DR. JONATHAN SEBASTIAN CORDOVA (NPI# 1609195601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609195601 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN SEBASTIAN CORDOVA |
| Credential | D.O. |
| Practice Address |
2180 Pfingsten Rd Room B0000, Cubicle B027g Glenview IL 60026-1339 |
| Practice Telephone | 8475701795 |
| Mailing Telephone | 8475701795 |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2016-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
036132010 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2180 PFINGSTEN RD ROOM B0000, CUBICLE B027G |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60026-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952384117 | Khalida A Anwar | Physical Medicine & Rehabilitation | 2180 Pfingsten Rd, Glenview, IL 60026-1339 | 2005-11-22 |
| 1871136028 | Margaret Frank | Physical Therapist | 2180 Pfingsten Rd, Glenview, IL 60026-1339 | 2019-10-21 |
| 1629624473 | Allison Marie Fortney | Physical Therapist | 2180 Pfingsten Rd, Glenview, IL 60026-1339 | 2019-08-16 |
| 1568014843 | Tia J Hanke | Nurse Practitioner | 2180 Pfingsten Rd, Glenview, IL 60026-1339 | 2019-07-16 |
| 1801395249 | Angelica Marconi Zweig | Physician Assistant | 2180 Pfingsten Rd, Glenview, IL 60026-1339 | 2018-02-11 |
| 1710429949 | Kathryn Kelly Lalonde | Specialist/Technologist | 2180 Pfingsten Rd, 3100, Glenview, IL 60026-1339 | 2016-11-04 |
| 1164970851 | Daniel Tafelski | Physical Therapist | 2180 Pfingsten Rd, Glenview, IL 60026-1339 | 2016-09-12 |
| 1588018311 | Joann H. Eriksson | Registered Nurse | 2180 Pfingsten Rd, Kellogg Cancer Center, Glenview, IL 60026 | 2016-04-18 |
| 1568830586 | Alison Shaw | Registered Nurse | 2180 Pfingsten Rd, Suite B027b, Glenview, IL 60026-1301 | 2015-09-08 |
| 1407236540 | Sandra S. Hiel | Registered Nurse | 2180 Pfingsten Rd, Glenview, IL 60026 | 2015-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1952868135 | Beltone Holdings IIi, Inc. | Hearing Instrument Specialist | 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 | 2019-02-25 |
| 1588145007 | Trislyn Deett Palmer | Occupational Therapist | Select Rehab, 2600 Compass Road, Glenview, IL 60026 | 2018-08-23 |
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1316474711 | Tru Impact Healthcare Sc | Internal Medicine | 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 | 2017-05-16 |
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1497136642 | Nayantara S. Orekondy | Internal Medicine | 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 | 2015-06-13 |
| 1154745792 | Eleanor Finney Vita | Occupational Therapist | 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 | 2014-02-18 |
| Find all providers in zip 60026 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588650139 | Suzanne P Nelson | Pediatrics | 2551 Compass Rd, Suite 110, Glenview, IL 60026-8045 | 2005-09-20 |
| 1699874255 | Childrens Gastroenterology Specialists Sc | Pediatrics | 2551 Compass Rd, Suite 110, Glenview, IL 60026-8045 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578799482 | Tiffany J. Patton | Pediatrics | 5839 S. Maryland Ave., Wyler C-474, Mc 4065, Chicago, IL 60637-1470 | 2009-06-05 |
| 1982860755 | Joshua Prozialeck | Pediatrics | 225 E Chicago Ave # 65, Chicago, IL 60611-2991 | 2008-07-31 |
| 1881866259 | Lee Michael Bass | Pediatrics | 2300 N Childrens Plz # 65, Chicago, IL 60614-3363 | 2008-03-26 |
| 1457578023 | Nancy M. Mcgreal | Pediatrics | 5839 S. Maryland Avenue, Mc 4065, Chicago, IL 60637 | 2007-04-18 |
| 1649300385 | Barbara S. Kirschner | Pediatrics | University of Chicago, Peds Gastro, 5839 South Maryland Avenue, Mc 4065, Chicago, IL 60637-1470 | 2007-03-06 |
| 1679603302 | Stefano Guandalini | Pediatrics | University of Chicago, Section of Peds Gastro, 5839 South Maryland Avenue, Mc 4065, Chicago, IL 60637-1470 | 2007-03-06 |
| 1972611234 | Valeria C Cohran | Pediatrics | 2300 Children's Plaza, Box 65, Children's Memorial Hospital, Chicago, IL 60614-3394 | 2006-08-28 |
| 1518977875 | Gloria Buentello | Pediatrics | 1225 W Lake St., Suite 409, Melrose Park, IL 60160 | 2006-08-09 |
| 1598726432 | Timothy A Sentongo | Pediatrics | 5839 S. Maryland Ave, Mc 4065, Chicago, IL 60637 | 2006-03-30 |
| 1306806518 | Christopher Mullett | Pediatrics | 420 Ne Glen Oak Avenue, Ste 401, Peoria, IL 61603 | 2006-03-23 |
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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.