DR. KELLY ED JIRSCHELE (NPI# 1760718548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760718548 |
| Entity Type | Individual |
| Full Name | DR. KELLY ED JIRSCHELE |
| Credential | DO |
| Practice Address |
1875 Dempster St Ste 665 Park Ridge IL 60068 |
| Mailing Address |
1875 Dempster St Ste 665 Park Ridge IL 60068-1168 |
| Practice Telephone | 8478251590 |
| Practice Fax Number | 8478251604 |
| Mailing Telephone | 8478251590 |
| Mailing Fax Number | 8478251604 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 036124537 | IL | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
036124537 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036124537 | 05 |
| Street Address |
1875 DEMPSTER ST STE 665 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669450011 | Roberta E Blandon | Obstetrics & Gynecology | 1875 Dempster St Ste 665, Park Ridge, IL 60068 | 2006-01-05 |
| 1164711537 | Katarzyna Bochenska | Obstetrics & Gynecology | 1875 Dempster St Ste 665, Park Ridge, IL 60068 | 2011-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265871867 | Akira William Gillingham | Obstetrics & Gynecology | 250 E Superior St # 5-2370, Chicago, IL 60611-2914 | 2013-06-18 |
| 1285733139 | Roger P Goldberg | Obstetrics & Gynecology | 9650 Gross Point Rd Fl 3, Skokie, IL 60076 | 2006-09-21 |
| 1700984408 | Peter Kevin Sand | Obstetrics & Gynecology | 9650 Gross Point Rd # 3900, Skokie, IL 60076 | 2006-09-20 |
| 1700146826 | Carol Emi Bretschneider | Obstetrics & Gynecology | 676 N Saint Clair St Ste 950, Chicago, IL 60611-2955 | 2012-05-23 |
| 1033400957 | Anne Galanti Sammarco | Obstetrics & Gynecology | 1725 W Harrison St Ste 1138, Chicago, IL 60612-3845 | 2011-04-26 |
| 1841599255 | Sonia Dutta | Obstetrics & Gynecology | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-1214 | 2011-03-24 |
| 1912227463 | Tanaka Junior Dune | Obstetrics & Gynecology | 2160 S 1st Ave, Loyola University Medical Center, Maywood, IL 60153 | 2010-06-08 |
| 1346570405 | Margaret G Mueller | Obstetrics & Gynecology | 676 N Saint Clair St, Suite 950, Chicago, IL 60611-2927 | 2010-01-12 |
| 1275704256 | Adam Gafni-kane | Obstetrics & Gynecology | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076 | 2008-03-18 |
| 1124173851 | Swedishamerican Hospital | Obstetrics & Gynecology | 209 9th St, Suite 200, Rockford, IL 61104 | 2007-01-24 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.