JANE BANG (NPI# 1588740955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588740955 |
| Entity Type | Individual |
| Full Name | JANE BANG |
| Credential | M.D. |
| Practice Address |
2800 N Sheridan Rd Suite 101 Chicago IL 60657-6156 |
| Mailing Address |
2800 N. Sheridan Suite 101 Chicago IL 60657 |
| Practice Telephone | 7732817835 |
| Practice Fax Number | 7732818736 |
| Mailing Telephone | 7732817835 |
| Mailing Fax Number | 7732818736 |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2012-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036113330 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036113330 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | 01623792 | 01 |
| Street Address |
2800 N SHERIDAN RD SUITE 101 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-6156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102563 | Kevin G Murphy | Family Medicine | 2800 N Sheridan Rd, Ste 606, Chicago, IL 60657-6159 | 2005-05-27 |
| 1679096572 | Angela Dawn Mcnichols | Psychologist | 2800 N Sheridan Rd, Suite 108, Chicago, IL 60640-6064 | 2017-07-23 |
| 1427585132 | Andrew Mastro | Physician Assistant | 2800 N Sheridan Rd, Suite 210, Chicago, IL 60657-6156 | 2017-05-12 |
| 1417480476 | Sheridan Counseling Group PC | Counselor | 2800 N Sheridan Rd, Suite 110, Chicago, IL 60657-6156 | 2017-04-06 |
| 1235685256 | Forefront Dermatology, S.c. | Dermatology | 2800 N Sheridan Rd, Suite 508, Chicago, IL 60657 | 2016-08-30 |
| 1265881932 | Noah H Rosen Dmd, LLC | Dentist | 2800 N Sheridan Rd, Suite 204, Chicago, IL 60657-6108 | 2016-06-03 |
| 1215327101 | Platinum Medical Associates, Ltd | Internal Medicine | 2800 N Sheridan Rd, Suite 110, Chicago, IL 60657-6156 | 2015-01-29 |
| 1669878823 | Meridian Behavioral Health Services | Psychologist | 2800 N Sheridan Rd, Suite 108, Chicago, IL 60657-6156 | 2014-11-14 |
| 1659717221 | Jennifer In-hee Hur | Family Medicine | 2800 N Sheridan Rd, Suite 101, Chicago, IL 60657 | 2013-05-22 |
| 1437415668 | Elizabeth M. Gould | Nurse Practitioner | 2800 N Sheridan Rd, Suite 301, Chicago, IL 60657-6156 | 2012-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| 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.