STEVEN L DRIVER (NPI# 1104147628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104147628 |
| Entity Type | Individual |
| Full Name | STEVEN L DRIVER |
| Practice Address |
3134 N Clark St Chicago IL 60657-4414 |
| Practice Telephone | 7738809722 |
| Practice Fax Number | 7738809723 |
| Mailing Telephone | 7738809722 |
| Mailing Fax Number | 7738809723 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2019-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 54091 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036-132886 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | ENROLLED | 05 | |
| MN | RAIL ROAD - MEDICARE | P01021783 | 01 |
| IA | ENROLLED | 05 | |
| MN | ENROLLED | 05 |
| Street Address |
3134 N CLARK ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821522376 | Troy Joseph Mensen | Family Medicine | 3134 N Clark St, Chicago, IL 60657-4414 | 2017-04-11 |
| 1740653559 | Gordon Mesa | Nurse Practitioner | 3134 N Clark St, Chicago, IL 60657-4414 | 2015-11-03 |
| 1396127890 | Polina Kuprien | Internal Medicine | 3134 N Clark St, Chicago, IL 60657-4414 | 2015-06-22 |
| 1881083327 | Catherine Jean Phillips | Nurse Practitioner | 3134 N Clark St, Chicago, IL 60657-4414 | 2015-01-22 |
| 1518304054 | Mark K. Kosinski | Internal Medicine | 3134 N Clark St, Chicago, IL 60657-4414 | 2013-05-23 |
| 1760742118 | Jenny Katherine Ukena | Internal Medicine | 3134 N Clark St, Chicago, IL 60657 | 2012-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154550119 | Elliott M Groves | Internal Medicine | 840 S Wood St Ste Smc715, Chicago, IL 60612-4325 | 2009-07-10 |
| 1952513335 | Muhammad Sikander Akbar | Internal Medicine | 6300 N Lincoln Ave, Chicago, IL 60659-1204 | 2007-05-05 |
| 1861591356 | Amit D Vyas | Internal Medicine | 2315 E 93rd St Ste 236, Chicago, IL 60617-3984 | 2006-09-21 |
| 1043230857 | Mohamed Dahodwala | Internal Medicine | 6441 S Pulaski Rd, Suite 100, Chicago, IL 60629-5148 | 2006-07-21 |
| 1609173426 | Allan Julian Beall Sacasa | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2011-02-14 |
| 1316172182 | Conner Michael O'keefe | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2009-05-22 |
| 1912169764 | Tim S. Provias | Internal Medicine | 675 N Saint Clair St, Galter 19-100, Chicago, IL 60611-5975 | 2008-07-01 |
| 1952563512 | Amit D Vyas Md Sc | Internal Medicine | 2315 E 93rd St Ste 236, Chicago, IL 60617-3984 | 2008-06-25 |
| 1447427356 | Akhtar Parvaiz Md | Internal Medicine | 2315 E 93rd St, Ste 237, Chicago, IL 60617-3936 | 2008-05-09 |
| 1902079718 | North-west Cardio-vascular Center | Internal Medicine | 3115 N Harlem Ave, Suite 202, Chicago, IL 60634-4684 | 2008-04-12 |
| 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.