A TO Z PEDIATRIC AND YOUTH HEALTHCARE (NPI# 1962728386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962728386 |
| Entity Type | Organization |
| Organization Name | A TO Z PEDIATRIC AND YOUTH HEALTHCARE |
| Other Organization Name | WALTER D PEREZ MD SC |
| Practice Address |
721 W Lake St Suite 202 Addison IL 60101-2035 |
| Practice Telephone | 6307574010 |
| Practice Fax Number | 6307574011 |
| Mailing Telephone | 6307574010 |
| Mailing Fax Number | 6307574011 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | DR. WALTER D PEREZ (PRESIDENT) |
| Authorized Official Telephone | 6307574010 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
042619155 | IL | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036-097752 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 03-6097752 | 05 |
| Other Name | Type Code |
|---|---|
| WALTER D PEREZ MD SC | Former Legal Business Name - Organization |
| Street Address |
721 W LAKE ST SUITE 202 |
| City | ADDISON |
| State | IL |
| Zip Code | 60101-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942344114 | Jill Whelan | Nurse Practitioner | 721 W Lake St, Suite 202, Addison, IL 60101-2035 | 2007-02-19 |
| 1952830200 | Brittney Ann Segoviano | Counselor | 721 W Lake St, Addison, IL 60101-2035 | 2017-06-09 |
| 1376096115 | Kathleen Marie Benson | Nurse Practitioner | 721 W Lake St, Addison, IL 60101-2035 | 2016-07-28 |
| 1538539234 | Natures Wellness Co | Chiropractor | 721 W Lake St, Suite 201, Addison, IL 60101-2035 | 2015-10-07 |
| 1962870543 | Margaret Kwiatkowski | Counselor | 721 W Lake St, Suite 100, Addison, IL 60101-2035 | 2015-09-12 |
| 1083096127 | Amanda Lynn Bose | Chiropractor | 721 W Lake St, Suite 201, Addison, IL 60101-2035 | 2015-06-25 |
| 1275930521 | Behavioral Education and Treatment, Inc. | Community/Behavioral Health | 721 W Lake St, Suite 100, Addison, IL 60101-2035 | 2014-12-02 |
| 1821272659 | Robert A Massopust | Physical Therapist | 721 W Lake St, Suite 110, Addison, IL 60101-2035 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| Find all providers in zip 60101 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477605913 | Grettel C. Donahue | Clinic/Center | 1111 W Lake St, Addison, IL 60101-1101 | 2007-01-17 |
| 1124009360 | Ricardo Martinez, Md, PC | Clinic/Center | 1201 W Army Trail Blvd, Addison, IL 60101-3152 | 2005-11-05 |
| 1730517681 | Midwest Primary Care Associates,ltd | Clinic/Center | 1845 W Army Trail Rd, Addison, IL 60101-1901 | 2013-10-30 |
| 1396085247 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Drive, Suite 1200 West, Addison, TX 75001-4648 | 2013-02-28 |
| 1699027052 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Drive, Suite 1200 West Tower, Addison, TX 75001-4648 | 2012-10-10 |
| 1568710267 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Drive, Suite 1200 West Tower, Addison, TX 75001-4648 | 2012-08-28 |
| 1124380852 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2012-06-08 |
| 1689949117 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2012-03-16 |
| 1730459348 | Concentra Primary Care of Ohio Pa Co | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2012-01-12 |
| 1649540659 | Concentra Primary Care Pa | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2012-01-06 |
| Find all providers in ADDISON | ||||
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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.