DR. SHADI DAMANPOUR


Address: 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997
Phone: 3126958106

DR. SHADI DAMANPOUR (NPI# 1275995888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275995888
Entity Type Individual
Full Name DR. SHADI DAMANPOUR
Credential MD
Practice Address 676 N Saint Clair St Ste 1600
Chicago
IL 60611-2997
Practice Telephone 3126958106
Practice Fax Number 3126950537
Mailing Telephone 3126958106
Mailing Fax Number 3126950537
Enumeration Date 2016-03-23
Last Update Date 2020-06-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 036151759 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
111 W Washington St Ste 1801, Chicago, IL 606023430 3126958106

Office Location

Street Address 676 N SAINT CLAIR ST STE 1600
City CHICAGO
State IL
Zip Code 60611-2997

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982820148 Pedram Yazdan Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 2007-04-17
1487217642 Tara E Dordek Physician Assistant 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 2019-04-15
1043715006 Laura Walsh Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 2018-03-29
1073023016 Krystal Simpraphone Physician Assistant 676 N Saint Clair St Ste 1600, Chicago, IL 60611 2017-10-04
1073041455 Sepideh Asadbeigi Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 2017-05-30
1346772472 Jessica Gandy Labadie Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611 2017-03-29
1497286033 Emily Anne Merkel Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611 2017-03-24
1194174110 Emily Milford Stevenson Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 2016-06-09
1982051165 Julia Mhlaba Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 2016-05-18
1487001822 Raj Jitendra Chovatiya Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 2016-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
1134735962 Kalvin Cheuk Hang Lung Student in an Organized Health Care Education/Training Program 675 N St Clair St 17th Floor, Chicago, IL 60611 2020-09-17
1487267845 Ashley Marie Sablich Student in an Organized Health Care Education/Training Program 250 E Huron Street, Suite 1-200, Chicago, IL 60611 2020-08-26
1245854033 Danielle Humphrey Student in an Organized Health Care Education/Training Program Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 2020-06-08
1801418074 Sana Healing Collective Clinic/Center 405 N. Wabash Street, Chicago, IL 60611 2020-05-11
1194359489 Insight:eating Disorders, Weight Management & Psychological Centers Psychiatric Hospital 1 E. Erie Street, 4th Floor, Chicago, IL 60611 2020-02-26
1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
1922643576 Sarah Elizabeth Schwartzer Audiologist Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 2019-11-07
1023668852 Anne Marguerite Davidson Student in an Organized Health Care Education/Training Program Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 2019-09-13
1871141085 Coast Management Durable Medical Equipment & Medical Supplies 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 2019-08-30
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114551983 Katherine Janezic Dermatology 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 2020-03-02
1487116240 Conrad Petersen Dermatology Sc Dermatology 2845 N Sheridan, Chicago, IL 60657 2019-04-02
1891257853 Maria Estela Martinez Escala Dermatology 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 2019-04-01
1275013450 Advanced Dermatology and Aesthetic Medicine Dermatology 850 S Wabash Ave Ste 200, Chicago, IL 60605-3642 2018-08-17
1346784543 Dermio, LLC Dermatology 3023 N Clark St, Suite 861, Chicago, IL 60657-5200 2016-12-07
1366823544 Oyinade Aderibigbe Dermatology 111 W Washington St Ste 1801, Chicago, IL 60602-3430 2015-06-14
1073909032 Julia Dai Dermatology 5758 S Maryland Ave Fl 3, Chicago, IL 60637 2015-04-07
1437544582 Nicholas Blickenstaff Dermatology 30 N Michigan Ave Ste 1429, Chicago, IL 60602-3698 2015-04-04
1801285929 Medical Dermatology Associates of Chicago, Ltd Dermatology 363 W Erie St, Suite 350, Chicago, IL 60654-6903 2015-01-13
1366857286 Noor Tazudeen Dermatology 4700 N Marine Dr Ste 220, Chicago, IL 60640-7972 2014-06-30
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Competitor

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City CHICAGO
Zip Code 60611

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Dataset Information

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.

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