DR. CAROL LADERMAN (NPI# 1639165871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639165871 |
| Entity Type | Individual |
| Full Name | DR. CAROL LADERMAN |
| Credential | M.D. |
| Practice Address |
9669 Kenton Ave Suite 606 Skokie IL 60076-1266 |
| Practice Telephone | 8478405325 |
| Practice Fax Number | 8478355325 |
| Mailing Telephone | 8478405325 |
| Mailing Fax Number | 8478355325 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2011-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036057134 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 0031601288 | 01 |
| Street Address |
9669 KENTON AVE SUITE 606 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-1266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811223 | Darryl A Stern | Internal Medicine | 9669 Kenton Ave, Ste 203, Skokie, IL 60076-1266 | 2005-09-14 |
| 1427597822 | Mohammad Siddiqui | Internal Medicine | 9669 Kenton Ave, Ste 305, Skokie, IL 60076-1266 | 2017-02-17 |
| 1467877605 | Mohammad Siddiqui Md Ltd | Internal Medicine | 9669 Kenton Ave, Ste 404, Skokie, IL 60076-1266 | 2014-02-25 |
| 1407287352 | Center for Gastroenterology and Nutrition, LLC | Internal Medicine | 9669 Kenton Ave, Suite 306, Skokie, IL 60076-1266 | 2013-12-03 |
| 1912216847 | Joel C Dykstra | Physical Therapist | 9669 Kenton Ave, Skokie, IL 60076-1266 | 2010-09-27 |
| 1083841308 | Alan J. Camin, M.d.s.c. | Family Medicine | 9669 Kenton Ave, Ste. 602, Skokie, IL 60076-1266 | 2009-06-12 |
| 1306083167 | Patricia Ann Kowalczyk | Dietitian, Registered | 9669 Kenton Ave, Skokie, IL 60076-1266 | 2009-01-15 |
| 1740441526 | Jonathan Pomerantz | Otolaryngology | 9669 Kenton Ave, Suite 605, Skokie, IL 60076-1266 | 2008-06-24 |
| 1558549931 | North Shore Medicine S C | Internal Medicine | 9669 Kenton Ave, Suite 606, Skokie, IL 60076-1266 | 2008-02-07 |
| 1013199926 | Antoinette V Ahr | Nurse Practitioner | 9669 Kenton Ave, Suite 206, Skokie, IL 60076-1266 | 2007-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699954537 | Aaron Benjamin | Internal Medicine | 9977 Woods Dr Ste 300, Skokie, IL 60077-1057 | 2007-10-28 |
| 1083952618 | Maria Claudia Moscoso Cordero | Internal Medicine | 9977 Woods Dr Ste 300, Skokie, IL 60077 | 2013-01-16 |
| 1245591924 | Ramez Bahu | Internal Medicine | 9977 Woods Dr Ste 300, Skokie, IL 60077-1057 | 2012-05-30 |
| 1790932028 | Priscilla Roche Mutharasan | Internal Medicine | 9977 Woods Dr, Suite 120, Skokie, IL 60077-1057 | 2008-08-18 |
| 1801085055 | Tama Porter | Internal Medicine | 9977 Woods Dr, Skokie, IL 60077-1057 | 2007-10-23 |
| 1003011800 | Herman Blomeier | Internal Medicine | 9977 Woods Dr, Skokie, IL 60077-1057 | 2007-06-20 |
| 1588742282 | Endocrinology & Metabolism Consultants, Ltd | Internal Medicine | 9933 Lawler Ave, 228, Skokie, IL 60077-3703 | 2006-11-01 |
| 1689685885 | Megan S Jacobs | Internal Medicine | 9977 Woods Dr, 1st Floor, Skokie, IL 60077-1057 | 2006-08-11 |
| 1174557243 | Lisa P. Purdy | Internal Medicine | 9977 Woods Dr, Skokie, IL 60077-1057 | 2006-07-11 |
| 1922032093 | Romy J. Block | Internal Medicine | 9977 Woods Dr, Skokie, IL 60077-1057 | 2006-07-11 |
| Find all providers in SKOKIE | ||||
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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.