PARK RIDGE LAB INC (NPI# 1558635516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558635516 |
| Entity Type | Organization |
| Organization Name | PARK RIDGE LAB INC |
| Practice Address |
950 N Northwest Hwy Ste 102 Park Ridge IL 60068-2349 |
| Practice Telephone | 8476969900 |
| Practice Fax Number | 6309521447 |
| Mailing Telephone | 8476969900 |
| Mailing Fax Number | 6309521447 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | DR. SAM SPERON (PRESIDENT) |
| Authorized Official Telephone | 8476969900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
Allopathic & Osteopathic Physicians |
| Street Address |
950 N NORTHWEST HWY STE 102 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750635868 | Chicago Center for Anti Aging Inc | Plastic Surgery | 950 N Northwest Hwy Ste 102, Park Ridge, IL 60068-2349 | 2012-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164802443 | Areta Kowal-vern | Pathology | 1700 Riverwoods Dr Apt 312, Melrose Park, IL 60160-1613 | 2015-06-02 |
| 1336554799 | Shiraz Fidai | Pathology | 5841 S Maryland Ave Rm S-323, Chicago, IL 60637-1447 | 2014-06-24 |
| 1891075925 | Barina Aqil | Pathology | 251 E Huron St Ste 220, Chicago, IL 60611-2908 | 2011-08-21 |
| 1275748147 | Victoria Missak Alagiozian-angelova | Pathology | 5004 Elm St, Skokie, IL 60077-2552 | 2007-05-13 |
| 1497978902 | Amir Behdad | Pathology | 680 N Lake Shore Dr Ste 1000, Department of Pathology and Laboratory Medicine, Chicago, IL 60611 | 2007-04-11 |
| 1548327091 | Milton Edward Skelly | Pathology | 4221 Fox Creek Rd, Mount Vernon, IL 62864-2155 | 2007-01-03 |
| 1639271802 | James William Veenstra | Pathology | 1383 Mcglasson Rd, Jacksonville, IL 62650-6726 | 2006-09-01 |
| 1801312129 | Nicholas David Hunter | Pathology | 1005 Broadway St, Quincy, IL 62301 | 2017-08-17 |
| 1982068789 | Moe Takeda | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2016-04-07 |
| 1053738195 | Nicolas Manuel Lopez-hisijos | Pathology | 1750 W Harrison St, Chicago, IL 60612-3825 | 2014-03-26 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.