MR. EIMAN NASSERI (NPI# 1790184513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790184513 |
| Entity Type | Individual |
| Full Name | MR. EIMAN NASSERI |
| Credential | M.D. |
| Practice Address |
1740 West Taylor Street The University of Illinois Medical Center Chicago IL 60612 |
| Mailing Address |
808 South Wood Street Care of Hayle H. Evans - Director Room 380 Cme Department of Dermatology (mc624) Universi Chicago IL 60612 |
| Practice Telephone | 8666002273 |
| Mailing Telephone | 3129966966 |
| Mailing Fax Number | 3129961188 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2015-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 036136678 | IL | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
036136678 | IL | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
036136678 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1740 WEST TAYLOR STREET THE UNIVERSITY OF ILLINOIS MEDICAL CENTER |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609097807 | Webster Montano Edpao | Student in an Organized Health Care Education/Training Program | 1740 West Taylor Street, Chicago, IL 60612 | 2007-05-02 |
| 1184244089 | Katharine Wilcox | Student in an Organized Health Care Education/Training Program | 1740 West Taylor Street, University of Illinois Hospital, Chicago, IL 60612-7236 | 2020-04-21 |
| 1609239763 | Sarah Khayat | Student in an Organized Health Care Education/Training Program | 1740 West Taylor Street, Chicago, IL 60612 | 2016-04-05 |
| 1982080982 | Diana M Oramas Mogrovejo | Student in an Organized Health Care Education/Training Program | 1740 West Taylor Street, Chicago, IL 60612 | 2015-08-03 |
| 1831585017 | Georges Assaf | Student in an Organized Health Care Education/Training Program | 1740 West Taylor Street, Chicago, IL 60612 | 2015-04-14 |
| 1487049946 | Iman Saad Al-gadi | Student in an Organized Health Care Education/Training Program | 1740 West Taylor Street, Chicago, IL 60612 | 2015-04-01 |
| 1336568450 | Daniel Eggeman | Emergency Medicine | 1740 West Taylor Street, 8666002273, Chicago, IL 60612 | 2014-04-16 |
| 1750708780 | Michael Cudworth | Surgery | 1740 West Taylor Street, Chicago, IL 60612 | 2014-03-27 |
| 1760825665 | Daniel Roshan | Student in an Organized Health Care Education/Training Program | 1740 West Taylor Street, Chicago, IL 60612 | 2013-04-10 |
| 1437492493 | Ashley Ann Mulvihill | Psychiatry & Neurology | 1740 West Taylor Street, Chicago, IL 60612 | 2013-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174984959 | Advanced Skin and Mohs Surgery Center S.c. | Dermatology | 2845 N. Sheridan Road, Ste 912, Chicago, IL 60657 | 2016-03-08 |
| 1538200308 | Omeed Memar | Dermatology | 50 E Washington St Ste 200, Chicago, IL 60602-2154 | 2007-02-12 |
| 1891721965 | Aleksandar L Krunic | Dermatology | 5140 N California Ave Ste 660, Chicago, IL 60625-3664 | 2006-06-23 |
| 1437678133 | M D Aesthetics and Dermatology LLC | Dermatology | 1021 W Adams St, Ll # 1, Chicago, IL 60607-2934 | 2017-09-13 |
| 1588041099 | Sarah Jo Wilson | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2015-05-04 |
| 1902933146 | Academic Dermatology & Skin Cancer Institute, Sc | Dermatology | 50 E Washington St Ste 200, Chicago, IL 60602-2154 | 2007-02-27 |
| 1801967633 | Aleksandar Krunic, Md, Sc | Dermatology | 5140 N California Ave Ste 660, Chicago, IL 60625-3664 | 2006-11-13 |
| 1306801246 | Northwestern Skin Cancer Institute, Ltd | Dermatology | 737 N Michigan Ave, Suite 2310, Chicago, IL 60611-2635 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374270 | Lilly Aesthetics Sc | Dermatology | 2500 S Highland Ave Ste 220, Lombard, IL 60148-7103 | 2019-12-23 |
| 1194270637 | University Dermatology and Vein Clinic LLC | Dermatology | 8110 Cass Ave, Darien, IL 60561-5013 | 2016-08-24 |
| 1376915629 | Forefront Dermatology, S.c. | Dermatology | 1520 Bond St, Naperville, IL 60563 | 2015-10-27 |
| 1710294756 | Tracy Campbell Md LLC | Dermatology | 675 W North Ave Ste 506, Melrose Park, IL 60160-1626 | 2010-09-13 |
| 1932388865 | Marsh Dermatology, Sc | Dermatology | 1252 American Way, Libertyville, IL 60048-3936 | 2007-10-27 |
| 1073595690 | Ashish C Bhatia | Dermatology | 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 | 2005-11-18 |
| 1538153960 | Sharon Louise Horton | Dermatology | 1049 E Wilson St, Suite 190, Batavia, IL 60510-2474 | 2005-08-31 |
| 1487168258 | Oak Dermatology LLC | Dermatology | 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 | 2017-11-30 |
| 1629524632 | Forefront Dermatology, S.c. | Dermatology | 3253 S Harlem Ave, Suite 1a, Berwyn, IL 60402 | 2016-08-30 |
| 1215383666 | Beaird Dermatology S C | Dermatology | 4885 Hoffman Blvd, Suite #407, Hoffman Estates, IL 60192-3726 | 2016-05-04 |
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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.