MARINA A KUZNETSOVA (NPI# 1265545271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265545271 |
| Entity Type | Individual |
| Full Name | MARINA A KUZNETSOVA |
| Credential | M.D. |
| Practice Address |
4700 N Marine Dr Suite 100 Chicago IL 60640-7972 |
| Mailing Address |
5116 S Dorchester Ave Chicago IL 60615-4118 |
| Practice Telephone | 7735645070 |
| Practice Fax Number | 7735645071 |
| Mailing Telephone | 7735645070 |
| Mailing Fax Number | 7735645071 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036090595 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036090575 | 05 | |
| IL | BLUE CROSS BLUE SHIELD IL | 01632270 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679918262 | Marina Kuznetsova | Acupuncturist | 125 N Gale Dr, Apt 401, Beverly Hills, CA 90211-2337 | 2013-05-08 |
| Street Address |
4700 N MARINE DR SUITE 100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-7972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083693378 | Paul R Abbo | Internal Medicine | 4700 N Marine Dr, Ste 300, Chicago, IL 60640-5120 | 2006-01-13 |
| 1538556162 | Beata Janton | Nurse Practitioner | 4700 N Marine Dr, Chicago, IL 60640-7972 | 2015-04-21 |
| 1619237856 | Robin Tong | Family Medicine | 4700 N Marine Dr, Suite 300, Chicago, IL 60640-7972 | 2012-05-22 |
| 1346500956 | Angela H Morgan | Case Manager/Care Coordinator | 4700 N Marine Dr, Chicago, IL 60640-7972 | 2012-05-17 |
| 1902191232 | Cynthia Kay Rozier | Internal Medicine | 4700 N Marine Dr, Suite 300, Chicago, IL 60640-7972 | 2011-06-15 |
| 1073810792 | Jacqueline A Kenny | Audiologist | 4700 N Marine Dr, Lakeshore Multispecialty Center, Chicago, IL 60640-7972 | 2011-02-15 |
| 1033348206 | Faycor N A Inc | Clinic/Center | 4700 N Marine Dr, 5th Floor, Chicago, IL 60640-5120 | 2009-07-09 |
| 1992986723 | Renal Care Group Chicago Uptown, LLC | Clinic/Center | 4700 N Marine Dr, Suite 200, Chicago, IL 60640-5120 | 2007-11-20 |
| 1891846911 | Irena Mulla | Internal Medicine | 4700 N Marine Dr, Suite 300, Chicago, IL 60640-7972 | 2007-01-16 |
| 1154342293 | May Hashimi | Internal Medicine | 4700 N Marine Dr, Suite 315, Chicago, IL 60640-7972 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1952714636 | Aditya Juloori | Radiology | 5841 S Maryland Ave # Mc9006, Chicago, IL 60637-1443 | 2014-06-10 |
| 1932466208 | Thomas Kim | Radiology | 500 S Paulina St., Ground Floor Atrium 013, Chicago, IL 60612 | 2012-04-11 |
| 1215238308 | Michelle S Gentile | Radiology | 251 E Huron St # Lc-178, Chicago, IL 60611-2908 | 2010-11-05 |
| 1679747521 | Dr. Thakrar Associates M.d.;s.c. | Radiology | 161 E Chicago Ave Apt 52b, Chicago, IL 60611-6684 | 2008-04-22 |
| 1528239217 | Jonathan Blake Strauss | Radiology | 250 E Superior St Ste Lc-2101, Chicago, IL 60611-2914 | 2008-03-20 |
| 1063607125 | Alliance Oncology LLC | Radiology | 15055 Collection Center Dr, Chicago, IL 60693-0150 | 2007-09-12 |
| Find all providers in CHICAGO | ||||
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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.