DR. TERENCE EDWARD IMBERY (NPI# 1609134063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609134063 |
| Entity Type | Individual |
| Full Name | DR. TERENCE EDWARD IMBERY |
| Other Name | TED IMBERY |
| Credential | M.D. |
| Practice Address |
5841 S Maryland Ave # Mc1035 Chicago IL 60637 |
| Mailing Address |
150 Harvester Dr Ste 300 Burr Ridge IL 60527-5965 |
| Practice Telephone | 7577250741 |
| Practice Fax Number | 7737026809 |
| Mailing Telephone | 7737021865 |
| Mailing Fax Number | 7737026809 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
036.149301 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5841 S Maryland Ave # Mc1035, Chicago, IL 60637 | 7577250741 | 7737026809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690937 | Terence Alfred Imbery | Dentist | 520 N 11th St, Richmond, VA 23298-5068 | 2005-12-21 |
| Street Address |
5841 S MARYLAND AVE # MC1035 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497012694 | Christopher Robert Roxbury | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2012-04-12 |
| 1558981688 | Aaron Schuyler Wallace | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2020-04-18 |
| 1144858820 | Samuel Robert Auger | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2020-03-30 |
| 1730640004 | Nirali Maheshkumar Patel | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2019-03-28 |
| 1669933222 | Zachary Alexander Warren | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2019-03-27 |
| 1013400969 | Laura Anna Petrauskas | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2018-06-14 |
| 1457844912 | Avery Nicole Nelson | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2018-06-10 |
| 1538698097 | Adam Howard | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1447 | 2017-06-08 |
| 1083142343 | Dara Richer Adams | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1447 | 2017-05-31 |
| 1346690427 | Paige Marie Kennedy | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1447 | 2016-06-20 |
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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 | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760657381 | Heather Maureen Weinreich | Otolaryngology | 1855 W Taylor St Dept Of, Chicago, IL 60612-7242 | 2008-04-24 |
| 1992905426 | Timothy C Hain, Md, PC | Otolaryngology | 645 N Michigan Ave, Suite 410, Chicago, IL 60611-2826 | 2007-07-23 |
| 1346315017 | Richard Mark Wiet | Otolaryngology | 1611 W Harrison St, Suite 550, Chicago, IL 60612-4861 | 2006-11-21 |
| 1740272483 | Jack D Clemis | Otolaryngology | 151 N Michigan Ave, #914, Chicago, IL 60601-7506 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669448056 | Griffith Hsu | Otolaryngology | 430 Pennsylvania Ave # 330, Glen Ellyn, IL 60137-4464 | 2006-02-24 |
| 1790029593 | Adventist Health Partners, Inc | Otolaryngology | 11 Salt Creek Ln, Suite 101, Hinsdale, IL 60521-2990 | 2012-11-16 |
| 1598982571 | Ear Institute of Chicago LLC | Otolaryngology | 11 Salt Creek Ln, Suite 101, Hinsdale, IL 60521-2902 | 2007-04-19 |
| 1053491639 | Dennis M Moore Md Sc | Otolaryngology | 1875 Dempster, Suite 625, Park Ridge, IL 60068 | 2006-10-17 |
| 1295832483 | Dennis Michael Moore | Otolaryngology | 1875 Dempster, Suite 625, Park Ridge, IL 60068 | 2006-09-20 |
| 1033129762 | Arvind Kumar | Otolaryngology | 950 N York Rd, Suite 102, Hinsdale, IL 60521-2950 | 2006-08-08 |
| 1699752568 | Sam Marzo | Otolaryngology | 2160 S 1st Ave, Maguire Center 1870, Maywood, IL 60153-3328 | 2005-12-30 |
| 1962489823 | John Leonetti | Otolaryngology | 2160 S First Ave, Maguire Center 1870, Maywood, IL 60153 | 2005-12-30 |
| 1760464911 | Richard J Wiet | Otolaryngology | 11 Salt Creek Ln, Suite 101, Hinsdale, IL 60521-2990 | 2005-11-15 |
| 1770565947 | Robert Andrew Battista | Otolaryngology | 11 Salt Creek Ln, Suite 101, Hinsdale, IL 60521-2990 | 2005-11-15 |
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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.