STEPHEN H DOUNDOULAKIS (NPI# 1528086675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528086675 |
| Entity Type | Individual |
| Full Name | STEPHEN H DOUNDOULAKIS |
| Credential | M.D. |
| Practice Address |
7435 W Talcott Ave Chicago IL 60631-3707 |
| Mailing Address |
2 Meridien Blvd., 2nd Floor Mbms Wyomissing PA 19610 |
| Practice Telephone | 7739907684 |
| Practice Fax Number | 7737925124 |
| Mailing Telephone | 6103724957 |
| Mailing Fax Number | 6103723735 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
036072842 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
036072842 | IL | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
036072842 | IL | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
036072842 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036072842 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
036072842 | IL | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
036072842 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036072842-3 | 05 | |
| IL | BLUE CROSS BLUE SHIELD-IL | 0001619902 | 01 |
| Street Address |
7435 W TALCOTT AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324515 | Matthew Alexander Brown | Family Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2005-05-31 |
| 1417575630 | Christine Rheintgen | Counselor | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-07-14 |
| 1518584028 | Jose Belandres IIi | Nurse Anesthetist, Certified Registered | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-06-30 |
| 1417579426 | Brett M Hanson | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-05-12 |
| 1871114272 | William John Noel II | Emergency Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-27 |
| 1932729738 | Leo Viray | Emergency Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-21 |
| 1538789318 | Jacob Byron Cihla | Emergency Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-21 |
| 1790304855 | Elizabeth Celeste England | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-09 |
| 1609405869 | Alexander Reinhardt Rosc | Registered Nurse | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-08 |
| 1881223154 | Fatma Betul Ciftci | Emergency Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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 |
|---|---|---|---|---|
| 1235736463 | Melih Akyuz | Radiology | 1653 W Congress Pkwy Ste 181, Chicago, IL 60612-3833 | 2020-10-01 |
| 1891225256 | Anoop Chacko Achanaril | Radiology | 1653 W. Congress Parkway, Jelke 181, Chicago, IL 60612 | 2017-06-18 |
| 1528224045 | Corey Steven Bregman | Radiology | 2300 Childrens's Plaza, No. 9, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2008-08-04 |
| 1780861807 | Qasim Bashir | Radiology | 912 S. Wood St. M/c 799, Chicago, IL 60612 | 2008-01-31 |
| 1184771073 | Tamara Jackson | Radiology | 469 W Huron St, Apt 810, Chicago, IL 60654-3467 | 2007-01-04 |
| 1285740043 | Benjamin P Liu | Radiology | 676 N Saint Clair St Fl 14, Dept Neuroradiology, Chicago, IL 60611-2951 | 2006-08-22 |
| 1790726495 | Hamid Mohazab | Radiology | 1122 N Dearborn St, Chicago, IL 60610-5057 | 2006-06-10 |
| 1457349979 | Prashant K Chawla | Radiology | 30 W Erie St, #701, Chicago, IL 60654-2827 | 2005-10-10 |
| 1346242088 | Eugene W Brown | Radiology | 773 W Melrose St, Chicago, IL 60657-3417 | 2005-08-12 |
| 1265432322 | Eugene C Anandappa | Radiology | 225 E Chicago Ave # 9, Chicago, IL 60611-2991 | 2005-07-29 |
| 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.