DR. JOEL G. BRASCH (NPI# 1760597140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760597140 |
| Entity Type | Individual |
| Full Name | DR. JOEL G. BRASCH |
| Credential | MD |
| Practice Address |
10811 W 143rd St Suite 120 Orland Park IL 60467-1913 |
| Mailing Address |
5225 Old Orchard Rd Suite 10 Skokie IL 60077-4405 |
| Practice Telephone | 7084034210 |
| Practice Fax Number | 7084035272 |
| Mailing Telephone | 8479668815 |
| Mailing Fax Number | 8479668305 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
01041509A | IN | Allopathic & Osteopathic Physicians |
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 1620606 | 01 |
| Street Address |
10811 W 143RD ST SUITE 120 |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60467-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255351045 | William Mikaitis Md Sc | Family Medicine | 10811 W 143rd St, Ste 100, Orland Park, IL 60467-1913 | 2006-07-21 |
| 1043677529 | Tammy Chavarria | Registered Nurse | 10811 W 143rd St, Orland Park, IL 60467-1913 | 2016-01-28 |
| 1790851301 | Melissa Dawn Koopmann | Physician Assistant | 10811 W 143rd St, Suite 150, Orland Park, IL 60467-1913 | 2006-11-27 |
| 1245314178 | Your Diagnostic Center, LLC | Clinical Medical Laboratory | 10811 W 143rd St, Suite 130, Orland Park, IL 60467-1913 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
| 1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
| 1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
| 1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
| 1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
| 1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
| Find all providers in zip 60467 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995348 | Rinehart Fertility Center, S.c. | Obstetrics & Gynecology | 4400 W 95th St Ste 303, Oak Lawn, IL 60453-2659 | 2020-05-29 |
| 1487179495 | Midwest Reproductive Care LLC | Obstetrics & Gynecology | 900 Main St Ste 330, Peoria, IL 61602-5009 | 2017-08-10 |
| 1982059275 | Vios Fertility Institute Chicago | Obstetrics & Gynecology | 1455 N Milwaukee Ave, Chicago, IL 60622-2015 | 2016-04-25 |
| 1477952026 | Jacob Moise | Obstetrics & Gynecology | 329 Bel Air Dr., Glenview, IL 60025 | 2014-08-20 |
| 1548682990 | Reproductive Solutions LLC | Obstetrics & Gynecology | 435 N Mulford Rd Ste 9, Rockford, IL 61107-5100 | 2014-01-19 |
| 1922443688 | Reproductive Health Specialists | Obstetrics & Gynecology | 1515 Essington Rd, Joliet, IL 60435-2879 | 2013-05-07 |
| 1689915258 | Davies Fertility and Ivf Specialists, Inc. | Obstetrics & Gynecology | 2601 Compass Rd Ste 114, Glenview, IL 60026-8077 | 2013-03-07 |
| 1215224159 | Barbara A Soltes Mdsc | Obstetrics & Gynecology | 12400 S Harlem Ave Ste 110, Palos Heights, IL 60463-1477 | 2011-06-29 |
| 1144526914 | Michael Charles Snabes | Obstetrics & Gynecology | 111 Barclay Blvd, Lincolnshire, IL 60069-3610 | 2011-01-26 |
| 1083932032 | Jennifer Erin Hirshfeld-cytron | Obstetrics & Gynecology | 676 N Saint Clair St Ste 1875, Chicago, IL 60611-2927 | 2010-05-13 |
| Find all providers with the same taxonomy | ||||
| City | ORLAND PARK |
| Zip Code | 60467 |
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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.