PENG JI (NPI# 1154639771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154639771 |
| Entity Type | Individual |
| Full Name | PENG JI |
| Credential | M.D., PH.D. |
| Practice Address |
420 E Superior St Rubloff Building 12-172 Chicago IL 60611-4494 |
| Mailing Address |
303 E Chicago Ave Ward 3-140 Chicago IL 60611-4296 |
| Practice Telephone | 3125034756 |
| Mailing Telephone | 6179015198 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
125-058983 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
420 E SUPERIOR ST RUBLOFF BUILDING 12-172 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-4494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891016838 | Julie Chow | Anesthesiology | 420 E Superior St, Rubloff 12th Floor, Chicago, IL 60611-4494 | 2010-06-14 |
| 1275150971 | Ethan Alexander Hiles | Student in an Organized Health Care Education/Training Program | 420 E Superior St, Chicago, IL 60611-4494 | 2020-06-29 |
| 1154944965 | Sonia Nair | Student in an Organized Health Care Education/Training Program | 420 E Superior St, Chicago, IL 60611-4494 | 2020-05-27 |
| 1073148284 | Hannah Kopinsky | Student in an Organized Health Care Education/Training Program | 420 E Superior St, Chicago, IL 60611-4494 | 2020-03-09 |
| 1841825072 | Alikhan Karimi | Student in an Organized Health Care Education/Training Program | 420 E Superior St, Chicago, IL 60611-4494 | 2020-03-09 |
| 1609401736 | Mason Robert Marshall | Student in an Organized Health Care Education/Training Program | 420 E Superior St, Chicago, IL 60611-4494 | 2020-03-09 |
| 1366076283 | Brandon Daniel Kalasho | Student in an Organized Health Care Education/Training Program | 420 E Superior St, Chicago, IL 60611-4494 | 2020-02-29 |
| 1982237608 | Justin Dzierzawski | Student in an Organized Health Care Education/Training Program | 420 E Superior St, Chicago, IL 60611-4494 | 2020-02-20 |
| 1083246821 | Brett J Bonynge | Student in an Organized Health Care Education/Training Program | 420 E Superior St, Chicago, IL 60611-4494 | 2020-02-10 |
| 1851952709 | Stacy Christine Goldthorpe | Student in an Organized Health Care Education/Training Program | 420 E Superior St, Chicago, IL 60611-4494 | 2019-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 207ZC0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | 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: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" 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 |
|---|---|---|---|---|
| 1902416936 | Chicago Lab Services Inc | Pathology | 7422 N Western Ave Ste 1, Chicago, IL 60645-1707 | 2020-08-04 |
| 1063927572 | Elite Pathology Lab Inc | Pathology | 3744 W North Ave, Chicago, IL 60647-4727 | 2017-12-06 |
| 1467922005 | St Bernard Hospital & Health Care Center | Pathology | 326 W 64th St, Chicago, IL 60621-3114 | 2018-11-27 |
| 1679003446 | Joseph Cho | Pathology | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2017-06-14 |
| 1164878195 | Angelica Moran | Pathology | 5841 S Maryland Ave # 3083, Chicago, IL 60637 | 2016-05-09 |
| 1457532822 | Solaris Diagnostics PC | Pathology | 3538 W Fullerton Ave, Chicago, IL 60647-2443 | 2007-11-14 |
| 1366631533 | Karen M Frank | Pathology | 5841 S Maryland Ave, Mc 0001, Chicago, IL 60637-1447 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023658416 | Haneefah Maryam Cummings | Pathology | 7360 N Lincoln Ave Ste 110, Lincolnwood, IL 60712-1705 | 2020-01-14 |
| 1245487610 | Mohammed Khairy Atieh | Pathology | 2160 S 1st Ave, Building 110, Maywood, IL 60153-3328 | 2008-08-27 |
| 1619133717 | Saeedeh Masoom | Pathology | 2520 Elisha Ave, Zion, IL 60099-2676 | 2008-07-29 |
| 1295905297 | Clinical Pathology Associates, Sc | Pathology | 1225 W Lake St, Melrose Park, IL 60160-4039 | 2008-03-05 |
| 1609044981 | Oak Park Clinical Pathologists, P.C. | Pathology | 3 Erie Ct, Oak Park, IL 60302-2519 | 2008-02-20 |
| 1013134402 | Jason Kang | Pathology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2007-04-19 |
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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.