DR. DENIS NAM (NPI# 1114184058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114184058 |
| Entity Type | Individual |
| Full Name | DR. DENIS NAM |
| Credential | M.D., M.SC. |
| Practice Address |
1611 W Harrison St Ste 300 Chicago IL 60612 |
| Mailing Address |
1611 W Harrison St Ste 300 Chicago IL 60612-4861 |
| Practice Telephone | 7082362600 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2018-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
036141709 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1611 W HARRISON ST STE 300 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190637 | Melissa Kulikauskas | Physician Assistant | 1611 W Harrison St Ste 300, Chicago, IL 60612-4861 | 2020-10-05 |
| 1457826380 | Paul Alpert C Regacho | Occupational Therapist | 1611 W Harrison St Ste 300, Chicago, IL 60612-4861 | 2018-10-08 |
| 1629561220 | Lindsay D Backiev | Physical Therapist | 1611 W Harrison St Ste 300, Chicago, IL 60612 | 2018-06-08 |
| 1265931562 | Evan Lines | Occupational Therapist | 1611 W Harrison St Ste 300, Chicago, IL 60612 | 2018-02-02 |
| 1215455035 | Charles Ryan Coxe | Physical Therapist | 1611 W Harrison St Ste 300, Chicago, IL 60612-4861 | 2017-08-31 |
| 1215451695 | Kristen Mayer Cocagne | Physician Assistant | 1611 W Harrison St Ste 300, Chicago, IL 60612 | 2017-07-27 |
| 1821530320 | Kelly Scanlon | Occupational Therapist | 1611 W Harrison St Ste 300, Chicago, IL 60612-4861 | 2016-11-15 |
| 1669851283 | Kathryn Ellen Swenson | Physical Therapist | 1611 W Harrison St Ste 300, Chicago, IL 60612-4861 | 2015-05-28 |
| 1699162289 | Prashoban Bremjit | Orthopaedic Surgery | 1611 W Harrison St Ste 300, Chicago, IL 60612-4861 | 2015-04-21 |
| 1306253133 | Derrick Michael Knapik | Orthopaedic Surgery | 1611 W Harrison St Ste 300, Chicago, IL 60612-4861 | 2014-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174899207 | Sara Wallace | Orthopaedic Surgery | 5814 S Maryland Ave # Mc3079, Chicago, IL 60637 | 2012-03-22 |
| 1528445152 | Korey Douglas Partenheimer | Orthopaedic Surgery | 5841 S Maryland Ave, M/c 3079, Chicago, IL 60637-1443 | 2015-05-04 |
| 1922495068 | Darren Plummer | Orthopaedic Surgery | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2015-04-15 |
| 1457745416 | Mark Zekaj | Orthopaedic Surgery | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2015-03-26 |
| 1255695029 | Christopher Bennett Stalling | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1447 | 2012-06-26 |
| 1063778413 | Vasili Karas | Orthopaedic Surgery | 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 | 2012-04-10 |
| 1003182973 | Yi-loong Colin Woon | Orthopaedic Surgery | 1740 W Taylor St, Chicago, IL 60612-7232 | 2012-03-26 |
| 1306975271 | Hany Bedair | Orthopaedic Surgery | 1725 W Harrison St, #1063, Chicago, IL 60612-3841 | 2007-03-05 |
| 1134225865 | Henry A. Finn | Orthopaedic Surgery | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2006-09-16 |
| 1477599207 | Kevin R. Kane | Orthopaedic Surgery | 3565 Momentum Pl, Chicago, IL 60689-5335 | 2006-06-21 |
| 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.