DR. FRANK J LUTRIN (NPI# 1770549420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770549420 |
| Entity Type | Individual |
| Full Name | DR. FRANK J LUTRIN |
| Credential | MD |
| Practice Address |
1405 W Park St Suite 303 Urbana IL 61801 |
| Mailing Address |
2650 Warrenville Rd Suite 280 Downers Grove IL 60515 |
| Practice Telephone | 2173372924 |
| Practice Fax Number | 2173372703 |
| Mailing Telephone | 6303247900 |
| Mailing Fax Number | 6303247942 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036095869 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COOK GROUP | 526620 | 01 | |
| IL | 36095869 | 05 | |
| URBANA/ROCKFORD/MOLINE | 202172 | 01 | |
| DUPAGE GROUP | 344390 | 01 |
| Street Address |
1405 W PARK ST SUITE 303 |
| City | URBANA |
| State | IL |
| Zip Code | 61801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396730388 | Albert Charles Lo | Specialist | 1405 W Park St, Urbana, IL 61801-2367 | 2005-09-15 |
| 1457815532 | Amy M Hall | Nurse Practitioner | 1405 W Park St, Urbana, IL 61801-2367 | 2019-01-23 |
| 1497121024 | Raine Center for Plastic Surgery, PC | Plastic Surgery | 1405 W Park St, Suite 206, Urbana, IL 61801-2367 | 2015-08-18 |
| 1093069015 | Joanna L Vannarath | Nurse Practitioner | 1405 W Park St, Suite 303, Urbana, IL 61801-2367 | 2012-10-29 |
| 1568688109 | Renal Research Institute LLC | Clinic/Center | 1405 W Park St, Suite 100, Urbana, IL 61801-2344 | 2007-04-18 |
| 1649367855 | Reynaldo E Tirona, M.d,, Ltd. | Internal Medicine | 1405 W Park St, Urbana, IL 61801-2344 | 2006-10-07 |
| 1902912678 | Talmage J Raine | Plastic Surgery | 1405 W Park St, Ste 206, Urbana, IL 61801-2365 | 2006-08-22 |
| 1932161619 | Ronald M Cossman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1405 W Park St, Suite 303, Urbana, IL 61801-2367 | 2006-04-06 |
| 1184610263 | Jeffrey A. Glezer | Surgery | 1405 W Park St, Suite 301a, Urbana, IL 61801-2367 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588992077 | Ira Mark Lebenson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 307 W Indiana Ave, Urbana, IL 61801-4939 | 2009-11-23 |
| 1073965570 | Hillary Danenberger | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 611 W Park St, Urbana, IL 61801-2529 | 2016-07-07 |
| 1932161619 | Ronald M Cossman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1405 W Park St, Suite 303, Urbana, IL 61801-2367 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205363041 | Sachowdhry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 S Summit Ave, Oakbrook Terrace, IL 60181-2212 | 2017-05-11 |
| 1760930028 | Hiroto Kitahara | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5841 S. Maryland Avenue M/c6040, Chicago, IL 60637 | 2016-09-15 |
| 1720440282 | Azad Karim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 441 E Erie St Apt 1803441, Chicago, IL 60611-4446 | 2016-03-24 |
| 1982002838 | Milton Weinberg Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 983 Kirkhill Ln, Lake Forest, IL 60045-4209 | 2014-12-09 |
| 1235557190 | Bartlomiej Imielski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 E. Huron St., Galter 11-140, Chicago, IL 60611 | 2014-03-28 |
| 1841635869 | Aaron Maxwell Kime | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 133 E Brush Hill Rd Ste 200, Elmhurst, IL 60126-5661 | 2013-05-03 |
| 1952744823 | Walter Lee Barker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2912 N. Commonwealth Ave., #11c, Chicago, IL 60657-6235 | 2013-04-10 |
| 1952641649 | Willard A Fry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1500 Sheridan Rd, #10e, Wilmette, IL 60091-1873 | 2013-02-18 |
| 1487903092 | Horizons In Healthcare LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 372 Red Bud Ct., Frankfort, IL 60423-2128 | 2012-08-29 |
| 1518215284 | Paul Naffah | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6161 So County Line Rd, Burr Ridge, IL 60527 | 2012-08-28 |
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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.