NOUR ALMARDINI (NPI# 1134481054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134481054 |
| Entity Type | Individual |
| Full Name | NOUR ALMARDINI |
| Credential | MD |
| Practice Address |
4909 N Glen Park Place Rd Peoria IL 61614-4689 |
| Practice Telephone | 3096747546 |
| Practice Fax Number | 3092822075 |
| Mailing Telephone | 3096747546 |
| Mailing Fax Number | 3092822075 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
036146069 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4909 N GLEN PARK PLACE RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-4689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174599260 | Chen Wang | Pathology | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2006-02-27 |
| 1790180164 | Sara Snarr | Nurse Practitioner | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2014-10-28 |
| 1700209160 | Sarah Christensen | Physician Assistant | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2014-01-21 |
| 1922313238 | Stephanie M Ellis | Physician Assistant | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2010-08-11 |
| 1245490382 | Tesfu Hailu | Dermatology | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2008-06-12 |
| 1477743813 | Michelle L Roth | Physician Assistant | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2007-08-01 |
| 1073655676 | James Murray Jeffries IIi | Surgery | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2007-02-12 |
| 1912017245 | Michael L Hayes | Dermatology | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2006-08-30 |
| 1871506931 | John R Soderstrom | Physician Assistant | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2006-08-13 |
| 1710931670 | Soderstrom Dermatology Center S C | Pathology | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2006-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174599260 | Chen Wang | Pathology | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2006-02-27 |
| 1356567044 | Adam M Quinn | Pathology | 5409 N Knoxville Ave, Peoria, IL 61614-5069 | 2007-04-18 |
| 1710931670 | Soderstrom Dermatology Center S C | Pathology | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811204399 | Seema Pasha Apichai | Pathology | 7123 West Archer Ave, Chicago, IL 60638 | 2010-09-07 |
| 1558519454 | Devon Collins Gimbel | Pathology | 28100 N Ashley Cir, Ste 106, Libertyville, IL 60048-9478 | 2008-09-04 |
| 1063846368 | Lohini Sundharkrishnan | Pathology | 5841 S Maryland Ave # Mc5067, Chicago, IL 60637-1447 | 2013-08-22 |
| 1861790362 | Eugen Catalin Minca | Pathology | 2155 City Gate Ln, Naperville, IL 60563-7733 | 2011-03-07 |
| 1023332467 | Jodi J Speiser | Pathology | 2160 S 1st Ave, Department of Pathology, Maywood, IL 60153-3328 | 2010-03-14 |
| 1134310964 | Patricia Margaret Fishman | Pathology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2007-08-07 |
| 1134224645 | Darryl Alan Oble | Pathology | 2160 S 1st Ave, Loyola University Medical Center, Dept. of Pathology, Maywood, IL 60153-3328 | 2006-09-13 |
| 1386681906 | Marylee Braniecki | Pathology | Lutheran General Hospital / Pathology Department, 1775 Dempster Street, Park Ridge, IL 60068 | 2006-06-01 |
| 1104806272 | Brian Nickoloff | Pathology | 2160 S First Ave, (ems Bldg., Rm. 2209), Maywood, IL 60153 | 2006-01-17 |
| 1992781785 | Luis Flores | Pathology | 1420 Renaissance Dr, Suite 204, Park Ridge, IL 60068-1330 | 2005-12-22 |
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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.