DR. JOHN WARREN EBERSOLE (NPI# 1649535782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649535782 |
| Entity Type | Individual |
| Full Name | DR. JOHN WARREN EBERSOLE |
| Credential | M.D. |
| Practice Address |
2650 Ridge Ave Ste 1304 Evanston IL 60201-1718 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 8475702477 |
| Mailing Telephone | (773) 702-1150 |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2017-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036143255 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 125061655 | IL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568487783 | John P Ebersole | Anesthesiology | 6008 Dublin Ave, Midland, MI 48640-7945 | 2006-07-12 |
| 1568513547 | John S Ebersole | Psychiatry & Neurology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-16 |
| 1023185287 | John Douglas Ebersole | Radiology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2006-11-30 |
| Street Address |
2650 RIDGE AVE STE 1304 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907648 | Ayshah Mahmud | Dentist | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-06-17 |
| 1831714740 | Corey Rollor | Dentist | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-06-16 |
| 1821613407 | Patrick Mulligan | Internal Medicine | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-06-10 |
| 1376166546 | Ann Kim | Family Medicine | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-22 |
| 1396368759 | Tyler Williams | Family Medicine | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-20 |
| 1679195259 | Sariya Ali Siddiqui | Student in an Organized Health Care Education/Training Program | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-18 |
| 1508488438 | Mahnoor Asghar | Student in an Organized Health Care Education/Training Program | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-14 |
| 1275155442 | Anu Pandit | Student in an Organized Health Care Education/Training Program | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-11 |
| 1992327209 | Robert Terry Toelke | Pathology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-08 |
| 1952922767 | Lucas Tarabal Da Matta | Internal Medicine | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| 1639580699 | Comeron Ghobadi | Radiology | 2650 Ridge Ave # Mc2026, Evanston, IL 60201 | 2014-05-13 |
| 1205122884 | Yousef Yasin | Radiology | 2650 Ridge Ave., Suite 1304, Northshore University Healthsystem, Academic Affairs, Evanston, IL 06020 | 2011-06-22 |
| 1700937018 | Andrew F Griffin | Radiology | 2650 Ridge Ave Ste G507, Evanston, IL 60201-1718 | 2007-01-15 |
| 1407841414 | Sidney P. Regalado | Radiology | 2650 Ridge Ave., Department of Radiology, Evanston, IL 60201-1718 | 2005-09-15 |
| 1699235846 | Fatima Elahi | Radiology | 355 Ridge Ave, Evanston, IL 60202-3328 | 2019-03-22 |
| 1265888754 | Zaneta Dymon | Radiology | 355 Ridge Ave, Evanston, IL 60202-3328 | 2016-05-13 |
| 1598119539 | Alexander Lionberg | Radiology | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2016-04-15 |
| 1093100554 | Nicholas Florence | Radiology | 2650 Ridge Ave., Dept. of Radiology, Evanston, IL 60201 | 2015-04-01 |
| 1902290091 | Pankaj Chhabra | Radiology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2015-03-26 |
| Find all providers in EVANSTON | ||||
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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.