NATHAN THOMAS GEORGETTE (NPI# 1396274908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396274908 |
| Entity Type | Individual |
| Full Name | NATHAN THOMAS GEORGETTE |
| Credential | MD |
| Practice Address |
5841 S Maryland Ave Ste Mc7082 Chicago IL 60637-1465 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 7737020309 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125070910 | IL | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 125070910 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
5841 S MARYLAND AVE STE MC7082 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124349550 | Margaret Zhi-yin Tsien | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Medpeds Residency Program, Chicago, IL 60637-1465 | 2010-06-21 |
| 1306469127 | Juliana Da Silva | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-05-27 |
| 1043831894 | Inae Esther Jang | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-05-04 |
| 1659992923 | Michael J Clarke | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-28 |
| 1902427214 | Olivia Catherine Lanser | Student in an Organized Health Care Education/Training Program | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-28 |
| 1821619172 | Samuel Yates | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-28 |
| 1407476856 | Sharjeel Syed | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-25 |
| 1376163865 | Jack Zhao | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-24 |
| 1386264943 | Andrew Robert Zasada | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-23 |
| 1750901500 | Christopher Jerome Kaperak | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
| 1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
| 1164068730 | Alexis Gasiorowski | Pediatrics | 737 N Michigan Ave Ste 870, Chicago, IL 60611-2615 | 2019-11-19 |
| 1265077424 | Vanessa Harvey | Pediatrics | 1620 W Harrison St # 7k, Chicago, IL 60612-3801 | 2019-11-12 |
| 1811458136 | Audrey Zeis | Pediatrics | 5841 S Maryland Ave # Mc8061, Chicago, IL 60637-1443 | 2019-03-28 |
| 1801357470 | Roohie Kaur Poonia | Pediatrics | 5721 S Maryland Ave Unit 1200, Chicago, IL 60637-1425 | 2019-03-27 |
| 1649762931 | Michael Zev Nevid | Pediatrics | Rush Pediatric Care Group, 1645 W. Jackson Blvd, Chicago, IL 60612-3276 | 2018-06-01 |
| 1649787342 | Yi Shao | Pediatrics | 5841 S Maryland Ave # 8016, Chicago, IL 60637-1443 | 2018-01-03 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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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.