ROBERT D ZIMMERMAN MD SC (NPI# 1649315136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649315136 |
| Entity Type | Organization |
| Organization Name | ROBERT D ZIMMERMAN MD SC |
| Practice Address |
1 Erie Ct Suite# 4030 Oak Park IL 60302-2566 |
| Practice Telephone | 7083867888 |
| Practice Fax Number | 7083862784 |
| Mailing Telephone | 7083867888 |
| Mailing Fax Number | 7083862784 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-12-17 |
| Authorized Official Name | DR. ROBERT D ZIMMERMAN (PRESIDENT) |
| Authorized Official Telephone | 7083867888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036054963 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1 ERIE CT SUITE# 4030 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861691 | Nagulapalli S Rao | Specialist | 1 Erie Ct, Ste 7160, Oak Park, IL 60302-2510 | 2005-06-16 |
| 1528531837 | Pipeline Midwest Pharmacies, LLC | Pharmacy | 1 Erie Ct, Oak Park, IL 60302-2566 | 2019-01-09 |
| 1326577057 | Joanna Marie Curran | Family Medicine | 1 Erie Ct, Oak Park, IL 60302-2566 | 2017-06-06 |
| 1033660303 | Megan L Mccaleb | Physician Assistant | 1 Erie Ct, Suire 7120, Oak Park, IL 60302-2566 | 2016-10-20 |
| 1760936090 | Genti Manco | Nurse Practitioner | 1 Erie Ct, Oak Park, IL 60302-2566 | 2016-08-03 |
| 1699137869 | Morgan Crandall | Physician Assistant | 1 Erie Ct, Suite 7120, Oak Park, IL 60302-2566 | 2016-03-25 |
| 1760854020 | Forefront Dermatology, S.c. | Dermatology | 1 Erie Ct, Suite 4010, Oak Park, IL 60302 | 2015-10-27 |
| 1154700557 | Haley Combs | Student in an Organized Health Care Education/Training Program | 1 Erie Ct, Suite 6160, Oak Park, IL 60302-2566 | 2015-05-19 |
| 1023497344 | Jacob Shaw | Family Medicine | 1 Erie Ct, Oak Park, IL 60302 | 2015-05-19 |
| 1225428774 | Ashleigh Jardine | Physical Therapist | 1 Erie Ct, Suite 7120, Oak Park, IL 60302-2566 | 2015-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841612413 | Earl Wendel | Urology | 1045 Linden Ave, Oak Park, IL 60302-1350 | 2014-01-15 |
| 1275678740 | John T Leyland II | Urology | 1 Erie Ct Ste 4030, Oak Park, IL 60302-2510 | 2007-02-21 |
| 1568753846 | Nitin Sharma | Urology | 1 Erie Ct Ste 4030, Oak Park, IL 60302-2510 | 2011-04-21 |
| 1043355530 | Robert D Zimmerman | Urology | 1 Erie Ct, Suite 4030, Oak Park, IL 60302-2566 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
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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.