KHANDEPARKER, SC. (NPI# 1215058656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215058656 |
| Entity Type | Organization |
| Organization Name | KHANDEPARKER, SC. |
| Practice Address |
6084 S Archer Ave Suite 202 Chicago IL 60638-2747 |
| Practice Telephone | 7735815888 |
| Practice Fax Number | 7735815895 |
| Mailing Telephone | 7735815888 |
| Mailing Fax Number | 7735815895 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-10-02 |
| Authorized Official Name | DR. VILAS KHANDEPARKER (PRESIDENT) |
| Authorized Official Telephone | 7735815888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036047939 | IL | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 036047940 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
6084 S ARCHER AVE SUITE 202 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60638-2747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757817 | Penchala Sompalli | Specialist | 6084 S Archer Ave, Suite 101, Chicago, IL 60638-2747 | 2005-08-23 |
| 1548640212 | Mount Sinai Community Foundation | Urology | 6084 S Archer Ave, Ste 202, Chicago, IL 60638-2747 | 2015-06-08 |
| 1235546037 | Mount Sinai Community Foundation | Family Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2014-07-14 |
| 1124465844 | Katarzyna Helena Rogala | Family Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2013-06-04 |
| 1366751935 | Donald Woznica Jr. | Family Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2010-09-30 |
| 1821294141 | Pitu G Punjabi Md Sc | Internal Medicine | 6084 S Archer Ave, Ste 100, Chicago, IL 60638-2747 | 2007-06-24 |
| 1740358126 | Robert J Kash | Internal Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2006-12-01 |
| 1699852939 | Bindiganavle G Shreenivas | Internal Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2006-11-01 |
| 1467530972 | Raghu R Vollala Md Sc | Internal Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2006-11-01 |
| 1487675989 | P N Sompalli Md Sc | Specialist | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931952 | Dawid Bula | Pharmacist | 7090 S Cicero Ave, Bedford Park, IL 60638 | 2020-10-30 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| 1891343711 | Marie Dipasquale | Technician | 5837 So. Natoma Ave, Chgo, IL 60638 | 2019-09-04 |
| 1316434400 | Ab Dental Professionals LLC | Dentist | 5672 South Archer Avenue, Chicago, IL 60638 | 2018-04-16 |
| 1427563204 | Bethany Elkington | Occupational Therapist | 5764 South Archer Ave, Chicago, IL 60638 | 2017-12-03 |
| 1952759854 | Ismael Gutierrez | Family Medicine | 6084 W Archer Ave, Chicago, IL 60638 | 2016-06-01 |
| 1336533314 | Claude Lucas King | Counselor | 6235 S Major Ave Apt 1, Chicago, IL 60638 | 2015-03-27 |
| 1538594395 | Mohammad Joudeh | Chiropractor | 4844 S Cicero Ave, Chicago, IL 60638 | 2013-09-11 |
| 1548602428 | Clearing Vision Professional Corporation | Optometrist | 5718 W. 63rd St., Chicago, IL 60638 | 2013-07-22 |
| 1184963134 | Raquel Ana Eguia | Physical Therapist | 5658 S. Parkside Ave, Chicago, IL 60638 | 2013-02-12 |
| Find all providers in zip 60638 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
| 1467878314 | Oluwarotimi Sewedo Nettey | Urology | 1524 S. Sangamon Street, Unit 403, Chicago, IL 60608 | 2014-03-14 |
| 1881957405 | Ricardo R Rios | Urology | 5600 W Addison St Ste 305, Chicago, IL 60634-4468 | 2012-06-19 |
| 1972863124 | James Wren | Urology | 675 N Saint Clair St Fl 20, Chicago, IL 60611 | 2012-05-22 |
| 1780940023 | Ryan Patrick Werntz | Urology | 5841 S Maryland Ave # 6038, Chicago, IL 60637-1447 | 2012-04-11 |
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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.