CHARLES S GILBERT JR (NPI# 1194824797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194824797 |
| Entity Type | Organization |
| Organization Name | CHARLES S GILBERT JR |
| Practice Address |
2600 S Michigan Ave Suite 410 Chicago IL 60616-2857 |
| Mailing Address |
777 Oakmont Ln Suite 1600 Westmont IL 60559-5511 |
| Practice Telephone | 3122635455 |
| Mailing Telephone | 6307892550 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-01-16 |
| Authorized Official Name | CHARLES S GILBERT (SOLE PROPRIETOR) |
| Authorized Official Telephone | 3122635455 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVIDER ID | 31600607 | 01 |
| Street Address |
2600 S MICHIGAN AVE SUITE 410 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60616-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184616310 | Farzana Begum | Internal Medicine | 2600 S Michigan Ave, Suite 310, Chicago, IL 60616-2857 | 2005-08-15 |
| 1255889622 | Cordia M. Clark-white, Md, Ltd | Obstetrics & Gynecology | 2600 S Michigan Ave, Suite 305, Chicago, IL 60616-2857 | 2016-09-14 |
| 1801264809 | Renuka Chilajwar | Physical Therapist | 2600 S Michigan Ave, Suite 102, Chicago, IL 60616-2857 | 2015-09-08 |
| 1295119469 | Bridget Racky | Specialist | 2600 S Michigan Ave, Suite 102, Chicago, IL 60616-2857 | 2015-07-16 |
| 1629476635 | Aids Healthcare Foundation | Clinic/Center | 2600 S Michigan Ave, Suite Ll-d, Chicago, IL 60616-2857 | 2014-12-08 |
| 1720482102 | Access Physical Therapy Iv, Inc | Specialist | 2600 S Michigan Ave, Suite 102, Chicago, IL 60616-2857 | 2014-10-14 |
| 1619387255 | Anna Gacke | Dietitian, Registered | 2600 S Michigan Ave, Ste 408, Chicago, IL 60616-2857 | 2014-05-05 |
| 1972885325 | South Shore Med & Rehab Center | Clinic/Center | 2600 S Michigan Ave, Suite Ll-b, Chicago, IL 60616-2857 | 2011-09-12 |
| 1407145519 | Maryanne Nyree Williams | Psychologist | 2600 S Michigan Ave, Suite 405, Chicago, IL 60616-2857 | 2011-03-30 |
| 1720393945 | Christina Terrazas | Physician Assistant | 2600 S Michigan Ave, Suite 305, Chicago, IL 60616-2857 | 2010-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
| 1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
| 1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
| 1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
| 1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
| 1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
| 1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
| 1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
| 1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
| Find all providers in zip 60616 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184189672 | Calumet Counseling and Dui Services,inc | Internal Medicine | 1010 W 95th St, Chicago, IL 60643-1522 | 2019-02-08 |
| 1376819565 | Sahar Eftekhar | Internal Medicine | 1 E Superior St Ste 306, Chicago, IL 60611-2595 | 2012-04-01 |
| 1942585468 | Ngu Md. Wellness Ltd. | Internal Medicine | 400 E Randolph St, Apt 2711, Chicago, IL 60601-7329 | 2011-10-15 |
| 1184934036 | Mary S Wenzel | Internal Medicine | 3730 N Lake Shore Dr, Chicago, IL 60613-4236 | 2010-10-13 |
| 1598879223 | Michael D Baldinger | Internal Medicine | 1150 W Fullerton Ave, 2nd Flr, Chicago, IL 60614-8160 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033343132 | Richard Joseph Wallyn | Internal Medicine | 1300 Brassie Ave., Flossmoor, IL 60422-1812 | 2009-05-05 |
| 1477752160 | Arthur Hoffman | Internal Medicine | 2652 Broadway Ave, Evanston, IL 60201 | 2007-07-13 |
| 1659300796 | Abhin Singla | Internal Medicine | 801 N Larkin Ave Ste 101, Joliet, IL 60435 | 2006-07-01 |
| 1841238979 | Mysore N Shivaram | Internal Medicine | 6901 Cermak Rd, Berwyn, IL 60402-2160 | 2006-06-02 |
| 1659342665 | Albert C Tanlim | Internal Medicine | 845 S 4th St, Roberts Clinic Ltd, Watseka, IL 60970-1628 | 2006-01-28 |
| 1407395346 | Bhs Physician Services of Illinois PC | Internal Medicine | 1237 E 1600 North Rd, Gilman, IL 60938-6112 | 2017-02-13 |
| 1588929525 | Opioid Addiction Recovery Services PC | Internal Medicine | 755 S Milwaukee Ave, Suite 210, Libertyville, IL 60048-3253 | 2012-07-05 |
| 1679888341 | Mysore N Shivaram Md Sc | Internal Medicine | 6901 Cermak Rd, Berwyn, IL 60402-2160 | 2010-08-18 |
| 1487798955 | Clinical Associates In Medicine, LLC | Internal Medicine | 801 N Larkin Ave Ste 101, Joliet, IL 60435 | 2007-02-17 |
| 1235153677 | Kirk Moberg | Internal Medicine | 602 W University Avenue, Administration, Urbana, IL 61801 | 2006-07-27 |
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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.