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962711184 |
| Entity Type | Individual |
| Full Name | KRISTIN EGAN |
| Practice Address |
10124 S Kedzie Ave Evergreen Park IL 60805-3738 |
| Mailing Address |
8944 S 87th Ave Hickory Hills IL 60457-1773 |
| Practice Telephone | 7086369200 |
| Mailing Telephone | 7086913989 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 160005547 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437602828 | Kristin M Egan | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2016-08-02 |
| 1669500302 | Kristin Egan | Otolaryngology | 2809 N Sepulveda Blvd, Manhattan Beach, CA 90266-2727 | 2007-03-02 |
| Street Address |
10124 S KEDZIE AVE |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023099819 | Evergreen Healthcare Center, LLC | Skilled Nursing Facility | 10124 S Kedzie Ave, Evergreen Park, IL 60805-3738 | 2005-11-08 |
| 1316440761 | Roberto Luis Siller | Occupational Therapist | 10124 S Kedzie Ave, Evergreen Park, IL 60805-3738 | 2018-03-12 |
| 1538500996 | Evergreen Living & Rehab Center LLC | Skilled Nursing Facility | 10124 S Kedzie Ave, Evergreen Park, IL 60805-3738 | 2013-07-15 |
| 1811014731 | Ken Robinson | Physical Therapist | 10124 S Kedzie Ave, Evergreen Park, IL 60805-3738 | 2007-03-24 |
| 1710004627 | Mansoor Kamal Sikander | Physical Therapy Assistant | 10124 S Kedzie Ave, Evergreen Park, IL 60805-3738 | 2007-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679547079 | George Charuk | Physical Medicine & Rehabilitation | 2940 W 95th St, Evergreen Park, IL 60805-2408 | 2006-02-14 |
| 1689734139 | Timothy Putnam, M.d., S.c. | Physical Medicine & Rehabilitation | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2006-12-12 |
| 1013020544 | Timothy D Putnam | Physical Medicine & Rehabilitation | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023982 | Tabitha Lyn Ganske | Physical Medicine & Rehabilitation | 27 Auerbach Pl, Glen Carbon, IL 62034-1596 | 2020-11-06 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1316569064 | Boss Povieng | Physical Medicine & Rehabilitation | 1620 W Harrison St Ste 403, Chicago, IL 60612-3801 | 2020-05-15 |
| 1265052781 | Nomad Enterprises | Physical Medicine & Rehabilitation | 5100 Forest Ave Unit 208, Downers Grove, IL 60515-4855 | 2020-04-24 |
| 1205488590 | Michelle E Roberts | Physical Medicine & Rehabilitation | 225 S Sangamon St Ste 1, Chicago, IL 60607-5167 | 2019-07-16 |
| 1104487289 | Ping Wang | Physical Medicine & Rehabilitation | 2320 Kalamazoo Dr, Naperville, IL 60565-6327 | 2019-06-27 |
| 1255999744 | Neil Dominic Seno Villarosa | Physical Medicine & Rehabilitation | 7313 Woodward Ave Apt 301, Woodridge, IL 60517-2549 | 2019-05-30 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1053873513 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N Convent St Ste 1000, Bourbonnais, IL 60914-1497 | 2019-04-03 |
| 1609335942 | Urlacherehab | Physical Medicine & Rehabilitation | 141 N Maple St, Palatine, IL 60067-4910 | 2019-03-16 |
| Find all providers with the same taxonomy | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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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.