ENAYAT O OSANLOO (NPI# 1073510996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073510996 |
Entity Type | Individual |
Full Name | ENAYAT O OSANLOO |
Credential | MD |
Practice Address |
120 Spalding Dr Suite 410 Naperville IL 60540-6508 |
Mailing Address |
855 Madison St Oak Park IL 60302-4420 |
Practice Telephone | 6303690780 |
Practice Fax Number | 6303690886 |
Mailing Telephone | 7084924077 |
Mailing Fax Number | 7083862839 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2013-07-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
036052838 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036052838 | 05 | |
IL | BCBS | 1616108 | 01 |
Street Address |
120 SPALDING DR SUITE 410 |
City | NAPERVILLE |
State | IL |
Zip Code | 60540-6508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538166210 | David Schlieben | Internal Medicine | 120 Spalding Dr, Suite 410, Naperville, IL 60540-6508 | 2005-07-07 |
1760915276 | Julie Ann Freeman | Nurse Practitioner | 120 Spalding Dr, Ste 200, Naperville, IL 60540-6508 | 2017-04-11 |
1770037947 | Jason Vick | Nurse Practitioner | 120 Spalding Dr, Suite 310, Naperville, IL 60540-6508 | 2016-08-05 |
1104209832 | Tania M Yackle | Social Worker | 120 Spalding Dr, 408, Naperville, IL 60540-6508 | 2015-06-30 |
1558740563 | Edward Health Ventures | Surgery | 120 Spalding Dr, Ste 200, Naperville, IL 60540-6508 | 2015-05-22 |
1518345008 | Heidi Meekma | Nurse Practitioner | 120 Spalding Dr, Suite 111, Naperville, IL 60540-6508 | 2015-05-15 |
1881088557 | Edward Health Ventures | Psychiatry & Neurology | 120 Spalding Dr, Ste 307, Naperville, IL 60540-6508 | 2015-03-20 |
1366840407 | Beverly Wendell | Clinical Nurse Specialist | 120 Spalding Dr, Suite 111, Naperville, IL 60540-6508 | 2014-12-05 |
1063830081 | Edward Health Ventures | Clinic/Center | 120 Spalding Dr, Ste 207, Naperville, IL 60540-6508 | 2014-04-07 |
1255755617 | Melissa Ricks | Physician Assistant | 120 Spalding Dr, Suite 400, Naperville, IL 60540-6508 | 2014-02-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
Find all providers in zip 60540 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1982837779 | Shivani Shah | Internal Medicine | 100 Spalding Dr Ste 202, Naperville, IL 60540-6552 | 2009-08-27 |
1538166210 | David Schlieben | Internal Medicine | 120 Spalding Dr, Suite 410, Naperville, IL 60540-6508 | 2005-07-07 |
1760562474 | Hsien Ta Fang | Internal Medicine | 120 Spalding Dr, Suite 410, Naperville, IL 60540-6508 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154987618 | Kireet Agrawal Incorporated | Internal Medicine | 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429-2088 | 2019-05-10 |
1235627332 | Chicago Nephrology Associates, LLC | Internal Medicine | 3023 N Clark St #302, Chicago, IL 60657 | 2018-04-25 |
1619328820 | Nay Seif | Internal Medicine | 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 | 2016-06-29 |
1447611389 | Skyline Medical Associates LLC | Internal Medicine | 100 E 14th St Apt 1907, Chicago, IL 60605-3673 | 2016-03-18 |
1013301605 | Anand Ramadorai | Internal Medicine | 1550 N Northwest Hwy Ste 303, Park Ridge, IL 60068-1460 | 2015-03-23 |
1578955654 | R. Gandhi Md S C | Internal Medicine | 602 N East Ave, Oak Park, IL 60302-1716 | 2015-02-25 |
1619389715 | Kidney Care Center Olympia Fields LLC | Internal Medicine | 3302 Vollmer Rd, Olympia Fields, IL 60461-1179 | 2014-05-22 |
1548687783 | Salim Mujais | Internal Medicine | 2742 The Mews, Northbrook, IL 60062-2617 | 2014-03-26 |
1972936581 | Marshall David Lindheimer | Internal Medicine | 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 | 2013-08-19 |
1649616822 | Bun Siu L. Co | Internal Medicine | 838 Highland Rd., Frankfort, IL 60423 | 2013-05-15 |
Find all providers with the same taxonomy |
City | NAPERVILLE |
Zip Code | 60540 |
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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.