NIC I HRISTEA (NPI# 1285689703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285689703 |
Entity Type | Individual |
Full Name | NIC I HRISTEA |
Credential | MD |
Practice Address |
2555 S King Dr 2nd Flr Chicago IL 60616-2419 |
Mailing Address |
210 S Desplaines St Chicago IL 60661-5500 |
Practice Telephone | 3123798022 |
Practice Fax Number | 3126744001 |
Mailing Telephone | 3126542700 |
Mailing Fax Number | 3126549930 |
Enumeration Date | 2006-05-23 |
Last Update Date | 2013-05-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
036105393 | IL | Allopathic & Osteopathic Physicians |
N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A76768 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036105393 | 05 |
Street Address |
2555 S KING DR 2ND FLR |
City | CHICAGO |
State | IL |
Zip Code | 60616-2419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255318879 | Maria Sobrero | Internal Medicine | 2555 S King Dr, 2nd Flr, Chicago, IL 60616-2419 | 2005-12-23 |
1235479858 | Norman M James, M.d., Ltd | Internal Medicine | 2555 S King Dr, 2nd Floor, Chicago, IL 60616-2419 | 2013-02-19 |
1629333224 | Flawless Service Corporation | Surgery | 2555 S King Dr, 2nd Floor, Chicago, IL 60616-2419 | 2012-07-10 |
1154456333 | Lakeshore Pulmonary Associates, LLC | Internal Medicine | 2555 S King Dr, 2nd Floor, Chicago, IL 60616-2419 | 2007-02-21 |
1346317724 | Glenn A. T. Beard | Internal Medicine | 2555 S King Dr, 2nd Floor, Chicago, IL 60616-2419 | 2006-11-29 |
1174635718 | Javette C. Orgain | Family Medicine | 2555 S King Dr, Flawless Inc. 2nd Floor C/o R. Phillips, Coo, Chicago, IL 60616-2419 | 2006-08-31 |
1124135611 | Richard Hong | Internal Medicine | 2555 S King Dr, 2nd Flr, Chicago, IL 60616-2419 | 2006-08-23 |
1770537532 | Kimberly Williams | Nurse Practitioner | 2555 S King Dr, Chicago, IL 60616-2419 | 2006-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
Find all providers in zip 60616 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1235627332 | Chicago Nephrology Associates, LLC | Internal Medicine | 3023 N Clark St #302, Chicago, IL 60657 | 2018-04-25 |
1619328820 | Nay Seif | Internal Medicine | 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 | 2016-06-29 |
1447611389 | Skyline Medical Associates LLC | Internal Medicine | 100 E 14th St Apt 1907, Chicago, IL 60605-3673 | 2016-03-18 |
1972936581 | Marshall David Lindheimer | Internal Medicine | 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 | 2013-08-19 |
1952656167 | Primecare Nephrology & Hypertension Sc Corp | Internal Medicine | 4810 S Kenwood Ave, Chicago, IL 60615-2016 | 2012-07-13 |
1558650697 | Stephanie Michelle Toth-manikowski | Internal Medicine | 820 S Wood St # Mc793, Chicago, IL 60612 | 2011-03-29 |
1326372855 | Daniel Fantus | Internal Medicine | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2009-09-30 |
1487882791 | Sylvester Barnes Iv | Internal Medicine | 900 S Clark St Apt 1801, Chicago, IL 60605 | 2009-06-24 |
1952551517 | Jane Vernik Md, S.c. | Internal Medicine | 637 South Wood Street St 215, Division of Nephrology, Durand Building, Chicago, IL 60612 | 2008-09-19 |
1073643193 | Malathi Shah | Internal Medicine | 1625 E 75th St Ste 328, Chicago, IL 60649-3603 | 2007-03-07 |
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.