V ARVIND MENON (NPI# 1417974502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417974502 |
| Entity Type | Individual |
| Full Name | V ARVIND MENON |
| Credential | MD |
| Practice Address |
2151 Waukegan Rd Suite 100 Bannockburn IL 60015-1885 |
| Practice Telephone | 8474445300 |
| Practice Fax Number | 8472670694 |
| Mailing Telephone | 8474445300 |
| Mailing Fax Number | 8472670694 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2008-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
36053125 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 04915267 | 01 |
| IL | 36053125 | 05 |
| Street Address |
2151 WAUKEGAN RD SUITE 100 |
| City | BANNOCKBURN |
| State | IL |
| Zip Code | 60015-1885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134112360 | Neil Stuart Freedman | Internal Medicine | 2151 Waukegan Rd, Suite 110, Bannockburn, IL 60015-1885 | 2005-08-23 |
| 1801256540 | Aimee Mattes | Occupational Therapist | 2151 Waukegan Rd, Suite 130, Bannockburn, IL 60015-1885 | 2016-02-23 |
| 1356662902 | Jill Frances Apel | Internal Medicine | 2151 Waukegan Rd, Suite 140, Bannockburn, IL 60015-1885 | 2010-06-17 |
| 1811140320 | Unique Medical Imaging Sc | Radiology | 2151 Waukegan Rd, Suite 150, Bannockburn, IL 60015-1885 | 2008-10-28 |
| 1063686459 | North Shore Medical Associates Ltd | Internal Medicine | 2151 Waukegan Rd, Suite #160, Bannockburn, IL 60015-1885 | 2008-04-16 |
| 1033383831 | Gurnee Radiology Center, LLC | Radiology | 2151 Waukegan Rd, Suite 150, Bannockburn, IL 60015-1885 | 2008-04-14 |
| 1053594101 | Michael Ankin Md Ltd | Internal Medicine | 2151 Waukegan Rd, Suite 130, Bannockburn, IL 60015-1885 | 2007-12-12 |
| 1679779227 | Laura Margaret Landgraf | Physician Assistant | 2151 Waukegan Rd, Suite 100, Bannockburn, IL 60015-1885 | 2007-06-21 |
| 1366519647 | Linda Bliwas | Social Worker | 2151 Waukegan Rd, Bannockburn, IL 60015 | 2006-11-29 |
| 1174694277 | North Shore Cardiologists Sc | Internal Medicine | 2151 Waukegan Rd, Suite 100, Bannockburn, IL 60015-1885 | 2006-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073569 | Steven A Ditgen | Physical Therapist | 43 N. Waukegan Road, Deerfield, IL 60015 | 2020-04-29 |
| 1760017255 | Amanda Barkley | Pharmacist | 200 Wilmont Rd, Deerfield, IL 60015 | 2020-03-05 |
| 1467001487 | Nora Fahmi | Pharmacist | Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 | 2019-09-11 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1073084497 | Mary Jeane Jeane Velez | Nurse Practitioner | Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 | 2018-12-11 |
| 1891264644 | Smile On of North Shore, PC | Dentist | 707 Lake Cook Rd., Suite 121, Deerfield, IL 60015 | 2018-11-21 |
| 1497236376 | Linda Li | Counselor | 15 Parkway North Blvd, Deerfield, IL 60015 | 2018-08-28 |
| 1174009831 | Rachael Michelle Lynn | Physician Assistant | 1302 Hazel Ave, Deerfield, IL 60015 | 2018-07-16 |
| 1730675182 | Alexandra Lee Joseph | Social Worker | 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 | 2018-07-09 |
| Find all providers in zip 60015 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174694277 | North Shore Cardiologists Sc | Internal Medicine | 2151 Waukegan Rd, Suite 100, Bannockburn, IL 60015-1885 | 2006-11-11 |
| 1417977539 | Jay H Alexander | Internal Medicine | 2151 Waukegan Rd, Suite 100, Bannockburn, IL 60015-1885 | 2006-07-20 |
| 1700806858 | Gary R Pineless | Internal Medicine | 2151 Waukegan Rd, Suite 100, Bannockburn, IL 60015-1885 | 2006-07-20 |
| 1275553331 | James M. Wicks | Internal Medicine | 2151 Waukegan Rd, Suite 100, Bannockburn, IL 60015-1885 | 2006-07-20 |
| 1730109851 | Ronald G Berger | Internal Medicine | 2151 Waukegan Rd, Suite 100, Bannockburn, IL 60015-1885 | 2006-07-20 |
| 1093735128 | Jonathan M Gilbert | Internal Medicine | 2151 Waukegan Rd, Suite 100, Bannockburn, IL 60015-1885 | 2006-07-20 |
| 1831116920 | Eli Lavie | Internal Medicine | 2151 Waukegan Rd, Suite 100, Bannockburn, IL 60015-1885 | 2006-07-16 |
| 1124065453 | David R Campbell | Internal Medicine | 2151 Waukegan Rd, Bannockburn, IL 60015-1885 | 2006-06-02 |
| 1356331961 | Brian Patrick Shortal | Internal Medicine | 2151 Waukegan Rd, Suite 100, Bannockburn, IL 60015-1885 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
| 1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
| 1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
| 1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
| Find all providers with the same taxonomy | ||||
| City | BANNOCKBURN |
| Zip Code | 60015 |
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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.