VICTOR R GORDEUK (NPI# 1033270046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033270046 |
| Entity Type | Individual |
| Full Name | VICTOR R GORDEUK |
| Credential | MD |
| Practice Address |
820 S Wood St Sickle Cell Ctr. Suite 172, Clinical Sciences Building Chicago IL 60612-4325 |
| Practice Telephone | 3129965680 |
| Practice Fax Number | 3129965984 |
| Mailing Telephone | 3129965680 |
| Mailing Fax Number | 3129965984 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD20534 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 136321200 | 05 | |
| VA | 5881943 | 05 | |
| DC | 028681600 | 05 |
| Street Address |
820 S WOOD ST SICKLE CELL CTR. SUITE 172, CLINICAL SCIENCES BUILDING |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194727909 | Mark Allen Grevious | Plastic Surgery | 820 S Wood St, Suite 515 Csn (mc 958), Chicago, IL 60612-4325 | 2005-08-11 |
| 1093336968 | Sofia Sami | Student in an Organized Health Care Education/Training Program | 820 S Wood St, Chicago, IL 60612-4325 | 2020-05-02 |
| 1629592639 | Mahmoud Mima | Urology | 820 S Wood St, Csn 515, Chicago, IL 60612 | 2017-08-01 |
| 1023541398 | Kumar Siddharth Lal | Student in an Organized Health Care Education/Training Program | 820 S Wood St, Suite 100 Csn, M/c 675, Chicago, IL 60612-4325 | 2017-04-04 |
| 1437681970 | Jerome Martin | Emergency Medicine | 820 S Wood St, Chicago, IL 60612-4325 | 2017-04-03 |
| 1013370691 | Adam Kosloff | Student in an Organized Health Care Education/Training Program | 820 S Wood St, Mc 675, Chicago, IL 60612-4325 | 2016-04-01 |
| 1295198166 | Sanmeet Singh | Student in an Organized Health Care Education/Training Program | 820 S Wood St, Chicago, IL 60612-4325 | 2016-03-30 |
| 1417310244 | Yahia Zaki Almallah | Urology | 820 S Wood St, Csn Suit 515 M/c 955, Chicago, IL 60612-4325 | 2016-03-30 |
| 1962891606 | Alexandra Albanese | Family Medicine | 820 S Wood St, Suite 100 Csn, Chicago, IL 60612-4325 | 2015-01-19 |
| 1114332012 | Board of Trustees of The University of Illinois | Health Maintenance Organization | 820 S Wood St, Suite W310 - M/c 974, Chicago, IL 60612-4325 | 2014-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
| 1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
| 1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
| 1003258583 | Luis David Sumoza | Internal Medicine | 1900 West Polk Suite 755, Chicago, IL 60612 | 2013-07-24 |
| 1225337017 | Karan Singh Dixit | Internal Medicine | 675 N Saint Clair St Ste 21-110, Chicago, IL 60611-5975 | 2011-03-20 |
| 1801034830 | Jonas Araujo De Souza | Internal Medicine | 5200 S Ellis Ave, Apt 118n, Chicago, IL 60615-4365 | 2009-01-29 |
| 1326211160 | Cara Ann Rosenbaum | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1447 | 2008-04-11 |
| 1275713307 | John Baxter Watson Md Sc | Internal Medicine | 2900 N Lake Shore Dr # 458, Chicago, IL 60657-5640 | 2007-11-06 |
| 1043499866 | Solomon Adler | Internal Medicine | 2828 W Coyle Ave, Chicago, IL 60645-2922 | 2007-10-29 |
| 1518168202 | Kelley Kozma | Internal Medicine | 2900 N Lake Shore Dr Ste 7e, Chicago, IL 60657-5640 | 2007-05-30 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on VICTOR R GORDEUK.
| 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.