Progressive Family Care, LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROGRESSIVE FAMILY CARE, LTD

Practice address

509 Hamacher St
Suite 103
Waterloo, IL 62298-1592

Phone

(618) 939-2273

Fax

(618) 939-0245

NPI assigned

Apr 25, 2007

Last updated

Oct 31, 2008By 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

Dr. Michael Nels Kirk, M.D.

Title

Owner

Phone

(618) 939-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Progressive Family Care LTD.

  • Family Medicine Physician
  • Columbia, IL
  • NPI 1710159686
  NPPES parent name

Practitioners 1

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.

• Sandra J Hodel, MD

  • Pediatrics Physician
  • Belleville, IL
  • NPI 1790861987
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1972722833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 HAMACHER ST",
            "address_2": "SUITE 103",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981592",
            "telephone_number": "618-939-2273",
            "fax_number": "618-939-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 HAMACHER ST",
            "address_2": "SUITE 103",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981592",
            "telephone_number": "618-939-2273",
            "fax_number": "618-939-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE FAMILY CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NELS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-939-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DG3299",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Pluemer, RSA
• Jill Elizabeth Polovich
• Deanna Pratt
• Premier Eyecare Center PC
• Lindsay Proffer, LPC
• Heather Qualls, MHP
• Lance Edwin Qualmann, MA, QHMP
• Danielle Lynn Quintana, NP
• Rai Care Centers of Illinois II, LLC
• Cheryl Rayot-Tannous, DC

• Family Medicine Physician in Waterloo, IL
• Providers in Waterloo, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.