DR. ELIAS M MICHAELIDES (NPI# 1043248503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043248503 |
| Entity Type | Individual |
| Full Name | DR. ELIAS M MICHAELIDES |
| Credential | M. D. |
| Practice Address |
1611 W Harrison St Ste 550 Chicago IL 60612 |
| Mailing Address |
1611 W Harrison St Ste 550 Chicago IL 60612-4861 |
| Practice Telephone | 3129426100 |
| Mailing Telephone | 3129426100 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 036-150555 | IL | Allopathic & Osteopathic Physicians |
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
036-150555 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | DEA SUBSTANCE REG. | B M6294312 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Howard Ave, New Haven, CT 065191369 | 2037852593 | 2031853970 |
| Street Address |
1611 W HARRISON ST STE 550 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457912123 | Michelle Elaine Mark | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2019-06-24 |
| 1497296800 | Jacob Justin Friedman | Student in an Organized Health Care Education/Training Program | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2017-03-17 |
| 1467870964 | Anatoli Frances Karas | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2014-04-01 |
| 1891129557 | Meghan Elizabeth Hoppes | Physician Assistant | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2013-08-29 |
| 1235491697 | Ryan Micheal Smith | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612 | 2012-06-12 |
| 1659696870 | Bobby Aliff Tajudeen | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2010-03-30 |
| 1114198678 | Peter Charles Revenaugh | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612 | 2008-03-12 |
| 1861557605 | Kerstin M Stenson | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2006-12-22 |
| 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 | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760657381 | Heather Maureen Weinreich | Otolaryngology | 1855 W Taylor St Dept Of, Chicago, IL 60612-7242 | 2008-04-24 |
| 1609134063 | Terence Edward Imbery | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637 | 2012-04-24 |
| 1992905426 | Timothy C Hain, Md, PC | Otolaryngology | 645 N Michigan Ave, Suite 410, Chicago, IL 60611-2826 | 2007-07-23 |
| 1346315017 | Richard Mark Wiet | Otolaryngology | 1611 W Harrison St, Suite 550, Chicago, IL 60612-4861 | 2006-11-21 |
| 1740272483 | Jack D Clemis | Otolaryngology | 151 N Michigan Ave, #914, Chicago, IL 60601-7506 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669448056 | Griffith Hsu | Otolaryngology | 430 Pennsylvania Ave # 330, Glen Ellyn, IL 60137-4464 | 2006-02-24 |
| 1790029593 | Adventist Health Partners, Inc | Otolaryngology | 11 Salt Creek Ln, Suite 101, Hinsdale, IL 60521-2990 | 2012-11-16 |
| 1598982571 | Ear Institute of Chicago LLC | Otolaryngology | 11 Salt Creek Ln, Suite 101, Hinsdale, IL 60521-2902 | 2007-04-19 |
| 1053491639 | Dennis M Moore Md Sc | Otolaryngology | 1875 Dempster, Suite 625, Park Ridge, IL 60068 | 2006-10-17 |
| 1295832483 | Dennis Michael Moore | Otolaryngology | 1875 Dempster, Suite 625, Park Ridge, IL 60068 | 2006-09-20 |
| 1033129762 | Arvind Kumar | Otolaryngology | 950 N York Rd, Suite 102, Hinsdale, IL 60521-2950 | 2006-08-08 |
| 1699752568 | Sam Marzo | Otolaryngology | 2160 S 1st Ave, Maguire Center 1870, Maywood, IL 60153-3328 | 2005-12-30 |
| 1962489823 | John Leonetti | Otolaryngology | 2160 S First Ave, Maguire Center 1870, Maywood, IL 60153 | 2005-12-30 |
| 1760464911 | Richard J Wiet | Otolaryngology | 11 Salt Creek Ln, Suite 101, Hinsdale, IL 60521-2990 | 2005-11-15 |
| 1770565947 | Robert Andrew Battista | Otolaryngology | 11 Salt Creek Ln, Suite 101, Hinsdale, IL 60521-2990 | 2005-11-15 |
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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.