BRUCE R DOLITSKY (NPI# 1356330286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356330286 |
| Entity Type | Individual |
| Full Name | BRUCE R DOLITSKY |
| Credential | MD |
| Practice Address |
12255 S 80th Ave Palos Heights IL 60463-1270 |
| Mailing Address |
12251 S 80th Ave Ste 1630 Palos Heights IL 60463-1256 |
| Practice Telephone | 7089234400 |
| Practice Fax Number | 7089234421 |
| Mailing Telephone | 7089234400 |
| Mailing Fax Number | 7089234421 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036065042 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036065042 | 05 |
| Street Address |
12255 S 80TH AVE |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387910 | Wilma Montilla-rener | Nurse Practitioner | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2020-08-18 |
| 1780048058 | Debora Delre | Nurse Practitioner | 12255 S 80th Ave, Suite 202, Palos Heights, IL 60463-1258 | 2016-04-12 |
| 1306203757 | Shelley Kay Mayer-zich | Nurse Practitioner | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2016-01-15 |
| 1881078392 | Radhika Chimata | Psychiatry & Neurology | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2015-07-14 |
| 1548640535 | Talha John Baloch | Psychiatry & Neurology | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2015-06-04 |
| 1326482688 | Anmol Tolani | Psychiatry & Neurology | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2013-04-17 |
| 1558625251 | Anthony Casini | Surgery | 12255 S 80th Ave, Palos Heights, IL 60463 | 2012-06-27 |
| 1548532591 | Darlene C Flowers | Nurse Practitioner | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2012-02-07 |
| 1760776173 | Imad Qayyum | Surgery | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2011-06-02 |
| 1720243025 | Sameen Ahmad | Psychiatry & Neurology | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2008-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| 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 |
|---|---|---|---|---|
| 1952309932 | James B Boscardin | Orthopaedic Surgery | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2005-07-13 |
| 1912325507 | Sarah N Harangody | Orthopaedic Surgery | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2014-04-01 |
| 1265710495 | Combined Orthopaedic Specialists | Orthopaedic Surgery | 7600 W College Dr, 2nd Floor, Palos Heights, IL 60463-1001 | 2011-07-21 |
| 1770733354 | Nirav A. Shah | Orthopaedic Surgery | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2008-09-19 |
| 1841407046 | Chintan Suren Sampat | Orthopaedic Surgery | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2007-05-17 |
| 1871609339 | Lhj Ltd | Orthopaedic Surgery | 7600 W College Dr, 2nd Floor, Palos Heights, IL 60463-1001 | 2006-08-21 |
| 1073568796 | Michael J Liston | Orthopaedic Surgery | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2006-05-23 |
| 1326046319 | Paul F Defrino | Orthopaedic Surgery | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2005-07-13 |
| 1437157443 | Kevin W Luke | Orthopaedic Surgery | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2005-07-13 |
| 1588662589 | James A Lambur | Orthopaedic Surgery | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2005-07-13 |
| Find all providers in PALOS HEIGHTS | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
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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.