Danaher Family Medicine SC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036-102025 Issued in IL

Legal business name

DANAHER FAMILY MEDICINE SC

Practice address

19401 Wolf Rd
Mokena, IL 60448-1100

Phone

(708) 323-7593

NPI assigned

Dec 13, 2013

Last updated

Apr 13, 2016By 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

Michele Ann Danaher, MD

Title

Physician

Phone

(708) 995-7488

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1770914988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94670",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731434670",
            "telephone_number": "708-323-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 WOLF RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481100",
            "telephone_number": "708-323-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANAHER FAMILY MEDICINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "DANAHER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-995-7488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036-102025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1679561773",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Denise Currie
• Myhija Curry
• Brittany Cuthbert, M.S., CCC-SLP/L
• CVS Minute Clinic
• Nicole D'Amico
• Michele A Danaher, MD
• Daniel & Max, LLC
• Lily Darche
• Brian Dauber, PT
• Mark David Davis, LSW

• Clinic/Center in Mokena, IL
• Providers in Mokena, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.