DR. MANOJ DUGGAL (NPI# 1447243258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447243258 |
| Entity Type | Individual |
| Full Name | DR. MANOJ DUGGAL |
| Credential | MD,FACC |
| Practice Address |
4400 W 95th St Suite 407 Oak Lawn IL 60453-2654 |
| Mailing Address |
5009 W 95th St Oak Lawn IL 60453-2401 |
| Practice Telephone | 7086367575 |
| Practice Fax Number | 7086366193 |
| Mailing Telephone | 7086367575 |
| Mailing Fax Number | 7086367193 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2015-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
036-085016 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PALMETTO GBA INDIVIDUAL # | 060053840 | 01 |
| IL | PALMETTO GBA GROUP # | CI8250 | 01 |
| IL | 036085016 | 05 | |
| IL | BCBS GROUP # | 21622931 | 01 |
| Street Address |
4400 W 95TH ST SUITE 407 |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445678 | Richard Z Belch | Specialist | 4400 W 95th St, Suite 207, Oak Lawn, IL 60453-2654 | 2005-05-31 |
| 1629683289 | Allison Gilbert | Nurse Practitioner | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2020-09-10 |
| 1164054011 | Elizabeth Gawne | Nurse Practitioner | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2020-02-09 |
| 1770128175 | Brittany Snyder | Physician Assistant | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2019-11-10 |
| 1730723446 | Christina M Tortorici | Physician Assistant | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2019-11-06 |
| 1437610805 | Duhah Hamayel | Pediatrics | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2019-03-28 |
| 1790246205 | Shawn Buxton | Pediatrics | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2019-03-27 |
| 1619456506 | Betty Joechle | Registered Nurse | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2018-08-10 |
| 1700372174 | Amy Elizabeth Calandriello | Registered Nurse | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2018-07-09 |
| 1801380563 | Corissa Nicole Culichia | Pediatrics | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2018-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1619991361 | A. Tom Petropulos, M.d. | Internal Medicine | 4400 W 95th St, Suite 306, Oak Lawn, IL 60453-2654 | 2006-07-26 |
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| 1083712467 | Ohio Valley Heartcare Inc | Internal Medicine | 1405 Locust St, Eldorado, IL 62930-1629 | 2006-09-20 |
| 1912917030 | Martin C Burke | Internal Medicine | 1006 S Michigan Ave, Suite 501, Chicago, IL 60605-2254 | 2006-08-09 |
| 1316998578 | West Suburban Cardiologists, Ltd. | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2006-05-13 |
| 1952359242 | Samer Dibs | Internal Medicine | 2222 W Division St Ste 340, Chicago, IL 60622-2995 | 2006-05-05 |
| 1164483145 | Mehran Jabbarzadeh | Internal Medicine | 900 Technology Way Ste 220, Libertyville, IL 60048-5364 | 2006-03-30 |
| 1497754634 | Rebecca Sue Riepshoff | Internal Medicine | Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 | 2005-07-19 |
| 1093712481 | Erica D Engelstein | Internal Medicine | 7447 W Talcott Ave Ste 222, Chicago, IL 60631-3713 | 2005-06-30 |
| 1861007239 | Marian Heart Rhythm Consultants Sc | Internal Medicine | 2222 W Division St Ste 205, Chicago, IL 60622-3094 | 2020-09-13 |
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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.