ANDRES O. BOTUYAN MD., SC (NPI# 1548579832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548579832 |
| Entity Type | Organization |
| Organization Name | ANDRES O. BOTUYAN MD., SC |
| Practice Address |
1044 N Mozart St Suite 505 Chicago IL 60622-2789 |
| Mailing Address |
Po Box 39228 Chicago IL 60639-0228 |
| Practice Telephone | 7736450393 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |
| Authorized Official Name | DR. ANDRES O. BOTUYAN (PRESIDENT) |
| Authorized Official Telephone | 7736450393 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1044 N MOZART ST SUITE 505 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-2789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871589143 | Arun K Verma | Internal Medicine | 1044 N Mozart St, Chicago, IL 60622-2789 | 2005-09-22 |
| 1194342584 | Christine Nowicki | Social Worker | 1044 N Mozart St, Chicago, IL 60622-2789 | 2020-07-01 |
| 1033588736 | Kristen Richter | Nurse Practitioner | 1044 N Mozart St, Suite 100, Chicago, IL 60622-2789 | 2015-09-23 |
| 1265818967 | Veronica Galvalisi | Nurse Practitioner | 1044 N Mozart St, Suite 100, Chicago, IL 60622-2789 | 2015-08-04 |
| 1922482041 | Elise Kaye | Advanced Practice Midwife | 1044 N Mozart St, Chicago, IL 60622-2789 | 2015-07-18 |
| 1710387618 | Jacqueline Rincon | Nurse Practitioner | 1044 N Mozart St, Suite 100, Chicago, IL 60622-2789 | 2014-08-27 |
| 1245580653 | Ma. Olivia R. San Diego, M.d., S.c. | Pediatrics | 1044 N Mozart St, Suite 205, Chicago, IL 60622-2789 | 2012-09-12 |
| 1821345208 | Chicago Ambulatory Care Center, Ltd | Pediatrics | 1044 N Mozart St, Ste - 402, Chicago, IL 60622-2789 | 2012-08-05 |
| 1861788994 | John Carlos Franco | Family Medicine | 1044 N Mozart St, Suite 100, Chicago, IL 60622-2789 | 2011-06-27 |
| 1407166648 | Jose Amaury Valerio | Family Medicine | 1044 N Mozart St, Suite # 203, Chicago, IL 60622-2789 | 2010-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
| 1700380029 | Alicia Roston | Surgery | 1900 W Polk St Fl 4, Chicago, IL 60612 | 2018-03-21 |
| 1982127114 | Oana Andreea Raicu | Surgery | 836 W Wellington Ave Dept Of, Chicago, IL 60657-5147 | 2017-07-19 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| 1598287039 | Isaac Lee Hanson | Surgery | 1500 S. Fairfield Ave., Chicago, IL 60608 | 2017-07-15 |
| 1669994364 | Lucretia Nicoleta Ghidanac | Surgery | 3714 N Hermitage Ave, Chicago, IL 60613-3509 | 2017-07-13 |
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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.