ADRIANA CARMENZA BERMEO OVALLE


Address: 1725 W Harrison St, Suite 1106, Chicago, IL 60612-3841
Phone: 3129424500

ADRIANA CARMENZA BERMEO OVALLE (NPI# 1619183852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619183852
Entity Type Individual
Full Name ADRIANA CARMENZA BERMEO OVALLE
Credential M.D.
Practice Address 1725 W Harrison St
Suite 1106
Chicago
IL 60612-3841
Mailing Address 1803 W Race Ave
#3w
Chicago
IL 60622-6247
Practice Telephone 3129424500
Mailing Telephone 3129424500
Enumeration Date 2007-05-15
Last Update Date 2011-08-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
036.127899 IL Allopathic & Osteopathic Physicians
N 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
57.011312 OH Allopathic & Osteopathic Physicians

Office Location

Street Address 1725 W HARRISON ST
SUITE 1106
City CHICAGO
State IL
Zip Code 60612-3841

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366446163 Alvaro A Figueroa Dentist 1725 W Harrison St, Ste 425, Chicago, IL 60612-3836 2005-06-09
1487251096 Katherine Frigo Registered Nurse 1725 W Harrison St, Chicago, IL 60612-3841 2020-10-06
1568085413 Jaime Rizzie Dietitian, Registered 1725 W Harrison St, Chicago, IL 60612-3841 2020-05-27
1710507025 Peter Wu Pharmacist 1725 W Harrison St, Chicago, IL 60612-3841 2020-04-16
1316419047 Lauren G Markham Social Worker 1725 W Harrison St, Chicago, IL 60612-3841 2018-12-19
1366917759 Anan Hani Shtewe Neurological Surgery 1725 W Harrison St, Chicago, IL 60612-3841 2018-10-11
1679057087 Colleen Tapia Nurse Practitioner 1725 W Harrison St, Chicago, IL 60612-3841 2018-09-20
1316435035 Charalampos Siotos Plastic Surgery 1725 W Harrison St, Suite 425, Chicago, IL 60612 2018-04-27
1427555937 Brooke Harrar Physical Therapist 1725 W Harrison St, Chicago, IL 60612-3841 2018-04-11
1356859250 Esther Kim Specialist 1725 W Harrison St, Chicago, IL 60612-3841 2018-01-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497174353 Atif Sheikh Psychiatry & Neurology 600 N Mcclurg Ct Apt 3205a, Chicago, IL 60611-6610 2014-04-08
1235557927 Akash D Patel Psychiatry & Neurology 1801 W Taylor St Ste 4e, Chicago, IL 60612-4795 2014-03-31
1093337412 Sumayyah Abumurad Psychiatry & Neurology 5841 S Maryland Ave Rm J-141, Mc2030, S231, Chicago, IL 60637-1443 2020-05-07
1023558376 Adam Jackson Psychiatry & Neurology 55 W Chestnut St, Chicago, IL 60610-3347 2017-03-06
1831540111 Christopher Veys Psychiatry & Neurology 1725 W Harrison St Ste 885, Chicago, IL 60612-3841 2016-06-28
1588027924 Geeta Verma Psychiatry & Neurology 600 S Paulina St Ste 403, Chicago, IL 60612-3806 2016-04-02
1326459553 Ahmad Daif Psychiatry & Neurology 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1447 2014-05-09
1124394127 Diana Mnatsakanova Psychiatry & Neurology 1801 W Taylor St, Chicago, IL 60612-4795 2012-03-24
1972694537 Mary Louise Tomyanovich Psychiatry & Neurology 820 S Damen Ave, M.p. # 127, Chicago, IL 60612-3728 2006-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821649138 Daif Consulting LLC Psychiatry & Neurology 7921 W 103rd St Apt 1b, Palos Hills, IL 60465-1585 2019-09-27
1720098858 Syed Naveed Psychiatry & Neurology 17 W 434 Rosevelt Rd, Oakbrook Terrece, IL 60181 2006-08-09
1760427850 Rana F Mafee Psychiatry & Neurology 2450 Wolf Rd, Suite D, Westchester, IL 60154-5643 2006-06-20
1982723482 Neurological Consultants Group Ltd Psychiatry & Neurology 17w434 Roosevelt Rd, Oakbrook Terrace, IL 60181-3510 2007-03-28
1316901234 Joseph H Mayer Psychiatry & Neurology 2320 High St, Blue Island, IL 60406-2426 2006-04-17

Competitor

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City CHICAGO
Zip Code 60612

Improve Information

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Dataset Information

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.

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