DR. PRESTON MICHAEL WOLIN (NPI# 1336145036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336145036 |
| Entity Type | Individual |
| Full Name | DR. PRESTON MICHAEL WOLIN |
| Credential | MD |
| Practice Address |
830 W Diversey Pkwy Ste 300 Chicago IL 60614-1454 |
| Practice Telephone | 7732484150 |
| Practice Fax Number | 7732484291 |
| Mailing Telephone | 7732484150 |
| Mailing Fax Number | 7732484291 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 36-060229 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
830 W DIVERSEY PKWY STE 300 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952783805 | Khalil Arshad Ansari | Specialist/Technologist, Other | 830 W Diversey Pkwy, Suite #300, Chicago, IL 60614-1454 | 2015-06-26 |
| 1194121871 | Heather La Grippe | Nurse Practitioner | 830 W Diversey Pkwy, Chicago, IL 60614-1454 | 2014-11-07 |
| 1528477312 | Pedro Antonio Iturbide Siles | Orthopaedic Surgery | 830 W Diversey Pkwy, Suit 300, Chicago, IL 60614-1454 | 2014-08-06 |
| 1326345844 | University of Ilinois At Chicago | General Acute Care Hospital | 830 W Diversey Pkwy, Chicago, IL 60614-1454 | 2011-02-17 |
| 1801190582 | Park West Family Dentistry | Dentist | 830 W Diversey Pkwy, 2nd Floor, Chicago, IL 60614-1454 | 2011-01-10 |
| 1265665301 | Specialty Healthcare Services, Ltd. | Surgery | 830 W Diversey Pkwy, Suite 200, Chicago, IL 60614-1454 | 2009-08-24 |
| 1982839585 | Fariha Siddiqui | Dentist | 830 W Diversey Pkwy, 2nd Floor, Chicago, IL 60614-1454 | 2009-05-27 |
| 1083817407 | Center for Athletic Medicine Ltd | Orthopaedic Surgery | 830 W Diversey Pkwy, Suite 300, Chicago, IL 60614-1454 | 2007-06-06 |
| 1659595510 | Lincoln Park Obgyn Sc | Obstetrics & Gynecology | 830 W Diversey Pkwy, Suite 200, Chicago, IL 60614 | 2007-04-12 |
| 1518181726 | Marija Plavsic | Physical Therapist | 830 W Diversey Pkwy, 2nd Floor, Chicago, IL 60614-1454 | 2007-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1639697485 | Jason Alexander Strelzow | Orthopaedic Surgery | 5841 S Maryland Ave Rm S256, Chicago, IL 60637-1443 | 2017-08-31 |
| 1750732277 | Ian Maclean | Orthopaedic Surgery | 1650 W. Harrison St Suite 466 Atrium, Chicago, IL 60612 | 2016-06-27 |
| 1285084046 | South Chicago Orthopedic Specialists, Sc | Orthopaedic Surgery | 1701 W Monterey Ave Ste 4, Chicago, IL 60643-4257 | 2016-06-13 |
| 1437565488 | Thomas Barrett Sullivan | Orthopaedic Surgery | 1611 W Harrison St Ste 201, Chicago, IL 60612-4861 | 2014-07-09 |
| 1104231059 | David Crandall Hirsch | Orthopaedic Surgery | 5841 S Maryland Ave # 3078, Chicago, IL 60637-1443 | 2014-06-29 |
| 1649684945 | Clarabelle Adelaide Devries | Orthopaedic Surgery | 5758 S Maryland Ave Dept 4b, Chicago, IL 60637-1426 | 2014-06-13 |
| 1346651551 | Matthew Caid | Orthopaedic Surgery | 2316 W Belden Ave, Chicago, IL 60647-3266 | 2014-05-12 |
| 1790104396 | Peter Garas | Orthopaedic Surgery | 5841 S Maryland Ave # 3079, Chicago, IL 60637-1443 | 2014-04-10 |
| 1942628730 | Michael Mccarthy | Orthopaedic Surgery | 676 N Saint Clair St Ste 1350, Chicago, IL 60611-4795 | 2014-03-31 |
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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.