MORA VIOLETA PUERTOLAS (NPI# 1497109581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497109581 |
| Entity Type | Individual |
| Full Name | MORA VIOLETA PUERTOLAS |
| Practice Address |
5841 S Maryland Ave # Mc4065 Chicago IL 60637-1443 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 7737020420 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
036149195 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
5841 S MARYLAND AVE # MC4065 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164887295 | Meredith Murphy Mcintee | Nurse Practitioner | 5841 S Maryland Ave # Mc4065, Chicago, IL 60637-1443 | 2015-12-16 |
| 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 | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578799482 | Tiffany J. Patton | Pediatrics | 5839 S. Maryland Ave., Wyler C-474, Mc 4065, Chicago, IL 60637-1470 | 2009-06-05 |
| 1982860755 | Joshua Prozialeck | Pediatrics | 225 E Chicago Ave # 65, Chicago, IL 60611-2991 | 2008-07-31 |
| 1881866259 | Lee Michael Bass | Pediatrics | 2300 N Childrens Plz # 65, Chicago, IL 60614-3363 | 2008-03-26 |
| 1457578023 | Nancy M. Mcgreal | Pediatrics | 5839 S. Maryland Avenue, Mc 4065, Chicago, IL 60637 | 2007-04-18 |
| 1649300385 | Barbara S. Kirschner | Pediatrics | University of Chicago, Peds Gastro, 5839 South Maryland Avenue, Mc 4065, Chicago, IL 60637-1470 | 2007-03-06 |
| 1679603302 | Stefano Guandalini | Pediatrics | University of Chicago, Section of Peds Gastro, 5839 South Maryland Avenue, Mc 4065, Chicago, IL 60637-1470 | 2007-03-06 |
| 1972611234 | Valeria C Cohran | Pediatrics | 2300 Children's Plaza, Box 65, Children's Memorial Hospital, Chicago, IL 60614-3394 | 2006-08-28 |
| 1598726432 | Timothy A Sentongo | Pediatrics | 5839 S. Maryland Ave, Mc 4065, Chicago, IL 60637 | 2006-03-30 |
| 1245629922 | Bridget Whitehead | Pediatrics | 240 E Huron St, , Mcgaw Pavilion Suite 1-200, Chicago, IL 60611 | 2015-01-17 |
| 1063851186 | Batul Kaj-carbaidwala | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2013-06-21 |
| 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.