MIDORI TAKEYASU PAR (NPI# 1376543199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376543199 |
| Entity Type | Individual |
| Full Name | MIDORI TAKEYASU PAR |
| Credential | M.D. |
| Practice Address |
430 Warrenville Rd Lisle IL 60532-1348 |
| Mailing Address |
1860 Payshere Circle Chicago IL 60674-0001 |
| Practice Telephone | 6304326180 |
| Mailing Telephone | 6304699200 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2017-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036094882 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5645 W Addison St, Chicago, IL 606344403 | 7732827000 | 7737947664 |
| Street Address |
430 WARRENVILLE RD |
| City | LISLE |
| State | IL |
| Zip Code | 60532-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408345 | Jennifer M Jump | Nurse Practitioner | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2019-10-14 |
| 1932768025 | Arpita Patel | Nurse Practitioner | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2019-06-11 |
| 1720644966 | Kristiana Burlini | Physical Therapist | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2019-05-14 |
| 1184108185 | Ashley Marie Hoffman | Physical Therapist | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2018-09-17 |
| 1477053197 | Sabrina Nichole Dimaso | Genetic Counselor, MS | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2018-02-19 |
| 1730690678 | Ashley Peters | Nurse Practitioner | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2017-10-18 |
| 1588083679 | Jigar Thakkar | Pharmacist | 430 Warrenville Rd, Suite 215, Lisle, IL 60532-1348 | 2014-04-16 |
| 1558604504 | Du Page Medical Group Ltd | Pharmacy | 430 Warrenville Rd, 215, Lisle, IL 60532-1348 | 2013-03-28 |
| 1528309291 | Dupage Medical Group Ltd | Clinical Medical Laboratory | 430 Warrenville Rd, Ste 210, Lisle, IL 60532-1348 | 2013-03-06 |
| 1205192846 | Susan Hawbaker | Nurse Practitioner | 430 Warrenville Rd, 300, Lisle, IL 60532-1348 | 2012-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
| 1336634856 | Forward Emotion, LLC | Counselor | 3060 Ogden Ave Ste 102, Lisle, IL 60532 | 2018-06-27 |
| 1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
| 1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
| 1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
| 1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
| 1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
| 1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
| Find all providers in zip 60532 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609147859 | Leslie T Yamamoto | Emergency Medicine | 4491 Saint Tropez Dr, Lisle, IL 60532-1039 | 2012-01-19 |
| 1508851858 | Eugene D. Oh | Emergency Medicine | 430 Warrenville Rd Ste 230, Lisle, IL 60532-1348 | 2005-09-13 |
| 1053400952 | Eric Clymer | Emergency Medicine | 430 Warrenville Rd, 230, Lisle, IL 60532-1348 | 2006-10-11 |
| 1407880958 | Jonathan Claud | Emergency Medicine | 430 Warrenville Rd Ste 230, Lisle, IL 60532-1348 | 2006-07-10 |
| 1043212418 | Kimberly Murphy | Emergency Medicine | 430 Warrenville Rd, Ste 230, Lisle, IL 60532 | 2005-08-15 |
| 1083616460 | Ted C. Shieh | Emergency Medicine | 430 Warrenville Rd, Ste 230, Lisle, IL 60532 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503394 | Susan Lochhead | Emergency Medicine | 1930 N Fremont St, Chicago, IL 60614-5017 | 2020-09-19 |
| 1851900344 | Cepamerica Illinois PC | Emergency Medicine | 2112 S Michigan Ave, Chicago, IL 60616-1704 | 2020-07-30 |
| 1225650773 | Evan Alexander Jenkins | Emergency Medicine | 701 N 1st St Ste 220, Springfield, IL 62702-3757 | 2020-05-07 |
| 1962030775 | Ramya Kondaveeti | Emergency Medicine | 4440 W 95th St Ste 106s, Oak Lawn, IL 60453-2600 | 2020-03-28 |
| 1972157097 | Francesca Taylor | Emergency Medicine | 20930 W Verona Ave, Lake Villa, IL 60046-7606 | 2019-07-26 |
| 1538622287 | Brandon Fen Chang | Emergency Medicine | 820 S Wood St Ste 100, Chicago, IL 60612-4325 | 2019-04-10 |
| 1053872630 | Oretunlewa Soyinka | Emergency Medicine | 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | 2019-03-27 |
| 1457818098 | Innovative Iv Care, Pllc | Emergency Medicine | 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 | 2019-03-01 |
| 1013414077 | Lauran Wirfs | Emergency Medicine | 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 | 2018-04-06 |
| 1518461987 | David Bennett Feiger | Emergency Medicine | 211 E Huron St, Suite 200, Chicago, IL 60611-3055 | 2018-03-21 |
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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.