DR. SAMIULLAH M CHOUDRY (NPI# 1275715484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275715484 |
| Entity Type | Individual |
| Full Name | DR. SAMIULLAH M CHOUDRY |
| Credential | M.D. |
| Practice Address |
1051 Essington Rd Suite 290 Joliet IL 60435-2842 |
| Mailing Address |
1051 Essington Rd Suite 290 Joliet IL 60435-2801 |
| Practice Telephone | 8157730099 |
| Practice Fax Number | 8157730088 |
| Mailing Telephone | 8157730099 |
| Mailing Fax Number | 8157730088 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2010-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036105476 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 0009932044 | 01 |
| IL | 036105476 | 05 |
| Street Address |
1051 ESSINGTON RD SUITE 290 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831199587 | Dawn Carroll Roman | Physician Assistant | 1051 Essington Rd, Suite 280, Joliet, IL 60435-2801 | 2005-07-22 |
| 1881150860 | Sarah Dean | Nurse Practitioner | 1051 Essington Rd, Joliet, IL 60435-2801 | 2019-02-14 |
| 1568993962 | Kristen Nicole Yunker | Nurse Practitioner | 1051 Essington Rd, Suite 100, Joliet, IL 60435-2801 | 2017-03-27 |
| 1760810915 | Alishia Davison | Physician Assistant | 1051 Essington Rd, Suite 290, Joliet, IL 60435-2801 | 2013-10-25 |
| 1134489917 | Total Renal Care Inc | Clinic/Center | 1051 Essington Rd, Ste 160, Joliet, IL 60435-2893 | 2012-05-25 |
| 1598090870 | Cardinal Surgical Associates S C | Surgery | 1051 Essington Rd, Suite 230a, Joliet, IL 60435-2892 | 2009-10-05 |
| 1306000484 | Deepika Buchupalli | Internal Medicine | 1051 Essington Rd, Suite 210, Joliet, IL 60435-2801 | 2008-07-17 |
| 1114047115 | Stephen Scott Epner | Internal Medicine | 1051 Essington Rd, Suite 140, Joliet, IL 60435-2801 | 2007-03-31 |
| 1982721353 | Silver Cross Hospital & Medical Centers | Clinic/Center | 1051 Essington Rd, Joliet, IL 60435-2801 | 2007-03-23 |
| 1730203795 | Southwest Infectious Disease Associates Ltd | Specialist | 1051 Essington Rd, Suite 210, Joliet, IL 60435-2801 | 2007-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376988238 | Celeste D. Kaliski | Internal Medicine | 705 Wildwood Dr, Joliet, IL 60431-4893 | 2013-05-06 |
| 1336404532 | Mohammed Syed Faseehuddin | Internal Medicine | 2100 Glenwood Ave Fl 2, Joliet, IL 60435-5487 | 2012-07-12 |
| 1194042879 | Urgent Care of Joliet, LLC | Internal Medicine | 1325 W Jefferson St, Joliet, IL 60435-6862 | 2010-04-21 |
| 1326280264 | Rania Hafeth Saleh | Internal Medicine | 1051 Essington Rd Ste 210, Joliet, IL 60435 | 2009-03-24 |
| 1205084431 | Theodore E Dastych | Internal Medicine | 3237 Oakwood Dr, Joliet, IL 60431-4841 | 2008-08-29 |
| 1467630756 | Parthasarathi Ghosh | Internal Medicine | Division St and Route 53, Stateville Correction Center, Joliet, IL 60434-0112 | 2008-02-08 |
| 1689798696 | Facundo Dovale | Internal Medicine | 815 Campus Dr, Joliet, IL 60435-8573 | 2007-03-16 |
| 1144239369 | Kishor G Ajmere | Internal Medicine | 2435 Glenwood Ave, Ste 110, Joliet, IL 60435-5461 | 2006-08-05 |
| 1679518518 | Maimoona S Aijaz | Internal Medicine | 1717 Glenwood Ave, Joliet, IL 60435-5835 | 2006-06-17 |
| 1881640068 | Michael Coughlin | Internal Medicine | 1201 Eagle St., Joliet, IL 60432 | 2006-05-26 |
| Find all providers in JOLIET | ||||
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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.