DR. SONYA ALITZIA KHESHTI (NPI# 1043673056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043673056 |
| Entity Type | Individual |
| Full Name | DR. SONYA ALITZIA KHESHTI |
| Credential | M.D. |
| Practice Address |
5841 S Maryland Ave # Mc0810 Chicago IL 60637-1443 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 7738349102 |
| Practice Fax Number | 7737024041 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2019-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
036.148799 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 747 52nd St, Childrens Hospital Oakland, Oakland, CA 946091809 | 5104283000 |
| Street Address |
5841 S MARYLAND AVE # MC0810 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932593217 | Katie Valentino | Nurse Practitioner | 5841 S Maryland Ave # Mc0810, Chicago, IL 60637-1443 | 2015-03-24 |
| 1255862744 | Alisa Brennan | Pediatrics | 5841 S Maryland Ave # Mc0810, Chicago, IL 60637-1443 | 2017-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477933042 | Anna Louise Rodenbough | Emergency Medicine | 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637 | 2015-06-08 |
| 1871908723 | Gabriel Anzueto | Emergency Medicine | 5841 S Maryland Ave, M/c 8016, Chicago, IL 60637 | 2014-06-29 |
| 1083053896 | Vincent Anthony Dimaggio | Emergency Medicine | 5841 S Maryland Ave # Mc5000, Chicago, IL 60637 | 2013-06-14 |
| 1891132049 | Colleen D Fant | Emergency Medicine | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2013-05-29 |
| 1801158894 | Anat Brinkman | Emergency Medicine | 225 E Chicago Ave # 62, Chicago, IL 60611 | 2012-06-14 |
| 1275894602 | Caroline Strafford Hesko | Emergency Medicine | 5841 S Maryland Ave, Mc 4060, Chicago, IL 60637 | 2012-06-01 |
| 1962794123 | Amber Marie Hathcock | Emergency Medicine | 1740 W Taylor St, Chicago, IL 60612 | 2011-05-06 |
| 1144476516 | Seema Awatramani | Emergency Medicine | 808 S Wood St, Chicago, IL 60612-7300 | 2008-08-17 |
| 1336328145 | Erin Marie Augustine | Emergency Medicine | 225 E Chicago Ave # 62, Chicago, IL 60611-2991 | 2007-10-29 |
| 1952422719 | Michelle Lea Macy | Emergency Medicine | 225 E Chicago Ave, Chicago, IL 60611 | 2007-04-02 |
| Find all providers in CHICAGO | ||||
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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.