DR. ALEXANDER GORODETSKY (NPI# 1073541108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073541108 |
Entity Type | Individual |
Full Name | DR. ALEXANDER GORODETSKY |
Credential | MD |
Practice Address |
550 W Webster Ave Chicago IL 60614-3965 |
Mailing Address |
67 Beach Rd Glencoe IL 60022-1313 |
Practice Telephone | 7738833659 |
Mailing Telephone | 8478357465 |
Enumeration Date | 2006-06-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085B0100X |
Radiology Specialization: Body Imaging |
IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780015347 | Alexander Gorodetsky | Counselor | 1901 Pennsylvania Avenue Nw, Suite 602, Washington, DC 20006 | 2013-12-09 |
1912084666 | Alexander Gorodetsky | Psychiatry & Neurology | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2006-11-01 |
Street Address |
550 W WEBSTER AVE |
City | CHICAGO |
State | IL |
Zip Code | 60614-3965 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780686758 | Merit Lincoln Park LLC | Rehabilitation Unit | 550 W Webster Ave, Chicago, IL 60614-3965 | 2005-08-10 |
1700083839 | Ivette Sandoval | Occupational Therapy Assistant | 550 W Webster Ave, Chicago, IL 60614-3965 | 2007-07-02 |
1164629317 | Linda Marie Matre | Occupational Therapist | 550 W Webster Ave, Department of Rehabilitation, Chicago, IL 60614-3965 | 2007-06-29 |
1598968950 | Adrienne Gabriel | Physical Therapist | 550 W Webster Ave, Chicago, IL 60614-3965 | 2007-06-05 |
1497885479 | Robert Jacob Bania | Counselor | 550 W Webster Ave, Hearing Suite, Chicago, IL 60614-3965 | 2007-03-07 |
1336278191 | Donald William Shawler | Counselor | 550 W Webster Ave, Chicago, IL 60614-3965 | 2007-03-05 |
1306993324 | Michael James Siefert | Audiologist | 550 W Webster Ave, Lincoln Park Hearing Center, Chicago, IL 60614-3965 | 2007-01-04 |
1912081852 | Helen M Shidler | Nurse Practitioner | 550 W Webster Ave, Suite 3n, Chicago, IL 60614-3965 | 2006-10-25 |
1871676833 | Matthew Malters | Anesthesiology | 550 W Webster Ave, Chicago, IL 60614-3965 | 2006-10-23 |
1801902960 | Jaafar H Hussein | Family Medicine | 550 W Webster Ave, Chicago, IL 60614-3965 | 2006-08-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
Find all providers in zip 60614 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700042363 | Dejana Radulovic | Radiology | 676 North St.clair, 800, Chicago, IL 60611 | 2008-08-04 |
1306000542 | Stephanie Shors | Radiology | 1725 W Harrison St Ste 456, Chicago, IL 60612-3866 | 2008-07-16 |
1063435923 | Jorge Delatorre | Radiology | 3058 N Austin Ave, Chicago, IL 60634-5126 | 2006-07-25 |
1174565774 | Ana Stipisic | Radiology | 2233 W Division, Chicago, IL 60622 | 2006-06-11 |
1528008539 | Ejaz Rahimchaudhry | Radiology | 2900 W Peterson Ave, Suite 11, Chicago, IL 60659-3818 | 2006-06-07 |
1194358200 | Ming Lun Chiu | Radiology | 251 E Huron St, Chicago, IL 60611-2908 | 2020-02-17 |
1841752896 | Xiao Zhou Du | Radiology | 251 E Huron St, Chicago, IL 60611-3055 | 2019-04-01 |
1295179448 | Przemyslaw Ignaciuk | Radiology | 820 S Damen Ave, Chicago, IL 60612-3728 | 2013-04-18 |
1164740874 | Caroline Kato | Radiology | 1901 W Harrison St, Rm 2533, Chicago, IL 60612-3714 | 2010-05-06 |
1467778134 | David V. Schacht | Radiology | 5841 S Maryland Ave, P220/mc2026, Chicago, IL 60637-1447 | 2010-04-20 |
Find all providers in CHICAGO |
Please comment or provide details below to improve the information on DR. ALEXANDER GORODETSKY.
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.