DR. LISA ANN PITELKA (NPI# 1144476268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144476268 |
| Entity Type | Individual |
| Full Name | DR. LISA ANN PITELKA |
| Credential | M.D. |
| Practice Address |
1750 W Harrison St 570 Jelke, Department of Pathology Chicago IL 60612-3825 |
| Mailing Address |
74 Westmore Meyers Rd Lombard IL 60148-3037 |
| Practice Telephone | 3129425260 |
| Mailing Telephone | 8154836422 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
125.053071 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1750 W HARRISON ST 570 JELKE, DEPARTMENT OF PATHOLOGY |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194704874 | Kisha D Johnson | Genetic Counselor, MS | 1750 W Harrison St, 1507 Jelke, Chicago, IL 60612-3825 | 2006-01-11 |
| 1164047346 | Tucker Matthews | Emergency Medicine | 1750 W Harrison St, Chicago, IL 60612-3825 | 2020-06-12 |
| 1093342446 | Talib Chaudhry | Surgery | 1750 W Harrison St, Chicago, IL 60612-3825 | 2020-03-25 |
| 1194352864 | Bishir Clayton | Student in an Organized Health Care Education/Training Program | 1750 W Harrison St, Chicago, IL 60612-3825 | 2020-03-24 |
| 1720614621 | Erik Feng Wang | Student in an Organized Health Care Education/Training Program | 1750 W Harrison St, Chicago, IL 60612-3825 | 2020-03-23 |
| 1710447867 | Elizabeth Dawn Anderson | Student in an Organized Health Care Education/Training Program | 1750 W Harrison St, Chicago, IL 60612-3825 | 2019-03-24 |
| 1457810350 | Joel Braverman | Student in an Organized Health Care Education/Training Program | 1750 W Harrison St, Chicago, IL 60612-3825 | 2019-03-19 |
| 1821557653 | Brandon Alba | Student in an Organized Health Care Education/Training Program | 1750 W Harrison St, Chicago, IL 60612-3825 | 2019-03-19 |
| 1528527678 | Chassidy Erin Grimes | Student in an Organized Health Care Education/Training Program | 1750 W Harrison St, Chicago, IL 60612-3825 | 2019-03-18 |
| 1194284174 | Amanda Macquoid | Student in an Organized Health Care Education/Training Program | 1750 W Harrison St, Chicago, IL 60612-3825 | 2019-03-18 |
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| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930145 | Uttamjot Kaur | Pathology | 2650 Ridege Avenue, Evanston Hospital, Chicago, IL 60613-6061 | 2020-10-21 |
| 1689188062 | Karina Colossi Furlan | Pathology | 1750 W Harrison St Fl 5, Chicago, IL 60612-3825 | 2017-11-21 |
| 1073967162 | Lucy Fu | Pathology | 303 East Chicago Avenue Ward 3-140 W127, Chicago, IL 60611-1059 | 2016-04-14 |
| 1053790113 | Lisa Han | Pathology | 5841 S. Maryland Ave., Rm. S323, Mc 3083, Chicago, IL 60637-1470 | 2015-05-22 |
| 1598151136 | Daiva Mattis | Pathology | Dept of Pathology, Jelke Building 579, Rush Univ Med Ct, 600 S. Paulina St., Chicago, IL 60612 | 2015-04-10 |
| 1376959981 | Aarti Sharma | Pathology | 5841 S Maryland Ave Rm P-615, Chicago, IL 60637-1447 | 2014-07-02 |
| 1831509090 | Caitlin Darrell | Pathology | 5841 S Maryland Ave # 3083, Chicago, IL 60637-1443 | 2014-04-28 |
| 1255750279 | Rebecca C Obeng | Pathology | 251 E Huron St Ste 7-132n, Chicago, IL 60611-2908 | 2014-04-08 |
| 1457790008 | Ari Scott Nowacek | Pathology | 8755 W Higgins Rd, Suite 1025, Chicago, IL 60631-2708 | 2013-06-17 |
| 1023456662 | Nora Eve Joseph | Pathology | 2016 W Race Ave, Chicago, IL 60612-1508 | 2013-06-05 |
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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.