DR. PARVATHY D KURUP (NPI# 1578554911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578554911 |
Entity Type | Individual |
Full Name | DR. PARVATHY D KURUP |
Credential | MD |
Practice Address |
95 N Greenleaf St Suite A Gurnee IL 60031-3309 |
Mailing Address |
Po Box 379 Orland Park IL 60462-0379 |
Practice Telephone | 8476232114 |
Practice Fax Number | 8476234628 |
Mailing Telephone | 7084609833 |
Mailing Fax Number | 7084601117 |
Enumeration Date | 2005-11-03 |
Last Update Date | 2019-05-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036058250 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | RR MEDICARE ROT GMA GR# | DA2626 | 01 |
IL | BCBIL ADVANCED RAD | 01633381 | 01 |
IL | BCBSIL ROTATING GAMMA | 04932214 | 01 |
IL | 036058250 | 05 | |
IL | RR MEDICARE ROT GMA | P00042094 | 01 |
ADV RAD NPI # | 1548251986 | 01 | |
ROT GAMMA NPI# | 1902897358 | 01 | |
IL | RR MEDICARE ADVANCED RAD | 920007668 | 01 |
IL | RR MEDICARE ADV RAD GR# | CK9135 | 01 |
Street Address |
95 N GREENLEAF ST SUITE A |
City | GURNEE |
State | IL |
Zip Code | 60031-3309 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891011326 | Stereotactic Radiosurgery Institute Sc | Radiology | 95 N Greenleaf St, Gurnee, IL 60031-3309 | 2010-04-08 |
1275612178 | Tomasz Krzysztof Helenowski | Neurological Surgery | 95 N Greenleaf St, Gurnee, IL 60031-3309 | 2006-11-03 |
1730160946 | Yashbir Mehta | Radiology | 95 N Greenleaf St, Gurnee, IL 60031-3309 | 2005-11-07 |
1902897358 | Rotating Gamma System Institute LLC | Radiology | 95 N Greenleaf St, Gurnee, IL 60031-3309 | 2005-11-03 |
1548251986 | Advanced Radiation Oncology Center of Illinois Inc | Radiology | 95 N Greenleaf St, Suite A, Gurnee, IL 60031-3309 | 2005-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
Find all providers in zip 60031 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891011326 | Stereotactic Radiosurgery Institute Sc | Radiology | 95 N Greenleaf St, Gurnee, IL 60031-3309 | 2010-04-08 |
1730160946 | Yashbir Mehta | Radiology | 95 N Greenleaf St, Gurnee, IL 60031-3309 | 2005-11-07 |
1902897358 | Rotating Gamma System Institute LLC | Radiology | 95 N Greenleaf St, Gurnee, IL 60031-3309 | 2005-11-03 |
1548251986 | Advanced Radiation Oncology Center of Illinois Inc | Radiology | 95 N Greenleaf St, Suite A, Gurnee, IL 60031-3309 | 2005-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629690185 | Illinois Radiation Oncology Consultants Pllc | Radiology | 208 Flax Dr Ste 100, Highland, IL 62249-1396 | 2020-05-07 |
1770070609 | Brian Chou | Radiology | 2160 S 1st Ave Rm 2944, Maywood, IL 60153-3328 | 2018-04-17 |
1932606654 | Amishi Bajaj | Radiology | 2011 Midwest Club Pkwy, Oak Brook, IL 60523-2526 | 2018-04-09 |
1629502208 | Nathaniel Camden | Radiology | 500 South Paulina Street, Atrium Building, Ground Floor, Chicago, IL 60612-3833 | 2017-04-20 |
1811436553 | Seung Won Seol | Radiology | 251 E Huron St Ste Lc-178, Chicago, IL 60611 | 2017-02-14 |
1689051328 | Ross Scott Zeitlin | Radiology | 1901 W Harrison St Ste Ll-500, Chicago, IL 60612-3714 | 2015-05-01 |
1730578527 | Jeffrey Gross | Radiology | 6525 N Mozart St, Apt 3, Chicago, IL 60645-4377 | 2015-01-15 |
1508267220 | Vantage Cancer Care - Illinois, S.c. | Radiology | 17750 South Kedzie Avenue, Hazel Crest, IL 60429-2047 | 2014-09-12 |
1952714636 | Aditya Juloori | Radiology | 5841 S Maryland Ave # Mc9006, Chicago, IL 60637-1443 | 2014-06-10 |
1083047146 | Yoon Tae Kim | Radiology | 1025 Sunset Rd, Winnetka, IL 60093-3622 | 2013-08-13 |
Find all providers with the same taxonomy |
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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.