Countryview Medical Center SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COUNTRYVIEW MEDICAL CENTER SC

Practice address

6555 S Willow Springs Rd
Countryside, IL 60525

Phone

(708) 482-9700

Fax

(708) 482-0217

NPI assigned

Mar 28, 2006

Last updated

Jul 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Winternheimer, DC

Title

Owner

Phone

(708) 482-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lyubov Shapiro, NP

  • Nurse Practitioner
  • Arlington Heights, IL
  • NPI 1356572697
  Medicare reassignment NPD
• Jinky Alejo

  • Physical Therapist
  • Oak Lawn, IL
  • NPI 1659586824
  NPD (past)
• Katherine Lynn Bendis, D.C.

  • Chiropractor
  • Bloomingdale, IL
  • NPI 1962708172
  NPD (past)
• Dorothy Maria Bondarowicz, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Wood Dale, IL
  • NPI 1881846228
  NPD (past)
• Gerald H Cerniak, M.D.

  • Specialist
  • Mahomet, IL
  • NPI 1932110087
  NPD (past)
• Shankar Das, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1316060965
  NPD (past)
• James A Dean, DC

  • Chiropractor
  • Carol Stream, IL
  • NPI 1871599266
  NPD (past)
• Amy Harmening, PT

  • Physical Therapist
  • Orland Park, IL
  • NPI 1487965745
  NPD (past)
• Theodore B Jefferson, M.D.

  • Family Medicine Physician
  • Mokena, IL
  • NPI 1568495091
  NPD (past)
• Shehwar Khan, MD

  • Family Medicine Physician
  • Morton Grove, IL
  • NPI 1568622744
  NPD (past)
• Kambiz Tony Maghsoudi, D.C.

  • Chiropractor
  • Naperville, IL
  • NPI 1770557134
  NPD (past)
• Yaseen K Odeh, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1457447443
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1285695544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601890700",
            "telephone_number": "708-482-9700",
            "fax_number": "708-482-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 S WILLOW SPRINGS RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "60525",
            "telephone_number": "708-482-9700",
            "fax_number": "708-482-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYVIEW MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "WINTERNHEIMER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-482-9700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "01623046",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Grace Cochran, OTR
• Cornerstone Caregiving East LLC
• Eduardo Cortez
• Countryside Dental Group, PC
• Countryside Medical SC
• Amy M. Cranny, P.T.
• Anthony Crisanti
• Catherine Anne Crotty
• Annalyn Cuarteros
• Daniel Curry

• Chiropractor in Countryside, IL
• Providers in Countryside, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.