CANCER MEDICINE GROUP INC (NPI# 1376505065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376505065 |
| Entity Type | Organization |
| Organization Name | CANCER MEDICINE GROUP INC |
| Practice Address |
2301 E 93rd St Suite 110 Chicago IL 60617-3913 |
| Mailing Address |
505 N Lake Shore Dr Suite 5811 Chicago IL 60611-3427 |
| Practice Telephone | 7737312982 |
| Practice Fax Number | 7737313328 |
| Mailing Telephone | 7737312982 |
| Mailing Fax Number | 7737313328 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2013-03-14 |
| Authorized Official Name | DR. NYAMBI EBIE (OWNER) |
| Authorized Official Telephone | 7737313361 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | GROUP NPI | 1376505065 | 01 |
| IL | NPI - GROUP | 1376505065 | 01 |
| Street Address |
2301 E 93RD ST SUITE 110 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-3913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013981349 | Richard F Warren | Internal Medicine | 2301 E 93rd St, Suite 110, Chicago, IL 60617-3913 | 2006-02-14 |
| 1073137451 | Sara Omar Nimer | Pharmacist | 2301 E 93rd St, Chicago, IL 60617-3913 | 2020-06-02 |
| 1669039624 | Amanda Jo Blackford | Pharmacist | 2301 E 93rd St, Chicago, IL 60617-3913 | 2019-05-24 |
| 1104068758 | Christine Anne Schumacher | Pharmacist | 2301 E 93rd St, Chicago, IL 60617-3913 | 2009-03-28 |
| 1427214931 | Helen Temidayo Williams | Family Medicine | 2301 E 93rd St, 3rd Floor, Chicago, IL 60617-3913 | 2008-08-04 |
| 1609074483 | Irok Obstetrics & Gynecological Services Ltd | Obstetrics & Gynecology | 2301 E 93rd St, Suite 115, Chicago, IL 60617-3913 | 2007-07-03 |
| 1982615316 | Sharon Scott | Pediatrics | 2301 E 93rd St, Chicago, IL 60617-3913 | 2006-08-10 |
| 1992711808 | Ishrat Osman | Internal Medicine | 2301 E 93rd St, Chicago, IL 60617-3913 | 2006-07-31 |
| 1629003058 | Laverne Currie | Internal Medicine | 2301 E 93rd St, Chicago, IL 60617-3913 | 2006-07-12 |
| 1609808518 | Howard K Mcnair | Family Medicine | 2301 E 93rd St, 2nd Fl, Chicago, IL 60617-3913 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
| 1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
| 1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
| 1003258583 | Luis David Sumoza | Internal Medicine | 1900 West Polk Suite 755, Chicago, IL 60612 | 2013-07-24 |
| 1225337017 | Karan Singh Dixit | Internal Medicine | 675 N Saint Clair St Ste 21-110, Chicago, IL 60611-5975 | 2011-03-20 |
| 1801034830 | Jonas Araujo De Souza | Internal Medicine | 5200 S Ellis Ave, Apt 118n, Chicago, IL 60615-4365 | 2009-01-29 |
| 1326211160 | Cara Ann Rosenbaum | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1447 | 2008-04-11 |
| 1275713307 | John Baxter Watson Md Sc | Internal Medicine | 2900 N Lake Shore Dr # 458, Chicago, IL 60657-5640 | 2007-11-06 |
| 1043499866 | Solomon Adler | Internal Medicine | 2828 W Coyle Ave, Chicago, IL 60645-2922 | 2007-10-29 |
| 1518168202 | Kelley Kozma | Internal Medicine | 2900 N Lake Shore Dr Ste 7e, Chicago, IL 60657-5640 | 2007-05-30 |
| 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.