IMG MD, LLC (NPI# 1003245085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003245085 |
| Entity Type | Organization |
| Organization Name | IMG MD, LLC |
| Practice Address |
680 N Lake Shore Dr Chicago IL 60611-4546 |
| Practice Telephone | 3129814400 |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |
| Authorized Official Name | MS. TRACY RADY (BILLING SPECIALIST) |
| Authorized Official Telephone | 8478097381 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers |
| Street Address |
680 N LAKE SHORE DR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-4546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427052885 | Jeanette A. Dubay-mcdermit | Nurse Anesthetist, Certified Registered | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2005-06-13 |
| 1023621406 | Akshar Patel | Student in an Organized Health Care Education/Training Program | 680 N Lake Shore Dr, Tower Apt 720, Chicago, IL 60611 | 2020-08-26 |
| 1952873267 | Kimberly Sumislawski | Physician Assistant | 680 N Lake Shore Dr, Chicago, IL 60611-4546 | 2018-12-27 |
| 1598251571 | Asia Giammarco | Physician Assistant | 680 N Lake Shore Dr, Chicago, IL 60611-4546 | 2018-07-02 |
| 1497253256 | Samantha M C Tan | Nurse Practitioner | 680 N Lake Shore Dr, Chicago, IL 60611-4546 | 2018-01-26 |
| 1871040642 | Kathleen Dady | Genetic Counselor, MS | 680 N Lake Shore Dr, Suite 1230, Chicago, IL 60611-4546 | 2016-09-08 |
| 1205382496 | Rachel Green Dunn | Nurse Practitioner | 680 N Lake Shore Dr, Suite 117, Chicago, IL 60611-4546 | 2016-08-29 |
| 1730634791 | Kelly Elizabeth Smyth | Physician Assistant | 680 N Lake Shore Dr, Chicago, IL 60611 | 2016-08-19 |
| 1982158036 | Patricia Gale, Md, S.c. | Clinic/Center | 680 N Lake Shore Dr, Suite 930, Chicago, IL 60611-4546 | 2016-08-06 |
| 1013460930 | Julia Goldin | Registered Nurse | 680 N Lake Shore Dr, Chicago, IL 60611-4546 | 2016-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497773006 | Lincona Medical Asso.ltd. | Medical Genetics, Ph.D. Medical Genetics | 5131 N Lincoln Ave, Chicago, IL 60625-2585 | 2006-07-18 |
| 1831124759 | Lincona Medical Asso.ltd. | Medical Genetics, Ph.D. Medical Genetics | 5131 N Lincoln Ave, Chicago, IL 60625-2585 | 2006-07-11 |
| 1386687556 | Tapas Dasgupta | Medical Genetics, Ph.D. Medical Genetics | 7845 S Cottage Grove Ave, Suite 109, Chicago, IL 60619-3100 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962778092 | Oscar S. Giron, M.d., S.c. | Medical Genetics, Ph.D. Medical Genetics | 1828 E Belvidere Rd, Grayslake, IL 60030-2289 | 2012-03-22 |
| 1053410407 | Yatin M Shah Md Sc | Medical Genetics, Ph.D. Medical Genetics | 2025 S Chicago Street, Joliet, IL 60436 | 2006-09-22 |
| 1770023202 | Amanda Lea Fortier | Medical Genetics, Ph.D. Medical Genetics | 5400 Pearl St, Rosemont, IL 60018-5305 | 2017-03-02 |
| 1548532526 | Nihon Medical Clinic, S.c. | Medical Genetics, Ph.D. Medical Genetics | 2010 S Arlington Heights Rd, Suite 101, Arlington Heights, IL 60005-4134 | 2012-02-06 |
| 1992881825 | Ann Megna | Medical Genetics, Ph.D. Medical Genetics | 1025 Ogden Ave, Suite 200, Lisle, IL 60532-4388 | 2006-10-31 |
| 1083659171 | Jatoi Clinic, Ltd. | Medical Genetics, Ph.D. Medical Genetics | 1750 E Lake Shore Dr, Suite 100, Decatur, IL 62521-3809 | 2006-06-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.