MOBILE DENTAL OF ILLINOIS, LLC (NPI# 1588001648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588001648 |
| Entity Type | Organization |
| Organization Name | MOBILE DENTAL OF ILLINOIS, LLC |
| Practice Address |
8420 W Bryn Mawr Ave Suite 300 Chicago IL 60631-3479 |
| Practice Telephone | 7737565760 |
| Practice Fax Number | 7737141229 |
| Mailing Telephone | 7737565760 |
| Mailing Fax Number | 7737141229 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-08-27 |
| Authorized Official Name | MR. JOSHUA G GANTZ (CFO) |
| Authorized Official Telephone | 7737565760 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOBILE ANESTHESIOLOGISTS OF ILLINOIS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | IL | Allopathic & Osteopathic Physicians |
| Street Address |
8420 W BRYN MAWR AVE SUITE 300 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-3479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295749497 | Heidi Fischer | Anesthesiology | 8420 W Bryn Mawr Ave, Suite 530, Chicago, IL 60631-3479 | 2006-07-27 |
| 1457749509 | Mobile Office-based Anesthesia of Western New York Pllc | Anesthesiology | 8420 W Bryn Mawr Ave, Ste 300, Chicago, IL 60631-3479 | 2014-12-23 |
| 1326444217 | Mobile Surgical Services LLC | Durable Medical Equipment & Medical Supplies | 8420 W Bryn Mawr Ave, Suite 300, Chicago, IL 60631-3479 | 2014-11-05 |
| 1295162956 | Erin Campbell | Registered Nurse | 8420 W Bryn Mawr Ave, Suite 300, Chicago, IL 60631-3479 | 2013-09-26 |
| 1578990255 | Kimberly Anne Looney | Registered Nurse | 8420 W Bryn Mawr Ave, Chicago, IL 60631-3479 | 2013-09-26 |
| 1275875049 | Mobile Anesthesiologists of Illinois, LLC | Anesthesiology | 8420 W Bryn Mawr Ave, Suite 300, Chicago, IL 60631-3479 | 2013-03-20 |
| 1801165436 | Sheryl Giese | Registered Nurse | 8420 W Bryn Mawr Ave, Chicago, IL 60631-3479 | 2011-12-28 |
| 1982985180 | Elizabeth Ellen Clarke | Registered Nurse | 8420 W Bryn Mawr Ave, Suite 300, Chicago, IL 60631-3479 | 2011-08-31 |
| 1316228604 | Elise Lappinga | Registered Nurse | 8420 W Bryn Mawr Ave, Suite 300, Chicago, IL 60631-3479 | 2011-08-31 |
| 1467733840 | Stefanie E Ahrens | Registered Nurse | 8420 W Bryn Mawr Ave, Suite 300, Chicago, IL 60631-3479 | 2011-08-30 |
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| 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 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558983981 | Ankit Arora | Anesthesiology | 836 W Wellington Ave Ste 4874, Chicago, IL 60657-5147 | 2020-05-07 |
| 1922628122 | Frank Joseph Bailey | Anesthesiology | 5841 S Maryland Ave # Mc4208, Chicago, IL 60637-1443 | 2020-04-17 |
| 1770140212 | Sara Boldt | Anesthesiology | Rush University Medical Center, Dept. of Anesthesiology, 1653 W. Congress Parkway, Suite 739, Chicago, IL 60612 | 2019-05-21 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1982181418 | Syed Abdul Rahman | Anesthesiology | 1969 Ogden Ave, 5th Floor 5670, Chicago, IL 60612 | 2018-07-27 |
| 1104311810 | Mukund Gande | Anesthesiology | 1956 W Erie St Unit 3e, Chicago, IL 60622-5671 | 2018-06-25 |
| 1790274041 | Integrated Pain Management, Sc | Anesthesiology | 2674 N. Halsted, Chicago, IL 60614-2302 | 2018-05-02 |
| 1508355876 | Integrated Pain Management, Sc | Anesthesiology | 4906 N. Western, Chicago, IL 60625-1922 | 2018-05-02 |
| 1881191849 | Wooheon Thomas Kim | Anesthesiology | 251 East Huron Street (northwestern Memorial Hospital), Chicago, IL 60611 | 2018-04-06 |
| 1922500461 | Paul Randall Barach | Anesthesiology | 711 S Dearborn St Unit 201, Chicago, IL 60605-1823 | 2018-02-28 |
| 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.