NICOLAS MANUEL LOPEZ-HISIJOS (NPI# 1053738195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053738195 |
| Entity Type | Individual |
| Full Name | NICOLAS MANUEL LOPEZ-HISIJOS |
| Credential | DO |
| Practice Address |
1750 W Harrison St Chicago IL 60612-3825 |
| Practice Telephone | 3129425260 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
036.151329 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1750 W HARRISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194704874 | Kisha D Johnson | Genetic Counselor, MS | 1750 W Harrison St, 1507 Jelke, Chicago, IL 60612-3825 | 2006-01-11 |
| 1164047346 | Tucker Matthews | Emergency Medicine | 1750 W Harrison St, Chicago, IL 60612-3825 | 2020-06-12 |
| 1093342446 | Talib Chaudhry | Surgery | 1750 W Harrison St, Chicago, IL 60612-3825 | 2020-03-25 |
| 1194352864 | Bishir Clayton | Student in an Organized Health Care Education/Training Program | 1750 W Harrison St, Chicago, IL 60612-3825 | 2020-03-24 |
| 1720614621 | Erik Feng Wang | Student in an Organized Health Care Education/Training Program | 1750 W Harrison St, Chicago, IL 60612-3825 | 2020-03-23 |
| 1710447867 | Elizabeth Dawn Anderson | Student in an Organized Health Care Education/Training Program | 1750 W Harrison St, Chicago, IL 60612-3825 | 2019-03-24 |
| 1457810350 | Joel Braverman | Student in an Organized Health Care Education/Training Program | 1750 W Harrison St, Chicago, IL 60612-3825 | 2019-03-19 |
| 1821557653 | Brandon Alba | Student in an Organized Health Care Education/Training Program | 1750 W Harrison St, Chicago, IL 60612-3825 | 2019-03-19 |
| 1528527678 | Chassidy Erin Grimes | Student in an Organized Health Care Education/Training Program | 1750 W Harrison St, Chicago, IL 60612-3825 | 2019-03-18 |
| 1194284174 | Amanda Macquoid | Student in an Organized Health Care Education/Training Program | 1750 W Harrison St, Chicago, IL 60612-3825 | 2019-03-18 |
| 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 | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336554799 | Shiraz Fidai | Pathology | 5841 S Maryland Ave Rm S-323, Chicago, IL 60637-1447 | 2014-06-24 |
| 1891075925 | Barina Aqil | Pathology | 251 E Huron St Ste 220, Chicago, IL 60611-2908 | 2011-08-21 |
| 1497978902 | Amir Behdad | Pathology | 680 N Lake Shore Dr Ste 1000, Department of Pathology and Laboratory Medicine, Chicago, IL 60611 | 2007-04-11 |
| 1982068789 | Moe Takeda | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2016-04-07 |
| 1215220413 | Carlos A Murga-zamalloa | Pathology | 840 S Wood St Ste 130, Chicago, IL 60612-4325 | 2011-05-20 |
| 1780901942 | Rachel Angelica Mariani | Pathology | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2010-04-28 |
| 1891019568 | Jason Xiaojun Cheng | Pathology | 5841 S Maryland Ave, Pathology, Tw-051d, Mc 0008, University of Chicago, Chicago, IL 60637-1447 | 2010-03-24 |
| 1811121726 | Shunyou Gong | Pathology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2009-05-06 |
| 1447400379 | Mark J Roberts | Pathology | 2900 N. Lake Shore Drive, St. Joseph Hospital Department of Pathology, Chicago, IL 60657-5640 | 2008-09-28 |
| 1417112665 | Sangeeta Mehendale | Pathology | 840 S Wood St, Chicago, IL 60612-4325 | 2008-07-26 |
| 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.