Eugene Robinson McNinch Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0009308 Issued in MD

Practice address

3001 6TH St
BLDG 200H / OB/GYN
Great Lakes, IL 60088-2833

Phone

(847) 688-6101

Fax

(847) 688-2732

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013989961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 6TH ST",
            "address_2": "BLDG 200H / OB/GYN",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600882833",
            "telephone_number": "847-688-6101",
            "fax_number": "847-688-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 6TH ST",
            "address_2": "BLDG 200H / OB/GYN",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600882833",
            "telephone_number": "847-688-6101",
            "fax_number": "847-688-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNINCH",
        "first_name": "EUGENE",
        "middle_name": "ROBINSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0009308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latosha Monique Mayes, PHARM.D.
• Matthew Lamar McCoucha, CRNA NURSE ASSISTANT
• Shirley Walley McCullough, MSW
• Michael Edward McGarry, MD
• John Leo McGinley, D.D.S.
• Bradley A Meer, D.D.S
• Elyce Meilstrup, LCSW
• John Franklin Miller, D.D.S.
• Joseph Thomas Minich, OTHER
• Milan Mitrovic, PH.D.

• Specialist in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.