MICHAEL P GROSSMAN (NPI# 1477566990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477566990 |
| Entity Type | Individual |
| Full Name | MICHAEL P GROSSMAN |
| Credential | MD |
| Practice Address |
2929 S Ellis Ave Chicago IL 60616-3395 |
| Practice Telephone | 3127912000 |
| Mailing Telephone | 3127912000 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE SHIELD ILLINOIS | 04915653 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407217540 | Michael Grossman | Chiropractor | 425 Washington St Ste 100, San Francisco, CA 94111-2345 | 2016-03-17 |
| 1215016662 | Michael Samuel Grossman | Ophthalmology | 4505 N Rockwood Dr, Peoria, IL 61615-3803 | 2006-11-06 |
| 1417055286 | Michael Alan Grossman | Dentist | 6246 East Pima Street, Suite 100, Tucson, AZ 85712-3157 | 2006-09-20 |
| 1659488997 | Michael Grossman | Internal Medicine | 550 E Van Buren St, Building 3, Room 3261, Phoenix, AZ 85004-2230 | 2006-08-24 |
| 1225011786 | Michael R. Grossman | Podiatrist | 121 Coulter Ave, Suite 109, Ardmore, PA 19003-2418 | 2005-11-29 |
| 1831188218 | Michael J Grossman | Obstetrics & Gynecology | 565 Turnpike St, Suite 74, North Andover, MA 01845-5922 | 2005-10-18 |
| 1245239102 | Michael Grossman | Emergency Medicine | 4505 20th Ave, Valley, AL 36854-3542 | 2005-07-21 |
| 1467455816 | Michael Paul Grossman | Obstetrics & Gynecology | 38a Old Sparrowbush Road, Latham, NY 12110 | 2005-05-31 |
| 1760810857 | Michael Grossman | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2013-10-29 |
| 1942367008 | Michael Jack Grossman | Family Medicine | 24432 Muirlands Blvd, Suite 111, Lake Forest, CA 92630-3939 | 2007-01-01 |
| Street Address |
2929 S ELLIS AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60616-3395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001874 | Michael Reese Medical Center Corp | General Acute Care Hospital | 2929 S Ellis Ave, Chicago, IL 60616-3395 | 2005-05-24 |
| 1740448323 | Louis Emmett De La Garza | Internal Medicine | 2929 S Ellis Ave, Chicago, IL 60616-3395 | 2008-05-29 |
| 1487824892 | Michael Reese Hospital | General Acute Care Hospital | 2929 S Ellis Ave, Chicago, IL 60616-3395 | 2008-03-03 |
| 1346447794 | Monica Sood | Anesthesiology | 2929 S Ellis Ave, Chicago, IL 60616-3395 | 2007-06-29 |
| 1356546923 | Juan Guillermo Restrepo | Internal Medicine | 2929 S Ellis Ave, 1st Floor Baumgarten, Chicago, IL 60616-3395 | 2007-06-15 |
| 1316151004 | Norma Rolfsen | Registered Nurse | 2929 S Ellis Ave, 4 Kaplan, Chicago, IL 60616-3395 | 2007-05-10 |
| 1841315579 | Cecily Ann Byrne | Dietitian, Registered | 2929 S Ellis Ave, Baumgarten Basement, Chicago, IL 60616-3395 | 2007-03-20 |
| 1285760520 | Karen Lynn Kramer | Obstetrics & Gynecology | 2929 S Ellis Ave, 4th Fl Klein Bldg, Chicago, IL 60616-3395 | 2007-02-23 |
| 1568508836 | Claudia G. Gidea, Ltd | Internal Medicine | 2929 S Ellis Ave, 110 Kaplan, Chicago, IL 60616-3395 | 2007-01-30 |
| 1518024975 | Yaaba Medical Services, Sc | Internal Medicine | 2929 S Ellis Ave, Michael Reese Hospital - Suite 110 Kaplan, Chicago, IL 60616-3395 | 2007-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
| 1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
| 1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
| 1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
| 1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
| 1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
| 1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
| 1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
| 1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
| Find all providers in zip 60616 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1790132934 | Peter Barton Moreau | Radiology | 1740 W Taylor St Rm 2483, Chicago, IL 60612-7232 | 2016-05-18 |
| 1043678899 | Burce Ozgen Mocan | Radiology | 1740 W Taylor St Rm 2511, Department of Radiology (mc931), Chicago, IL 60612-7232 | 2016-02-08 |
| 1538552898 | Imo Ime Uko | Radiology | 4646 N Marine Dr Ste 7100, Chicago, IL 60640 | 2015-03-11 |
| 1962891739 | Katherine Conlon | Radiology | 240 E Huron St # 1-203, Chicago, IL 60611 | 2015-01-16 |
| 1861805871 | Arun Nagaraju | Radiology | 5841 S. Maryland Ave. Suite Mc2026, University of Chicago, Chicago, IL 60637-1448 | 2014-06-06 |
| 1568873529 | Emily Ghobadi | Radiology | 250 E Superior St Rm 4-2304, Chicago, IL 60611-2914 | 2014-05-13 |
| 1306266903 | Jessica Kristen Peterson | Radiology | 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 | 2014-04-22 |
| 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.