DR. VISHAL KUMAR DIDWANIA (NPI# 1760619969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760619969 |
| Entity Type | Individual |
| Full Name | DR. VISHAL KUMAR DIDWANIA |
| Credential | M.D. |
| Practice Address |
901 Mcclintock Dr Ste 202 Burr Ridge IL 60527-0871 |
| Practice Telephone | 8882206432 |
| Practice Fax Number | 6307344715 |
| Mailing Telephone | 8882206432 |
| Mailing Fax Number | 6307344715 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2015-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125:056395 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
036130144 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036130144 | 05 |
| Street Address |
901 MCCLINTOCK DR STE 202 |
| City | BURR RIDGE |
| State | IL |
| Zip Code | 60527-0871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982603387 | Ram L. Ramani | Internal Medicine | 901 Mcclintock Dr, Suite 201, Burr Ridge, IL 60527-0872 | 2005-07-18 |
| 1427683283 | Johnlette S Harlin | Nurse Practitioner | 901 Mcclintock Dr, Burr Ridge, IL 60527-0871 | 2020-03-11 |
| 1386171163 | Ellen Robinson | Physician Assistant | 901 Mcclintock Dr, Ste 202, Burr Ridge, IL 60527-0871 | 2017-05-11 |
| 1952835118 | Benjamin Gusek | Physician Assistant | 901 Mcclintock Dr, Ste 202, Burr Ridge, IL 60527-0872 | 2017-04-14 |
| 1982147237 | Matthew Farmer | Pharmacist | 901 Mcclintock Dr, Burr Ridge, IL 60527-0871 | 2016-11-18 |
| 1386199396 | Jennifer Sommer | Physician Assistant | 901 Mcclintock Dr, Ste 202, Burr Ridge, IL 60527-0871 | 2016-08-19 |
| 1356790141 | Jamie Mulrow | Physician Assistant | 901 Mcclintock Dr, Ste 202, Burr Ridge, IL 60527-0872 | 2016-06-13 |
| 1659733822 | Catherine Woodruff | Physician Assistant | 901 Mcclintock Dr, Ste 202, Burr Ridge, IL 60527-0871 | 2016-03-25 |
| 1407234255 | Gina Beck | Nurse Practitioner | 901 Mcclintock Dr, Ste 202, Burr Ridge, IL 60527-0871 | 2015-05-13 |
| 1942618137 | Kyle A Kalchbrenner | Physician Assistant | 901 Mcclintock Dr, Ste 202, Burr Ridge, IL 60527-0872 | 2014-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942542519 | Andrew Blatt Thompson | Internal Medicine | 901 Mcclintock Dr Ste 201, Burr Ridge, IL 60527 | 2013-03-21 |
| 1982603387 | Ram L. Ramani | Internal Medicine | 901 Mcclintock Dr, Suite 201, Burr Ridge, IL 60527-0872 | 2005-07-18 |
| 1043648744 | Kathryn Renee Rogge | Internal Medicine | 901 Mcclintock Dr, Suite 202, Burr Ridge, IL 60527-0871 | 2013-10-16 |
| 1336359058 | Javier Antonio Aguilar Aragon | Internal Medicine | 901 Mcclintock Dr, Suite 202, Burr Ridge, IL 60527-0871 | 2007-05-23 |
| 1437212958 | Kenneth J Pursell | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-18 |
| 1295898716 | Stephen G Weber | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-18 |
| 1831251388 | Kathleen Mullane | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-14 |
| 1902968456 | David L Pitrak | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-14 |
| 1639231186 | Jay Purdy | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-14 |
| 1376605824 | Elaine O Petrof | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-14 |
| Find all providers in BURR RIDGE | ||||
| City | BURR RIDGE |
| Zip Code | 60527 |
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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.