DR. EDUARDO NERA MADAMBA (NPI# 1821057795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821057795 |
Entity Type | Individual |
Full Name | DR. EDUARDO NERA MADAMBA |
Credential | M.D. |
Practice Address |
1431 N Western Ave Suite 203 Chicago IL 60622-1797 |
Mailing Address |
5332 N Kildare Ave Chicago IL 60630-1759 |
Practice Telephone | 7732781222 |
Practice Fax Number | 7732784598 |
Mailing Telephone | 7732781222 |
Mailing Fax Number | 7732784598 |
Enumeration Date | 2006-03-21 |
Last Update Date | 2019-05-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
036047978 | IL | Allopathic & Osteopathic Physicians |
Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
036047978 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036047978 | 05 | |
IL | BLUE CROSS BLUE SHIELD | 0021604377 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
2233 W Division St, Chicago, IL 606228151 | 3127702000 |
Street Address |
1431 N WESTERN AVE SUITE 203 |
City | CHICAGO |
State | IL |
Zip Code | 60622-1797 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023017480 | Ada I Arias Md Sc | Internal Medicine | 1431 N Western Ave, Ste 133, Chicago, IL 60622-1797 | 2005-07-19 |
1609302900 | Clemen Gonzalez | Student in an Organized Health Care Education/Training Program | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2017-05-05 |
1205374964 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave, Suite 401, Chicago, IL 60622-1797 | 2017-02-02 |
1336692359 | Primecare Community Health Inc. | Clinic/Center | 1431 N Western Ave, Suite 209, Chicago, IL 60622-1797 | 2016-07-26 |
1760835250 | Teresa Zasowski | Student in an Organized Health Care Education/Training Program | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2016-07-19 |
1376994723 | Angie Aybar | Family Medicine | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2016-06-28 |
1598111924 | Roger Alvarez Soto | Student in an Organized Health Care Education/Training Program | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2016-05-04 |
1558722074 | Andrea Kuebbeler | Social Worker | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2016-03-10 |
1548640675 | Iffath Hussain | Student in an Organized Health Care Education/Training Program | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2015-06-03 |
1982083176 | Patrick Porter | Physical Therapist | 1431 N Western Ave, Suite 510, Chicago, IL 60622-1797 | 2015-05-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
Find all providers in zip 60622 |
Taxonomy Code | 207VX0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Obstetrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104471622 | Mount Sinai Community Foundation Dba Sinai Medical Group | Obstetrics & Gynecology | 645 S Central Ave Fl 6, Chicago, IL 60644-5059 | 2019-08-02 |
1396100384 | Tatiana Araujo | Obstetrics & Gynecology | 1500 S Fairfield Ave Ste F-206, Chicago, IL 60608-1782 | 2015-12-18 |
1982982096 | Kanika Sood | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2011-07-25 |
1245433093 | Marko Lekovic, M.d.,s.c. | Obstetrics & Gynecology | 6433 Pulaski Road, Chicago, IL 60629 | 2007-06-08 |
1245454222 | V Greene Md PC | Obstetrics & Gynecology | 1322 E 47th St, Chicago, IL 60653-4508 | 2007-04-12 |
1659449106 | Somboon Sriaroon | Obstetrics & Gynecology | 2820 W Peterson Ave, Chicago, IL 60659-3803 | 2006-12-01 |
1427007582 | Melvin C Bunn | Obstetrics & Gynecology | 1135 E 87th St, Chicago, IL 60619-7011 | 2006-05-08 |
1871048058 | Annika Nilsen | Obstetrics & Gynecology | 240 E Huron St, Suite 1-200, Chicago, IL 60611-2909 | 2016-08-17 |
1881049666 | Tiphany Jackson | Obstetrics & Gynecology | 1701 W Superior St, Chicago, IL 60622-5646 | 2016-04-28 |
1558789826 | Raanan Alter | Obstetrics & Gynecology | 5841 S Maryland Ave # Mc2050, Chicago, IL 60637 | 2014-04-02 |
Find all providers in CHICAGO |
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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.