DR. JOSEPH JAMES COUGHLIN (NPI# 1215022637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215022637 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH JAMES COUGHLIN |
| Credential | M.D. |
| Practice Address |
7447 W Talcott Ave Suite 454 Chicago IL 60631-3745 |
| Practice Telephone | 7736315767 |
| Practice Fax Number | 7736310828 |
| Mailing Telephone | 7736315767 |
| Mailing Fax Number | 7736310828 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036-061078 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AC9635446 | 01 | |
| MEDICARE PROVIDER NUMBER | K46661 | 01 | |
| IL | 036-061078 | 05 |
| Street Address |
7447 W TALCOTT AVE SUITE 454 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960145 | Paul J Toussaint | Pediatrics | 7447 W Talcott Ave, Ste 467, Chicago, IL 60631-3715 | 2005-05-27 |
| 1194344721 | Alvin Au-yeung | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Chicago, IL 60631-3745 | 2020-04-14 |
| 1639680267 | Jeffrey Moorhead | Physical Therapist | 7447 W Talcott Ave, Ste 500, Chicago, IL 60631-3716 | 2017-10-23 |
| 1770019796 | Brayton Kiedrowski | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Chicago, IL 60631-3745 | 2017-05-11 |
| 1750818555 | Amber Ijaz | Family Medicine | 7447 W Talcott Ave, Resurrection Family Medicine, Ste. 182, Chicago, IL 60631-3745 | 2017-05-11 |
| 1548796683 | Jordan Oneill | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Resurrection Family Medicine Suite 182, Chicago, IL 60631-3745 | 2017-05-10 |
| 1588190821 | Asha Anne | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Resurrection Family Medicine Ste. 182, Chicago, IL 60631-3745 | 2017-05-05 |
| 1033644992 | Caryn Rachel Olshansky | Physician Assistant | 7447 W Talcott Ave, Suite 425, Chicago, IL 60631-3745 | 2017-04-27 |
| 1982139945 | Sabina Antonina Gal | Counselor | 7447 W Talcott Ave, Suite 448, Chicago, IL 60631-3745 | 2017-04-27 |
| 1538512934 | Aneta Zima | Nurse Practitioner | 7447 W Talcott Ave, Suite 248, Chicago, IL 60631-3745 | 2016-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382531 | Contemporary Ob/gyn Chicago, Pllc | Obstetrics & Gynecology | 2007 S State St, Chicago, IL 60616-2173 | 2020-09-24 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1679003826 | Scolastica W Njoroge | Obstetrics & Gynecology | 5841 S Maryland Ave Rm J-141, Chicago, IL 60637-1447 | 2017-06-19 |
| 1356794457 | Paige Dermer Kendall | Obstetrics & Gynecology | 250 E. Huron Street, Chicago, IL 60611 | 2016-07-13 |
| 1427409093 | Marly Francois | Obstetrics & Gynecology | 1300 W Belmont Ave Ste 100, Chicago, IL 60657-3200 | 2016-06-24 |
| 1346695509 | Kristina Janea Warner | Obstetrics & Gynecology | 250 E Superior St Ste 5-2166, Chicago, IL 60611-2914 | 2016-04-25 |
| 1962857102 | Jacqueline Christine Lee | Obstetrics & Gynecology | 250 E Superior St Ste 5-2177, Chicago, IL 60611-2914 | 2016-04-25 |
| 1881049120 | Kelly Ann Davis | Obstetrics & Gynecology | 7447 W Talcott Ave Ste 531, Chicago, IL 60631-3716 | 2016-04-24 |
| 1780046185 | Hillary Edelman | Obstetrics & Gynecology | 900 N Kingsbury St Ste 130n, Chicago, IL 60610-7457 | 2016-03-24 |
| 1578929139 | Olivia Helen Finkelstein Barry | Obstetrics & Gynecology | 675 N Saint Clair St # 200, Chicago, IL 60611 | 2016-01-12 |
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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.