NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD (NPI# 1124069182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124069182 |
Entity Type | Organization |
Organization Name | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD |
Other Organization Name | NANI |
Practice Address |
855 Madison St Oak Park IL 60302-4420 |
Practice Telephone | 7083861000 |
Practice Fax Number | 7083862839 |
Mailing Telephone | 7083861000 |
Mailing Fax Number | 7083862839 |
Enumeration Date | 2006-06-09 |
Last Update Date | 2009-09-16 |
Authorized Official Name | ARTHUR M MORRIS (PRESIDENT) |
Authorized Official Telephone | 7083861000 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS BLUE SHIELD | 1616108 | 01 |
IL | RR-GROUP COOK | C30486 | 01 |
Other Name | Type Code |
---|---|
NANI | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538508023 | Nephrology Associates of Northern Illinois Ltd | Clinic/Center | 8632 S Pulaski Rd, Chicago, IL 60652-3633 | 2013-06-18 |
1043418908 | Nephrology Associates of Northern Illinois Ltd | Internal Medicine | 612 Roxbury Rd, Rockford, IL 61107-5089 | 2007-07-03 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD | 120 W. 22nd Street, Oak Brook, IL 60523 |
Street Address |
855 MADISON ST |
City | OAK PARK |
State | IL |
Zip Code | 60302-4420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053313072 | Paul Balter | Internal Medicine | 855 Madison St, Oak Park, IL 60302-4420 | 2005-08-10 |
1154675528 | Nani Elk Grove | Internal Medicine | 855 Madison St, Nephrology Associates of Northern Illinois, Oak Park, IL 60302-4420 | 2012-11-06 |
1578505814 | Nephrology Associates of Northern Indiana, PC | Internal Medicine | 855 Madison St, Oak Park, IL 60302-4420 | 2006-06-12 |
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 |
Find all providers in zip 60302 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1578955654 | R. Gandhi Md S C | Internal Medicine | 602 N East Ave, Oak Park, IL 60302-1716 | 2015-02-25 |
1932173705 | Nanda G Salem | Internal Medicine | 10861 W 10 Mile Rd, Oak Park, MI 48237-1745 | 2006-02-16 |
1053313072 | Paul Balter | Internal Medicine | 855 Madison St, Oak Park, IL 60302-4420 | 2005-08-10 |
1154675528 | Nani Elk Grove | Internal Medicine | 855 Madison St, Nephrology Associates of Northern Illinois, Oak Park, IL 60302-4420 | 2012-11-06 |
1578505814 | Nephrology Associates of Northern Indiana, PC | Internal Medicine | 855 Madison St, Oak Park, IL 60302-4420 | 2006-06-12 |
1750383527 | Kathleen Dorgan | Internal Medicine | 1 Erie Ct, Suite4120, Oak Park, IL 60302-2566 | 2005-08-11 |
1194722934 | David Kracker | Internal Medicine | 1 Erie Ct, Suite 4120, Oak Park, IL 60302-2566 | 2005-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154987618 | Kireet Agrawal Incorporated | Internal Medicine | 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429-2088 | 2019-05-10 |
1235627332 | Chicago Nephrology Associates, LLC | Internal Medicine | 3023 N Clark St #302, Chicago, IL 60657 | 2018-04-25 |
1619328820 | Nay Seif | Internal Medicine | 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 | 2016-06-29 |
1447611389 | Skyline Medical Associates LLC | Internal Medicine | 100 E 14th St Apt 1907, Chicago, IL 60605-3673 | 2016-03-18 |
1013301605 | Anand Ramadorai | Internal Medicine | 1550 N Northwest Hwy Ste 303, Park Ridge, IL 60068-1460 | 2015-03-23 |
1619389715 | Kidney Care Center Olympia Fields LLC | Internal Medicine | 3302 Vollmer Rd, Olympia Fields, IL 60461-1179 | 2014-05-22 |
1548687783 | Salim Mujais | Internal Medicine | 2742 The Mews, Northbrook, IL 60062-2617 | 2014-03-26 |
1972936581 | Marshall David Lindheimer | Internal Medicine | 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 | 2013-08-19 |
1649616822 | Bun Siu L. Co | Internal Medicine | 838 Highland Rd., Frankfort, IL 60423 | 2013-05-15 |
1366781171 | Msa Alliance, LLC | Internal Medicine | 624 Vons-jost, Waterloo, IL 62298-1592 | 2013-02-14 |
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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.