ENAYATOLLAH REZVANI (NPI# 1679662472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679662472 |
| Entity Type | Individual |
| Full Name | ENAYATOLLAH REZVANI |
| Credential | MD |
| Practice Address |
605 W Central Road Suite 204 Arlington Heights IL 60005-2364 |
| Practice Telephone | 8472592620 |
| Practice Fax Number | 8472596409 |
| Mailing Telephone | 8472592620 |
| Mailing Fax Number | 8472596409 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | IL | Allopathic & Osteopathic Physicians |
| Street Address |
605 W CENTRAL ROAD SUITE 204 |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60005-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801214143 | Northwest Surgical Healthcare LLC | Surgery | 605 W Central Road, Suite 201, Arlington Heights, IL 60005-2364 | 2014-04-03 |
| 1235228032 | E Rezvani Md Sc | Pediatrics | 605 W Central Road, Suite 204, Arlington Heights, IL 60005-2364 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
| 1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
| 1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
| 1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| Find all providers in zip 60005 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880698 | Dr. Kordas Pediatric Health Care Center, LLC | Pediatrics | 3335 N Arlington Heights Rd Ste H, Arlington Heights, IL 60004-1573 | 2017-09-21 |
| 1588094072 | Joan Meyer | Pediatrics | 623 N Highland Ave, Arlington Heights, IL 60004-5513 | 2013-11-19 |
| 1003175829 | Nikita Ghanshyam Patel | Pediatrics | 3325 N. Arlington Heights Rd, Suite 100a, Arlington Heights, IL 60004 | 2012-05-14 |
| 1851611743 | Jacqueline Fay Schwarz | Pediatrics | 3325 N. Arlington Heights Rd., Suite 100a, Arlington Heights, IL 60004 | 2010-06-02 |
| 1689801185 | Anna Paula Sienkiewicz | Pediatrics | 657 E Golf Rd Ste 309, Arlington Heights, IL 60005-4071 | 2009-06-11 |
| 1255546966 | Rueda Pediatrics, S.c. | Pediatrics | 1746 W Algonquin Rd, Arlington Heights, IL 60005-3405 | 2007-05-14 |
| 1235356528 | David Latimer Baum | Pediatrics | 3325 N. Arlington Heights Road, Suite 100a, Arlington Heights, IL 60004 | 2007-04-19 |
| 1518055516 | Summers Pediatrics, S.c. | Pediatrics | 2010 S Arlington Heights Rd Ste 210, Arlington Heights, IL 60005-4147 | 2006-10-11 |
| 1093764581 | Carissa Lee-holmes | Pediatrics | 3323 N. Arlington Heights Rd, Suite 209, Arlington Heights, IL 60004 | 2006-05-10 |
| 1134186497 | David M Brottman | Pediatrics | 3325 N Arlington Heights Rd, Suite 100a, Arlington Heights, IL 60004-1582 | 2006-04-28 |
| Find all providers in ARLINGTON HEIGHTS | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
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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.