DR. PHILIP BLUMENFELD (NPI# 1417397449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417397449 |
| Entity Type | Individual |
| Full Name | DR. PHILIP BLUMENFELD |
| Credential | M.D. |
| Practice Address |
1653 W Congress Pkwy Chicago IL 60612-3833 |
| Practice Telephone | 7738990473 |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
125.064224 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1653 W CONGRESS PKWY |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272154 | Beth Nachtsheim Bolick | Nurse Practitioner | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2005-08-15 |
| 1558986844 | Eric Polich | Emergency Medicine | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-06-11 |
| 1811511363 | Jessica Shiming Dai | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-06-01 |
| 1013530179 | Megan Karolyn Marshalla | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-05-24 |
| 1265053359 | Lauren Elaine Falk | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-04-30 |
| 1003437260 | Sonali Gupta | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-04-29 |
| 1265053631 | Amalia Namath | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-04-27 |
| 1164059325 | Colleen M Bray | Occupational Therapist | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-03-26 |
| 1225665425 | Sabina Irene Cashin | Radiology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-03-26 |
| 1467089011 | Jelena Brdarski | Occupational Therapist | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629502208 | Nathaniel Camden | Radiology | 500 South Paulina Street, Atrium Building, Ground Floor, Chicago, IL 60612-3833 | 2017-04-20 |
| 1811436553 | Seung Won Seol | Radiology | 251 E Huron St Ste Lc-178, Chicago, IL 60611 | 2017-02-14 |
| 1689051328 | Ross Scott Zeitlin | Radiology | 1901 W Harrison St Ste Ll-500, Chicago, IL 60612-3714 | 2015-05-01 |
| 1730578527 | Jeffrey Gross | Radiology | 6525 N Mozart St, Apt 3, Chicago, IL 60645-4377 | 2015-01-15 |
| 1952714636 | Aditya Juloori | Radiology | 5841 S Maryland Ave # Mc9006, Chicago, IL 60637-1443 | 2014-06-10 |
| 1932466208 | Thomas Kim | Radiology | 500 S Paulina St., Ground Floor Atrium 013, Chicago, IL 60612 | 2012-04-11 |
| 1215238308 | Michelle S Gentile | Radiology | 251 E Huron St # Lc-178, Chicago, IL 60611-2908 | 2010-11-05 |
| 1679747521 | Dr. Thakrar Associates M.d.;s.c. | Radiology | 161 E Chicago Ave Apt 52b, Chicago, IL 60611-6684 | 2008-04-22 |
| 1528239217 | Jonathan Blake Strauss | Radiology | 250 E Superior St Ste Lc-2101, Chicago, IL 60611-2914 | 2008-03-20 |
| 1063607125 | Alliance Oncology LLC | Radiology | 15055 Collection Center Dr, Chicago, IL 60693-0150 | 2007-09-12 |
| 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.