NATHANIEL ROBERT WILSON (NPI# 1467919001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467919001 |
| Entity Type | Individual |
| Full Name | NATHANIEL ROBERT WILSON |
| Credential | MD |
| Practice Address |
600 S Paulina St Ste 403 Chicago IL 60612-3806 |
| Practice Telephone | 3129427100 |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | S8403 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528413952 | Nathaniel Wilson Jr. | Counselor | 1209 N. Highland Avenue, Winston-salem, NC 27101 | 2016-05-04 |
| 1265530414 | Nathaniel Andrew Wilson IIi | Psychologist | 1401 Peachtree St, Suite 210, Atlanta, GA 30309-3023 | 2006-09-20 |
| 1053922195 | Nathaniel Wilson | Pharmacy | 429 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2020-08-12 |
| 1245693670 | Nathaniel Martin Wilson | Orthopaedic Surgery | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-02 |
| 1255618005 | Nathaniel Wilson | Pharmacist | 6770 Macon Rd, Memphis, TN 38134-7542 | 2011-11-08 |
| Street Address |
600 S PAULINA ST STE 403 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720060072 | Ruchi Mishra Fitzgerald | Family Medicine | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2005-11-14 |
| 1891394524 | Pokhraj Prakashchandra Suthar | Nuclear Medicine | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-10-23 |
| 1497371488 | Paz Abergel | Podiatrist | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-25 |
| 1346866670 | Mira Adly Mahmoud Ayoub | Radiology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-23 |
| 1780200121 | Daniel Francis Roadman | Urology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-22 |
| 1528684982 | Carol Lynn Feng | Urology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-22 |
| 1225654874 | Rahim Shakoor | Psychiatry & Neurology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-19 |
| 1437775327 | Pei-ning Hsu | Psychiatry & Neurology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-17 |
| 1316562200 | Jeanette Marie Lorme | Emergency Medicine | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-16 |
| 1669097812 | Jayne Slocum | Anesthesiology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-13 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1871119172 | Irina Komissarova | Internal Medicine | 916 S Oakley Blvd, Chicago, IL 60612-4230 | 2020-06-22 |
| 1336760719 | Arslan Zahid | Internal Medicine | 5847 S Maryland Ave, Chicago, IL 60637-1463 | 2020-04-27 |
| 1104447572 | Nirmal Desai | Internal Medicine | 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 | 2020-04-27 |
| 1467072447 | Justin Edmond Sipiora | Internal Medicine | 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 | 2020-04-20 |
| 1003449612 | Eoht LLC | Internal Medicine | 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 | 2020-02-21 |
| 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.