ENAYAT O OSANLOO


Address: 120 Spalding Dr, Suite 410, Naperville, IL 60540-6508
Phone: 6303690780

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
036052838 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036052838 05
IL BCBS 1616108 01

Office Location

Street Address 120 SPALDING DR
SUITE 410
City NAPERVILLE
State IL
Zip Code 60540-6508

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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City NAPERVILLE
Zip Code 60540

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Dataset Information

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.

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