TARA E DORDEK


Address: 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997
Phone: 3126958106

TARA E DORDEK (NPI# 1487217642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487217642
Entity Type Individual
Full Name TARA E DORDEK
Credential PA-C
Practice Address 676 N Saint Clair St Ste 1600
Chicago
IL 60611-2997
Mailing Address 9326 Keeler Ave
Skokie
IL 60076-1441
Practice Telephone 3126958106
Mailing Telephone 8472202207
Enumeration Date 2019-04-15
Last Update Date 2019-05-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085.006750 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 676 N SAINT CLAIR ST STE 1600
City CHICAGO
State IL
Zip Code 60611-2997

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982820148 Pedram Yazdan Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 2007-04-17
1043715006 Laura Walsh Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 2018-03-29
1073023016 Krystal Simpraphone Physician Assistant 676 N Saint Clair St Ste 1600, Chicago, IL 60611 2017-10-04
1073041455 Sepideh Asadbeigi Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 2017-05-30
1346772472 Jessica Gandy Labadie Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611 2017-03-29
1497286033 Emily Anne Merkel Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611 2017-03-24
1194174110 Emily Milford Stevenson Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 2016-06-09
1982051165 Julia Mhlaba Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 2016-05-18
1487001822 Raj Jitendra Chovatiya Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 2016-05-16
1275995888 Shadi Damanpour Dermatology 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 2016-03-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
1134735962 Kalvin Cheuk Hang Lung Student in an Organized Health Care Education/Training Program 675 N St Clair St 17th Floor, Chicago, IL 60611 2020-09-17
1487267845 Ashley Marie Sablich Student in an Organized Health Care Education/Training Program 250 E Huron Street, Suite 1-200, Chicago, IL 60611 2020-08-26
1245854033 Danielle Humphrey Student in an Organized Health Care Education/Training Program Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 2020-06-08
1801418074 Sana Healing Collective Clinic/Center 405 N. Wabash Street, Chicago, IL 60611 2020-05-11
1194359489 Insight:eating Disorders, Weight Management & Psychological Centers Psychiatric Hospital 1 E. Erie Street, 4th Floor, Chicago, IL 60611 2020-02-26
1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
1922643576 Sarah Elizabeth Schwartzer Audiologist Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 2019-11-07
1023668852 Anne Marguerite Davidson Student in an Organized Health Care Education/Training Program Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 2019-09-13
1871141085 Coast Management Durable Medical Equipment & Medical Supplies 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 2019-08-30
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508470709 Bryan Ying Wong Physician Assistant 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 2020-09-04
1245858117 Emily Victoria Headley Physician Assistant 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 2020-07-08
1548884547 Crystal Afua Amoah Physician Assistant 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 2020-06-04
1841814274 Zubair Aslam Khan Physician Assistant 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 2020-06-01
1659991818 Taylor Nicole Anderson Physician Assistant 25 W Randolph St Apt 603, Chicago, IL 60601-3514 2020-04-17
1720616444 Melanie Doretti Physician Assistant 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 2020-03-29
1154958544 Joerissa Gearlds Physician Assistant 5645 W Addison St Rm 353, Chicago, IL 60634-4403 2020-03-25
1932736816 Taylor Evan Fisher Physician Assistant 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 2020-03-23
1285260844 Krista A Saum Physician Assistant 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 2020-03-16
1386278430 Adara Simonelli Physician Assistant 6317 S Lorel Avenue, Chicago, IL 60638 2020-02-27
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Competitor

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City CHICAGO
Zip Code 60611

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Dataset Information

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.

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