DR. JEFFREY L. BORK (NPI# 1669482378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669482378 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY L. BORK |
| Credential | M.D. |
| Practice Address |
1901 W Harrison St Chicago IL 60612-3714 |
| Practice Telephone | 3128642297 |
| Mailing Telephone | 3128642297 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1901 W HARRISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586174 | Pete Antonopoulos | Pharmacist | 1901 W Harrison St, Ll 170, Chicago, IL 60612 | 2005-05-31 |
| 1164038428 | Yaqi Zhang | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-09-21 |
| 1659986719 | Ibrahim Maghari | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-09-14 |
| 1629683784 | Ziad Sad Aldeen | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-09-14 |
| 1003420977 | Marie Anjeliese Rodriguez | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-09-08 |
| 1407460595 | Nita Shrestha | Pediatrics | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-09-04 |
| 1871104927 | Bharosa Sharma | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-08-12 |
| 1023626611 | Muhammad Sheharyar Warraich | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-07-20 |
| 1073130233 | Carlos Gabriel De Guzman Corpuz | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-07-02 |
| 1952928319 | Alonso Jose Marquez Fuenmayor | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-07-01 |
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| 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 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033162839 | Mark M. Connolly | Surgery | 2913 N Commonwealth Ave, 5th Floor, Chicago, IL 60657-6211 | 2006-05-19 |
| 1588662928 | Swati Kulkarni | Surgery | 250 E Superior St, Suite 420, Chicago, IL 60611-2914 | 2005-07-11 |
| 1235424656 | Fadi Suhail Dahdaleh | Surgery | 5841 S. Maryland Avenue, M/c 6040, Chicago, IL 60637 | 2011-06-14 |
| 1245556406 | Oliver S. Eng | Surgery | 5841 S Maryland Ave # Mc5094, Chicago, IL 60637-1443 | 2010-04-13 |
| 1699008706 | S. O. Group, S.c. | Surgery | 1725 W. Harrison Street, Suite 409, Chicago, IL 60612 | 2009-09-09 |
| 1942457072 | Anthony Yang | Surgery | 675 N Saint Clair St Ste 21-700, Chicago, IL 60611-5975 | 2008-08-20 |
| 1922265032 | Rohit Ramesh Sharma | Surgery | 5841 S Maryland Ave, Mc 6040, Chicago, IL 60637-1447 | 2008-05-18 |
| 1508085630 | Board of Trustees of The University of Illinois | Surgery | 840 S Wood St, Chicago, IL 60612-7322 | 2007-04-25 |
| 1528114501 | Cdn Surgical Assoc., Ltd. | Surgery | 2913 N Commonwealth Ave, Chicago, IL 60657-6211 | 2007-01-25 |
| 1629171822 | Donald K Wood | Surgery | 1740 W Taylor St, Chicago, IL 60612-7232 | 2006-09-06 |
| Find all providers in CHICAGO | ||||
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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.