DR. SULOCHANA D YALAVARTHI (NPI# 1255331658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255331658 |
Entity Type | Individual |
Full Name | DR. SULOCHANA D YALAVARTHI |
Credential | M.D. |
Practice Address |
1 Ingalls Dr Cancer Care Center Harvey IL 60426-3558 |
Mailing Address |
4647 Lincoln Hwy Matteson IL 60443-2319 |
Practice Telephone | 7089156620 |
Practice Fax Number | 7089153782 |
Mailing Telephone | 7087475850 |
Mailing Fax Number | 7087479991 |
Enumeration Date | 2005-07-28 |
Last Update Date | 2009-11-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036061179 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036061179 | 05 |
Street Address |
1 INGALLS DR CANCER CARE CENTER |
City | HARVEY |
State | IL |
Zip Code | 60426-3558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245239789 | Lisa M. Bibb | Pathology | 1 Ingalls Dr, Pathology Department, Harvey, IL 60426-3558 | 2005-07-18 |
1306453501 | Nicole Stephen | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2020-09-30 |
1730704958 | Emily Limberg | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2020-06-12 |
1215566781 | Willie C Harmon Sr. | Psychologist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2020-04-06 |
1356988216 | La Vera Nelson | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3591 | 2019-12-10 |
1679037451 | Bernice Lynette Mclaurin | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2019-01-26 |
1720579493 | Eugenia V Whalen-robinson | Social Worker | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2018-05-29 |
1972010718 | Lindsay Syring | Physician Assistant | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2018-01-02 |
1225549447 | Kimberly Wessendorf | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-10-15 |
1063921799 | Reda Kubilius | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-09-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
Find all providers in zip 60426 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922278860 | Robert J. Tomchuck Do | Radiology | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2008-03-06 |
1740270628 | Shankar C Sanwalani Md and Associates | Radiology | 1 Ingalls Dr, Cancer Care Center, Harvey, IL 60426-3558 | 2005-10-24 |
1760482160 | Shankar C Sanwalani | Radiology | 1 Ingalls Dr, Cancer Care Center, Harvey, IL 60426-3558 | 2005-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629690185 | Illinois Radiation Oncology Consultants Pllc | Radiology | 208 Flax Dr Ste 100, Highland, IL 62249-1396 | 2020-05-07 |
1770070609 | Brian Chou | Radiology | 2160 S 1st Ave Rm 2944, Maywood, IL 60153-3328 | 2018-04-17 |
1932606654 | Amishi Bajaj | Radiology | 2011 Midwest Club Pkwy, Oak Brook, IL 60523-2526 | 2018-04-09 |
1629502208 | Nathaniel Camden | Radiology | 500 South Paulina Street, Atrium Building, Ground Floor, Chicago, IL 60612-3833 | 2017-04-20 |
1811436553 | Seung Won Seol | Radiology | 251 E Huron St Ste Lc-178, Chicago, IL 60611 | 2017-02-14 |
1689051328 | Ross Scott Zeitlin | Radiology | 1901 W Harrison St Ste Ll-500, Chicago, IL 60612-3714 | 2015-05-01 |
1730578527 | Jeffrey Gross | Radiology | 6525 N Mozart St, Apt 3, Chicago, IL 60645-4377 | 2015-01-15 |
1508267220 | Vantage Cancer Care - Illinois, S.c. | Radiology | 17750 South Kedzie Avenue, Hazel Crest, IL 60429-2047 | 2014-09-12 |
1952714636 | Aditya Juloori | Radiology | 5841 S Maryland Ave # Mc9006, Chicago, IL 60637-1443 | 2014-06-10 |
1083047146 | Yoon Tae Kim | Radiology | 1025 Sunset Rd, Winnetka, IL 60093-3622 | 2013-08-13 |
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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.