DR. MICHAEL JAY WASSERMAN (NPI# 1326004938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326004938 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JAY WASSERMAN |
| Credential | MD |
| Practice Address |
8780 W Golf Road Suite 202 Niles IL 60714 |
| Practice Telephone | 8472984590 |
| Practice Fax Number | 8472980635 |
| Mailing Telephone | 8472984590 |
| Mailing Fax Number | 8472980635 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2011-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
3639973 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659861573 | Michael Wasserman | Specialist/Technologist | 10 Trakey St, Dover, NH 03820-4017 | 2018-05-16 |
| 1598027351 | Michael Lee Wasserman | Specialist | 2461 E 29th St, Apt 2e, Brooklyn, NY 11235-1951 | 2012-06-07 |
| 1518030980 | Michael Coret Wasserman | Chiropractor | 7439 Corliss Ave N, Seattle, WA 98103-4932 | 2006-11-15 |
| 1346332483 | Michael Andrew Wasserman | Chiropractor | 315 W 55th St, New York, NY 10019-4503 | 2006-09-28 |
| 1477555639 | Michael H Wasserman | Dentist | 54 Wendell Ave, Pittsfield, MA 01201-6312 | 2005-06-01 |
| 1073989067 | Michael Wasserman | Dentist | 14140 Magnolia Blvd, Sherman Oaks, CA 91423-1184 | 2015-08-13 |
| 1346669751 | Michael Wasserman | Radiology | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2014-04-14 |
| 1306973029 | Michael Scott Wasserman | Dentist | 1770 1st St, #360, Highland Park, IL 60035-3200 | 2007-02-28 |
| 1972521003 | Michael F Wasserman | Pediatrics | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2006-07-17 |
| 1992748537 | Michael Ross Wasserman | Internal Medicine | 1400 S Potomac St, Ste. 150, Aurora, CO 80012-4528 | 2006-06-13 |
| Street Address |
8780 W GOLF ROAD SUITE 202 |
| City | NILES |
| State | IL |
| Zip Code | 60714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
| 1669904124 | Ralph N. Robbins D.d.s., Ltd. | Dentist | 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 | 2017-04-03 |
| 1962947010 | The Thresholds | Community/Behavioral Health | 8842 Prospect Ave, Niles, IL 60714 | 2016-12-28 |
| 1548632367 | Kristine Pallarca | Pharmacist | 9000 W. Golf Rd, Niles, IL 60714 | 2015-10-21 |
| 1326421082 | Zuber Koya | Optometrist | 5762 W Touhy Ave, Niles, IL 60714 | 2015-06-30 |
| 1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
| 1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1285062356 | Benjamin Trukman | Physical Therapist | 8269 West Golf Rd, Niles, IL 60714 | 2013-10-28 |
| 1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
| Find all providers in zip 60714 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881806255 | Abraham Kuruvilla | Psychiatry & Neurology | 8333 W Maynard Rd, Niles, IL 60714-1057 | 2007-05-05 |
| 1528193414 | Lake Cook Neurological Consultants, S.c | Psychiatry & Neurology | 8780 W Golf Rd, Suite 202, Niles, IL 60714 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
| 1811546484 | Glencor Neuromonitoring LLC | Psychiatry & Neurology | 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 | 2019-09-06 |
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1972167906 | Kazkaz Southwest Neurology S.c. | Psychiatry & Neurology | 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 | 2019-04-25 |
| 1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
| 1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
| 1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
| 1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
| Find all providers with the same taxonomy | ||||
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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.