DR. KAMRAN HEYDARPOUR (NPI# 1093764193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093764193 |
| Entity Type | Individual |
| Full Name | DR. KAMRAN HEYDARPOUR |
| Credential | MD |
| Practice Address |
1 Erie Ct Suite Number 3200 Oak Park IL 60302-2566 |
| Mailing Address |
Po Box 14905 Chicago IL 60614-0905 |
| Practice Telephone | 7087638248 |
| Mailing Telephone | 7087638248 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2015-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036091055 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1 ERIE CT SUITE NUMBER 3200 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861691 | Nagulapalli S Rao | Specialist | 1 Erie Ct, Ste 7160, Oak Park, IL 60302-2510 | 2005-06-16 |
| 1528531837 | Pipeline Midwest Pharmacies, LLC | Pharmacy | 1 Erie Ct, Oak Park, IL 60302-2566 | 2019-01-09 |
| 1326577057 | Joanna Marie Curran | Family Medicine | 1 Erie Ct, Oak Park, IL 60302-2566 | 2017-06-06 |
| 1033660303 | Megan L Mccaleb | Physician Assistant | 1 Erie Ct, Suire 7120, Oak Park, IL 60302-2566 | 2016-10-20 |
| 1760936090 | Genti Manco | Nurse Practitioner | 1 Erie Ct, Oak Park, IL 60302-2566 | 2016-08-03 |
| 1699137869 | Morgan Crandall | Physician Assistant | 1 Erie Ct, Suite 7120, Oak Park, IL 60302-2566 | 2016-03-25 |
| 1760854020 | Forefront Dermatology, S.c. | Dermatology | 1 Erie Ct, Suite 4010, Oak Park, IL 60302 | 2015-10-27 |
| 1154700557 | Haley Combs | Student in an Organized Health Care Education/Training Program | 1 Erie Ct, Suite 6160, Oak Park, IL 60302-2566 | 2015-05-19 |
| 1023497344 | Jacob Shaw | Family Medicine | 1 Erie Ct, Oak Park, IL 60302 | 2015-05-19 |
| 1225428774 | Ashleigh Jardine | Physical Therapist | 1 Erie Ct, Suite 7120, Oak Park, IL 60302-2566 | 2015-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1922629542 | Dieta Inc. | Internal Medicine | 15 Locust Ave, Oak Park, CA 91377-1115 | 2020-05-05 |
| 1881958106 | Advanced Liver and Gastrointestinal Disease Center | Internal Medicine | 610 South Maple Ave, Oak Park, IL 60304-1091 | 2012-07-02 |
| 1538126396 | Daniel M. Kruss | Internal Medicine | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2006-04-27 |
| 1528237765 | Lakeshore Gastroenterology and Liver Disease Institute S.c. | Internal Medicine | 1 Erie Court, Suite 3100, Oak Park, IL 60614-8542 | 2008-02-21 |
| 1487724852 | West Suburban Gastroenterology S C | Internal Medicine | 1 Erie Court, Ste 3100, Oak Park, IL 60302 | 2006-11-09 |
| 1982627840 | Gayle M Rosenthal | Internal Medicine | 1100 Lake St, Oak Park, IL 60301 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487388 | Endoscopy Center of The North Shore, LLC | Internal Medicine | 1100 Central Ave Ste H, Wilmette, IL 60091-2666 | 2018-11-29 |
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1861999559 | Kiba, Inc. | Internal Medicine | 3845 Mccoy Dr Ste 101, Aurora, IL 60504-4429 | 2018-04-09 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1699186890 | Laura Hamad | Internal Medicine | 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 | 2014-05-11 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1841533254 | Danish Shahab | Internal Medicine | 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 | 2013-04-03 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
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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.