Takecare Clinic

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

209008821 Issued in IL

Legal business name

TAKECARE CLINIC

Practice address

305 W Rollins Rd
Round Lake Beach, IL 60073-1217

Phone

(224) 338-3567

Fax

(847) 546-3089

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Sullivan, APN

Title

Market Manager

Phone

(224) 500-7627

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1306231147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731217",
            "telephone_number": "224-338-3567",
            "fax_number": "847-546-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731217",
            "telephone_number": "224-338-3567",
            "fax_number": "847-546-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKECARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MARKET MANAGER",
        "authorized_official_telephone_number": "224-500-7627",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IL",
            "license": "209008821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720373731",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Lynn Steinke, PT
• Toni Steres, FNP-C
• Steven G. Kehres, D.C.,S.C.
• Elizabeth Sutton, DC
• Swan Dental P.C.
• Zenobia Z Tantra, P.T.
• Carlie Renee Terchin, APN
• Timothy C Canty DDS MPH LTD
• Timothy C Canty, DDS, LTD
• Gina Tinsley, PTA

• Point of Service in Round Lake Beach, IL
• Providers in Round Lake Beach, IL by specialty
• Point of Service in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.