NEDJEMA SUSTENTO-REODICA


Address: 303 E Chicago Ave, Ward - 6-223 Mail Code W127, Chicago, IL 60611-4296
Phone: 3125038241

NEDJEMA SUSTENTO-REODICA (NPI# 1699729186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699729186
Entity Type Individual
Full Name NEDJEMA SUSTENTO-REODICA
Credential MD
Practice Address 303 E Chicago Ave
Ward - 6-223 Mail Code W127
Chicago
IL 60611-4296
Mailing Address 680 N Lake Shore Dr
Suite 1000
Chicago
IL 60611-4546
Practice Telephone 3125038241
Mailing Telephone 3126959797
Enumeration Date 2006-05-20
Last Update Date 2008-01-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ZP0105X Pathology
Specialization: Clinical Pathology/Laboratory Medicine
MD425026 PA Allopathic & Osteopathic Physicians
Y 207ZP0105X Pathology
Specialization: Clinical Pathology/Laboratory Medicine
IL Allopathic & Osteopathic Physicians

Office Location

Street Address 303 E CHICAGO AVE
WARD - 6-223 MAIL CODE W127
City CHICAGO
State IL
Zip Code 60611-4296

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790747517 Anjen Chenn Pathology 303 E Chicago Ave, Ward 3-200, Chicago, IL 60611-4296 2006-04-05
1083274997 Jason Lafave Student in an Organized Health Care Education/Training Program 303 E Chicago Ave, Chicago, IL 60611-4296 2019-06-13
1932626959 Shubhendu Mishra Student in an Organized Health Care Education/Training Program 303 E Chicago Ave, Chicago, IL 60611-4296 2017-08-30
1811351646 Anuj Desai Student in an Organized Health Care Education/Training Program 303 E Chicago Ave, Chicago, IL 60611-4296 2016-04-07
1790147163 Carissa Laboy Pathology 303 E Chicago Ave, Ward 3-140, Chicago, IL 60611-4296 2016-03-24
1982090361 Brandon Allen Umphress Pathology 303 E Chicago Ave, Ward 3-140 W127, Chicago, IL 60611-4296 2015-04-12
1457747024 Mehul Patel Urology 303 E Chicago Ave, Tarry 16-703, Chicago, IL 60611-4296 2015-04-10
1588058580 Emily Yura Urology 303 E Chicago Ave, Tarry 16-703, Chicago, IL 60606 2015-03-27
1922492669 Temitope Orenuga Hospitalist 303 E Chicago Ave, Chicago, IL 60611 2015-03-19
1881086544 Jessica Haewon Lee Internal Medicine 303 E Chicago Ave, Chicago, IL 60611-4296 2015-03-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
1134735962 Kalvin Cheuk Hang Lung Student in an Organized Health Care Education/Training Program 675 N St Clair St 17th Floor, Chicago, IL 60611 2020-09-17
1487267845 Ashley Marie Sablich Student in an Organized Health Care Education/Training Program 250 E Huron Street, Suite 1-200, Chicago, IL 60611 2020-08-26
1245854033 Danielle Humphrey Student in an Organized Health Care Education/Training Program Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 2020-06-08
1801418074 Sana Healing Collective Clinic/Center 405 N. Wabash Street, Chicago, IL 60611 2020-05-11
1194359489 Insight:eating Disorders, Weight Management & Psychological Centers Psychiatric Hospital 1 E. Erie Street, 4th Floor, Chicago, IL 60611 2020-02-26
1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
1922643576 Sarah Elizabeth Schwartzer Audiologist Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 2019-11-07
1023668852 Anne Marguerite Davidson Student in an Organized Health Care Education/Training Program Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 2019-09-13
1871141085 Coast Management Durable Medical Equipment & Medical Supplies 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 2019-08-30
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Taxonomy Information

Taxonomy Code 207ZP0105X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Clinical Pathology/Laboratory Medicine

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437272549 Robert E. Merrick Pathology 1633 W Berwyn Ave, Chicago, IL 60640-2005 2007-04-06
1790747517 Anjen Chenn Pathology 303 E Chicago Ave, Ward 3-200, Chicago, IL 60611-4296 2006-04-05
1598111403 Kyle G Parker Pathology 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1447 2016-05-10
1538515473 Samuel E Weinberg Pathology 251 E Huron St, Chicago, IL 60611-3055 2016-05-10
1437449238 Nazneen Fatima Pathology 251 E Huron St, Feinberg 7-220, Chicago, IL 60611-2908 2011-04-13
1871811786 Board of Trustees of The University of Illinois Pathology 1740 W. Taylor Street, Chicago, IL 60612 2010-05-17
1346568748 Adriana Acurio Pathology 1501 S California Ave, Chicago, IL 60608-1732 2010-05-10
1336461599 Megan E Mcnerney Pathology 5841 S Maryland Ave, Mc6101 P615a, Chicago, IL 60637-1447 2010-02-15
1114158342 Angella Charnot-katsikas Pathology 5841 S Maryland Ave, Chicago, IL 60637-1447 2009-08-05
1033315528 Shoujin Wu Pathology 820 S Damen Ave, Atten: Palms 113, Chicago, IL 60612-3728 2007-06-22
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Competitor

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City CHICAGO
Zip Code 60611

Improve Information

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Dataset Information

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.

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