BONE AND JOINT CENTER PC (NPI# 1083635221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083635221 |
| Entity Type | Organization |
| Organization Name | BONE AND JOINT CENTER PC |
| Practice Address |
4211 N Cicero Ave Suite 200 Chicago IL 60641-1651 |
| Practice Telephone | 7735456900 |
| Practice Fax Number | 7735452220 |
| Mailing Telephone | 7735456900 |
| Mailing Fax Number | 7735452220 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | DR. SARMED G. ELIAS (PRESIDENT) |
| Authorized Official Telephone | 7735456900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE RAILROAD | CL7036 | 01 |
| Street Address |
4211 N CICERO AVE SUITE 200 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60641-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444184 | Jack C. Enter Jr. | Physician Assistant | 4211 N Cicero Ave, Suite 100, Chicago, IL 60641-1651 | 2005-08-11 |
| 1205378460 | Caroline Rodriguez | Nurse Practitioner | 4211 N Cicero Ave, Chicago, IL 60641-1651 | 2016-11-04 |
| 1114342037 | Lauren Kimberly Hofius | Specialist/Technologist, Other | 4211 N Cicero Ave, #400, Chicago, IL 60641-1651 | 2014-02-28 |
| 1477892917 | Jacob M Richey | Podiatrist | 4211 N Cicero Ave, Chicago, IL 60641-1651 | 2013-02-04 |
| 1558611624 | Sophia Zamudio Rasof | Family Medicine | 4211 N Cicero Ave, Suite 308, Chicago, IL 60641-1651 | 2012-09-14 |
| 1265792212 | Sonia Shah M D S C | Internal Medicine | 4211 N Cicero Ave, Suite 203, Chicago, IL 60641-1651 | 2012-05-24 |
| 1740585736 | Chandra B Rathod Mdsc | Clinic/Center | 4211 N Cicero Ave, Suite 203, Chicago, IL 60641-1651 | 2011-01-21 |
| 1538460134 | Six Corners Anesthesia LLC | Anesthesiology | 4211 N Cicero Ave, Suite 400, Chicago, IL 60641-1651 | 2010-11-12 |
| 1720225469 | Diana Barros | Physician Assistant | 4211 N Cicero Ave, Suite #200, Chicago, IL 60641-1651 | 2009-01-16 |
| 1801055777 | Gerard P Alleje | Physical Therapist | 4211 N Cicero Ave, Suite #200, Chicago, IL 60641-1651 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038131 | Victoria Carmen Grau Kazmierzcak | Student in an Organized Health Care Education/Training Program | 5458 W Grace St, Unit 2, Chicago, IL 60641 | 2020-06-24 |
| 1659926921 | Farah Alhaidar | Counselor | 4028 W Irving Park Rd Loft B, Chicago, IL 60641 | 2019-08-05 |
| 1255898482 | Bernadeta Agnieszka Kapustka | Nurse Practitioner | 5425 W Addison, Chicago, IL 60641 | 2019-02-24 |
| 1295200921 | The Dental Masters of Belmont, LLC | Dentist | 5236 W. Belmont Ave., Chicago, IL 60641 | 2018-10-09 |
| 1700364171 | National Vision Inc | Technician/Technologist | 4068 North Milwaukee Avenue, Chicago, IL 60641 | 2018-07-30 |
| 1477055168 | Elaine Vozar Acupuncturist Ltd | Acupuncturist | 3817 N. Pulaski, Chicago, IL 60641 | 2018-03-08 |
| 1174906853 | Heather Rocco | Hearing Instrument Specialist | 4122 N Millwaukee Ave, Chicago, IL 60641 | 2015-06-30 |
| 1770910184 | Kendra Manning | Physician Assistant | 4959 W. Belmont Ave, Chicago, IL 60641 | 2013-09-30 |
| 1679916274 | Don E Mccree | Technician, Cardiology | 2936 N. Kolmar, 3c, Chicago, IL 60641 | 2013-04-12 |
| 1053664888 | Scott P Dusenbery | Occupational Therapist | 3235 N Lockwood Apt 3, Chicago, IL 60641 | 2012-10-17 |
| Find all providers in zip 60641 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
| 1841774825 | Matthew E Huggins | Specialist | 4553 W 56th St Apt 204c, Chicago, IL 60629-5389 | 2018-09-17 |
| 1750860177 | Muhammad Asim Khan | Specialist | 60 E Delaware Pl, Chicago, Il 60611, 14th Floor Urology- Andrology Clinic, Chicago, IL 60611 | 2018-08-07 |
| 1922502657 | Shauntay Robertson | Specialist | 7342 S Richmond St, Chicago, IL 60629-3015 | 2018-03-19 |
| 1114448644 | Ageless Men's Health Holdings Inc | Specialist | 1729 N Clybourn Ave, Chicago, IL 60614-6503 | 2017-07-06 |
| 1447798871 | Andria Miller | Specialist | 840 N Western Ave, Chicago, IL 60622-4638 | 2017-02-06 |
| 1710425129 | Rtb Sc | Specialist | 5015 N. Paulina #225, Chicago, IL 60640 | 2017-02-06 |
| 1881137354 | Joy Deliverance Williamson | Specialist | 3863 W Flournoy St, Apt. 1w, Chicago, IL 60624-3617 | 2016-11-30 |
| 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.