DR. SHELBY LYNN NATHAN (NPI# 1306308416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306308416 |
| Entity Type | Individual |
| Full Name | DR. SHELBY LYNN NATHAN |
| Other Name | SHELBY LYNN BROWN |
| Credential | MD |
| Practice Address |
5841 S Maryland Ave Chicago IL 60637-1443 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 7737021150 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 125.074982 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5841 S MARYLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887296 | Rita Lynn Mcgill | Internal Medicine | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2005-08-09 |
| 1447851472 | Basirat Sulaiman | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-11-05 |
| 1982204061 | Martha Daniela Gorski | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-10-28 |
| 1841807179 | Jason Bugno | Pharmacist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-30 |
| 1942816798 | Emily Mancewicz | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-17 |
| 1841805546 | Anayeli Locascio | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-10 |
| 1336752856 | Rachel Barsella | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-25 |
| 1982215620 | Jennifer Risner | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-16 |
| 1134739857 | Moshe Bedziner | Physician Assistant | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-06 |
| 1427676899 | Brittney Blackwell | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821501586 | Plastic Surgery Clinic of Chicago LLC | Plastic Surgery | 850 S Wabash Ave Ste 310, Chicago, IL 60605-3642 | 2017-11-15 |
| 1598123424 | Craig Bradley | Plastic Surgery | 1035 W Rundell Pl, Chicago, IL 60607-2514 | 2016-02-06 |
| 1215346325 | Damian Gress | Plastic Surgery | 943 W 14th Pl, Unit 2 B, Chicago, IL 60608-2287 | 2014-08-04 |
| 1639435993 | Alireza Hamidian Jahromi | Plastic Surgery | 1653 W Congress Pkwy # 769, Chicago, IL 60612-3833 | 2012-04-11 |
| 1326330028 | Kiran Polavarapu Md Sc | Plastic Surgery | 2348 N Lister Ave, 305, Chicago, IL 60614-2994 | 2011-05-12 |
| 1174814412 | Sammy Sinno | Plastic Surgery | 737 N Michigan Ave Ste 1500, Chicago, IL 60611-6653 | 2011-04-20 |
| 1962700062 | David Hill | Plastic Surgery | 100 E Walton St Ste 400, Chicago, IL 60611-1448 | 2011-03-14 |
| 1619279288 | Michael E Schafer | Plastic Surgery | 2225 N Dayton St, Chicago, IL 60614-3611 | 2010-12-02 |
| 1225349350 | Sumanas Wanant Jordan | Plastic Surgery | 675 N Saint Clair St Ste 19-250, Chicago, IL 60611-5964 | 2010-06-23 |
| 1487978235 | Frederick Wang | Plastic Surgery | 5841 S Maryland Ave Mc 6035, Chicago, IL 60637 | 2010-03-23 |
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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.