CARDIORENAL THERAPECUTICS OF ILLINOIS PLLC (NPI# 1336752682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336752682 |
Entity Type | Organization |
Organization Name | CARDIORENAL THERAPECUTICS OF ILLINOIS PLLC |
Practice Address |
948 N Damen Ave Chicago IL 60622-4910 |
Practice Telephone | 9044900264 |
Mailing Telephone | 9044900264 |
Enumeration Date | 2020-08-26 |
Last Update Date | 2020-08-26 |
Authorized Official Name | FARHAN KHAN (OWNER) |
Authorized Official Telephone | 9044900264 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
948 N Damen Ave, Chicago, IL 606224910 | 9044900264 |
Street Address |
948 N DAMEN AVE |
City | CHICAGO |
State | IL |
Zip Code | 60622-4910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396760831 | Safia Ahmed | Emergency Medicine | 948 N Damen Ave, Chicago, IL 60622-4910 | 2006-07-13 |
1134755390 | Liesel Ratliff | Nurse Practitioner | 948 N Damen Ave, Chicago, IL 60622-4910 | 2020-03-19 |
1457984205 | Cherie Pureza | Nurse Practitioner | 948 N Damen Ave, Chicago, IL 60622-4910 | 2020-02-20 |
1417416702 | Anna Lobo | Nurse Practitioner | 948 N Damen Ave, Chicago, IL 60622-4910 | 2019-03-15 |
1275990707 | Cardiac Vision LLC | Internal Medicine | 948 N Damen Ave, Chicago, IL 60622-4910 | 2016-01-28 |
1730353624 | Augusta Damen Medical Center Ltd | General Practice | 948 N Damen Ave, Chicago, IL 60622-4910 | 2008-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
Find all providers in zip 60622 |
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.