MARYMINA RESPIRATORY MEDICINE, LLC
NPI 1083851174
Internal Medicine - Pulmonary Disease in Washington, IL
- Organization
- Internal Medicine
- Pulmonary Disease
About MARYMINA RESPIRATORY MEDICINE, LLC
This page provides the complete NPI Profile along with additional information for Marymina Respiratory Medicine, Llc, an internist established in Washington, Illinois operating as a Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1083851174 assigned on January 2009. The practitioner's primary taxonomy code is 207RP1001X with license number 025MA069176 (NJ). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Ossama Ikladios M.d. (President)
- NPI
- 1083851174 Verify this NPI
- Provider Name
- MARYMINA RESPIRATORY MEDICINE, LLC
- Entity Type
- Organization
- Location Address
- 1740 SYCAMORE WASHINGTON, IL 61571
- Location Phone
- (309) 360-4879
- Mailing Address
- 1740 SYCAMORE WASHINGTON, IL 61571
- Mailing Phone
- (309) 360-4879
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-12-2009
- Last Update Date
- 07-10-2011
- Code Navigator
An internist like Marymina Respiratory Medicine, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Pulmonary Disease
- Taxonomy Code
- 207RP1001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 025MA069176
- License State
- NJ
- Taxonomy Description
- An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G95025 | MEDICARE UPIN (02) | ||
| 8065403 | MEDICAID (05) | NJ | |
| 027938 | MEDICARE PIN (08) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083851174, enumerated as an "organization" on January 12, 2009.
The provider is located at 1740 SYCAMORE WASHINGTON, IL 61571 and the phone number is (309) 360-4879.
Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
