CAROL L. WILLIS (NPI# 1467471813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467471813 |
| Entity Type | Individual |
| Full Name | CAROL L. WILLIS |
| Credential | MD |
| Practice Address |
5841 S Maryland Ave # Mc3083 Chicago IL 60637-1447 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 7737021439 |
| Mailing Telephone | (773) 702-1150 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
036141840 | IL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
5813 | SD | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
7063A | WY | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
42297 | CO | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
22740 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | RAILROAD MEDICARE | P00176481 | 01 |
| WY | 119945500 | 05 | |
| NE | 47053951401 | 05 | |
| ID | 806950700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831240340 | Carol L Willis | Psychiatry & Neurology | 2810 Burnet Ave, Suite V, Cincinnati, OH 45219-2447 | 2007-01-13 |
| Street Address |
5841 S MARYLAND AVE # MC3083 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063032118 | Pari Jafari | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2020-04-18 |
| 1063074888 | Tanner Emerson Russell Storozuk | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2019-07-02 |
| 1417419243 | Meghana Agni | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2019-04-01 |
| 1124506589 | Kyle Everett Kissick | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2018-07-29 |
| 1770077208 | Luke N Lauridsen | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2018-06-18 |
| 1215467725 | Ellen Alexander | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1447 | 2017-06-16 |
| 1952831760 | Benjamin Allen Kaumeyer | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1447 | 2017-06-14 |
| 1710413091 | Kathleen Higgins | Dentist | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2017-05-05 |
| 1285173906 | Clarence Wing-chung Chan | Student in an Organized Health Care Education/Training Program | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2017-02-14 |
| 1598111403 | Kyle G Parker | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1447 | 2016-05-10 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 207ZB0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Blood Banking & Transfusion Medicine |
| A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538484563 | Geoffrey D Wool | Pathology | 5720 S Drexel Ave, Room 2600, Mc 8049, Chicago, IL 60637 | 2010-04-01 |
| 1013023910 | Kuldip K. Kohli | Pathology | 2211 N. Oak Park Avenue, Chicago, IL 60707-3392 | 2006-08-22 |
| 1467805648 | Nisar Ahmad Amin | Pathology | 5841 S Maryland Ave, Chicago, IL 60637 | 2016-07-22 |
| 1396144879 | Fatima Aldarweesh | Pathology | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2014-08-20 |
| 1144586538 | Chancey L Christenson | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2012-04-10 |
| 1891921235 | David Levi Allison | Pathology | 840 S Wood St Ste 130, Chicago, IL 60612 | 2009-05-29 |
| 1841436193 | Scott Randall Allen | Pathology | 5841 S Maryland Ave, Chicago, IL 60637 | 2008-12-16 |
| 1952552101 | Board of Trustees of The University of Illinois | Pathology | 840 S Wood St, Room 170 (mc 750), Chicago, IL 60612-4325 | 2008-10-07 |
| 1407011703 | Alberto Locante | Pathology | 5645 W Addison St, Chicago, IL 60634-4403 | 2008-07-25 |
| 1386863819 | The Board of Trustees of The University of Illinois | Pathology | 1819 W Polk St, Chicago, IL 60612-7335 | 2007-04-24 |
| 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.