DR. ANJAN TIBREWALA (NPI# 1730474685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730474685 |
| Entity Type | Individual |
| Full Name | DR. ANJAN TIBREWALA |
| Credential | M.D. |
| Practice Address |
259 E Erie St Chicago IL 60611-2987 |
| Mailing Address |
676 N Saint Clair St Suite 600 Chicago IL 60611-2927 |
| Practice Telephone | 3129262000 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036134900 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2011017889 | MO | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036134900 | IL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 036134900 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
036134900 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 675 N Saint Clair St, Suite 19-100, Chicago, IL 606115975 | 3126954965 |
| Street Address |
259 E ERIE ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071293 | Kiran Nimmagadda | Internal Medicine | 259 E Erie St, Suite 2250, Chicago, IL 60611-2987 | 2005-08-30 |
| 1750948436 | Mark Timothy Steinhauser | Physician Assistant | 259 E Erie St, Chicago, IL 60611 | 2019-05-28 |
| 1871056283 | Abigail Joy Mckay | Nurse Practitioner | 259 E Erie St, Chicago, IL 60611-2987 | 2019-04-11 |
| 1013472406 | Gretchen York | Nurse Practitioner | 259 E Erie St, Chicago, IL 60611-2987 | 2019-02-10 |
| 1861963878 | Yin Gao | Internal Medicine | 259 E Erie St, Chicago, IL 60611-2987 | 2018-12-17 |
| 1407347867 | Masa Chalupa | Physical Therapist | 259 E Erie St, Chicago, IL 60611-2987 | 2018-05-22 |
| 1053813055 | Christina Nieto Quiroga | Registered Nurse | 259 E Erie St, Chicago, IL 60611-2987 | 2018-03-06 |
| 1417478744 | Oladipupo Odunewu | Physician Assistant | 259 E Erie St, Chicago, IL 60611-2987 | 2017-06-27 |
| 1801337589 | Bradley Pennington | Physician Assistant | 259 E Erie St, 13th Floor, Chicago, IL 60611-2987 | 2017-03-15 |
| 1164960001 | Abigail Conlon Pairitz | Registered Nurse | 259 E Erie St, Chicago, IL 60611-2987 | 2017-02-10 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275049876 | Amanda Mcginnis | Internal Medicine | 4440 W 95th St Fl Street6, Oak Lawn, IL 60453-2600 | 2017-12-18 |
| 1750849675 | Karlo Vincent Buenconsejo Benig | Internal Medicine | 4400 W. 95th Street, Opp 6th Floor, Oak Lawn, IL 60453-2654 | 2019-03-10 |
| 1881983575 | Anjali Anil Joshi | Internal Medicine | 4400 W 95th St Ste 308, Oak Lawn, IL 60453-2660 | 2011-04-04 |
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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.