DR. KYLE G PARKER (NPI# 1598111403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598111403 |
| Entity Type | Individual |
| Full Name | DR. KYLE G PARKER |
| Credential | M.D. |
| Practice Address |
5841 S Maryland Ave # Mc3083 Chicago IL 60637-1447 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 7738348376 |
| Practice Fax Number | 7737021119 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
125.068129 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295297422 | Kyle Morris Parker | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr Ste 304, Norfolk, VA 23507-1904 | 2019-04-05 |
| 1669981304 | Kyle Parker | Pharmacist | 525 S Main St, Ada, OH 45810-6000 | 2017-09-26 |
| Street Address |
5841 S MARYLAND AVE # MC3083 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467471813 | Carol L. Willis | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1447 | 2006-07-18 |
| 1063032118 | Pari Jafari | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2020-04-18 |
| 1063074888 | Tanner Emerson Russell Storozuk | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2019-07-02 |
| 1417419243 | Meghana Agni | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2019-04-01 |
| 1124506589 | Kyle Everett Kissick | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2018-07-29 |
| 1770077208 | Luke N Lauridsen | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2018-06-18 |
| 1215467725 | Ellen Alexander | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1447 | 2017-06-16 |
| 1952831760 | Benjamin Allen Kaumeyer | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1447 | 2017-06-14 |
| 1710413091 | Kathleen Higgins | Dentist | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2017-05-05 |
| 1285173906 | Clarence Wing-chung Chan | Student in an Organized Health Care Education/Training Program | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2017-02-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| 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) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437272549 | Robert E. Merrick | Pathology | 1633 W Berwyn Ave, Chicago, IL 60640-2005 | 2007-04-06 |
| 1790747517 | Anjen Chenn | Pathology | 303 E Chicago Ave, Ward 3-200, Chicago, IL 60611-4296 | 2006-04-05 |
| 1538515473 | Samuel E Weinberg | Pathology | 251 E Huron St, Chicago, IL 60611-3055 | 2016-05-10 |
| 1437449238 | Nazneen Fatima | Pathology | 251 E Huron St, Feinberg 7-220, Chicago, IL 60611-2908 | 2011-04-13 |
| 1871811786 | Board of Trustees of The University of Illinois | Pathology | 1740 W. Taylor Street, Chicago, IL 60612 | 2010-05-17 |
| 1346568748 | Adriana Acurio | Pathology | 1501 S California Ave, Chicago, IL 60608-1732 | 2010-05-10 |
| 1336461599 | Megan E Mcnerney | Pathology | 5841 S Maryland Ave, Mc6101 P615a, Chicago, IL 60637-1447 | 2010-02-15 |
| 1114158342 | Angella Charnot-katsikas | Pathology | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2009-08-05 |
| 1033315528 | Shoujin Wu | Pathology | 820 S Damen Ave, Atten: Palms 113, Chicago, IL 60612-3728 | 2007-06-22 |
| 1245435361 | University of Illinois At Chicago | Pathology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2007-06-19 |
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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.