DR. CHRISTINA BOUTSICARIS (NPI# 1063832996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063832996 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINA BOUTSICARIS |
| Credential | MD |
| Practice Address |
2160 S 1st Ave Maywood IL 60153-3328 |
| Practice Telephone | 7082164533 |
| Mailing Telephone | 7082164533 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
036.143907 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5841 S Maryland Ave # Mc5000, Chicago, IL 606371443 | 7737021000 |
| Street Address |
2160 S 1ST AVE |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525489 | Michael Jm Raffin | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2005-06-01 |
| 1366049900 | Kenneth Bernard Jordan | Psychiatry & Neurology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-10-06 |
| 1124634712 | Abhilasha Nitin Borkar | Pathology | 2160 S 1st Ave, Maywood, IL 60153 | 2020-09-18 |
| 1306450325 | Linda Ippolito | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339135 | Meghan Henry | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339911 | Victoria Leah Drozd | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-31 |
| 1396357588 | Madison Schaefer | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1134731375 | Otanthia S Williams-brady | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1205454287 | Janet Nickels | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-07-07 |
| 1417574054 | Kathryn Clemans | Nurse Anesthetist, Certified Registered | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497732747 | Rodney Tehrani | Internal Medicine | 2160 S First Ave, (luh-north Ent., Rm. 7604), Maywood, IL 60153 | 2005-12-28 |
| 1679899942 | Sana Sultana Haseeb | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2010-04-12 |
| 1760618789 | Faizah Perwez Siddique | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2009-06-04 |
| 1841453008 | Melissa Rose Briones | Internal Medicine | 2160 S 1st Ave, Luhs Dept. of Medicine, Maywood, IL 60153-3328 | 2008-07-08 |
| 1700059508 | Rochella Abaygar Ostrowski | Internal Medicine | 2160 S 1st Ave, Bldg 54, Rm 121, Maywood, IL 60153-3328 | 2008-04-11 |
| 1134289390 | Laura Gregg | Internal Medicine | 2160 S 1st Ave, Loyola University Medical Center Suite 54, Maywood, IL 60153-3328 | 2006-12-11 |
| 1699752592 | Elaine Adams | Internal Medicine | 2160 S First Ave, Luh - North Ent. Room 7604, Maywood, IL 60153 | 2005-12-30 |
| 1508843400 | John Robinson | Internal Medicine | 2160 S First Ave, (fahey Bldg., Rm. 113), Maywood, IL 60153 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558988345 | Bashir Holdings | Internal Medicine | 210 N Hammes Ave Ste 110, Joliet, IL 60435-6688 | 2020-06-29 |
| 1336611409 | Keith E Gilmer | Internal Medicine | 850 N Dewitt Pl Apt 10g, Chicago, IL 60611-7312 | 2018-12-29 |
| 1245643618 | Jean Lin | Internal Medicine | 240 E Huron St # M300, Chicago, IL 60611-2909 | 2014-06-03 |
| 1922445097 | Josna Haritha | Internal Medicine | 5841 S. Maryland Avenue, #0930, Chicago, IL 60637 | 2013-05-30 |
| 1255776860 | Alexander Geevarghese | Internal Medicine | 27650 Ferry Rd Ste 210, Warrenville, IL 60555-3846 | 2013-05-08 |
| 1285078766 | Sheela Metgud | Internal Medicine | 9000 Waukegan Rd Ste 200, Morton Grove, IL 60053-2127 | 2013-04-26 |
| 1043551500 | Nisha Dsilva | Internal Medicine | 10 Martin Ave Ste 140, Naperville, IL 60540 | 2013-03-08 |
| 1255694675 | Heena Aditya Birbal Jain | Internal Medicine | 1701 Curtis Rd., Rheumatology, Champaign, IL 61822-9678 | 2012-06-20 |
| 1215296215 | Beenish Nazir Hafiz | Internal Medicine | 751 N Rutledge St Ste 2300, Springfield, IL 62702-4968 | 2012-05-10 |
| 1699921353 | Anna A. Stanislaus | Internal Medicine | 801 N Cass Ave Ste 150, Westmont, IL 60559-1121 | 2008-08-13 |
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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.