DAVID BENTREM (NPI# 1821072919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821072919 |
| Entity Type | Individual |
| Full Name | DAVID BENTREM |
| Credential | MD |
| Practice Address |
675 N Saint Clair St Suite 100 Chicago IL 60611-5975 |
| Mailing Address |
680 N Lake Shore Dr Suite 1000 Chicago IL 60611-4546 |
| Practice Telephone | 3126951130 |
| Practice Fax Number | 3126951144 |
| Mailing Telephone | 3126951130 |
| Mailing Fax Number | 3126951144 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2009-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
036099284 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036099284 | 05 |
| Street Address |
675 N SAINT CLAIR ST SUITE 100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-5975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459099 | Dana Rigsby Gossett | Obstetrics & Gynecology | 675 N Saint Clair St, Galter 14-200, Chicago, IL 60611-5975 | 2005-06-28 |
| 1679180921 | Mary Grace Kaleta | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2020-09-29 |
| 1790313955 | Jill Christine Maseman | Registered Nurse | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2020-03-31 |
| 1487291092 | Jacqueline Andrea Savinon | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2019-12-02 |
| 1518527589 | Monet Danielle Welton | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2019-06-20 |
| 1598245532 | Catherine Cassingham | Social Worker | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-08-20 |
| 1831677145 | Caroline Lee | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-07-30 |
| 1942796982 | Lindsay Victoria Brown | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-07-02 |
| 1437647989 | Margarita Mana-ay | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-04-30 |
| 1447762018 | Melissa Minh Nguyet Truong | Physician Assistant | 675 N Saint Clair St, 15th Floor, Suite 200, Chicago, IL 60611-5975 | 2017-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033162839 | Mark M. Connolly | Surgery | 2913 N Commonwealth Ave, 5th Floor, Chicago, IL 60657-6211 | 2006-05-19 |
| 1588662928 | Swati Kulkarni | Surgery | 250 E Superior St, Suite 420, Chicago, IL 60611-2914 | 2005-07-11 |
| 1235424656 | Fadi Suhail Dahdaleh | Surgery | 5841 S. Maryland Avenue, M/c 6040, Chicago, IL 60637 | 2011-06-14 |
| 1245556406 | Oliver S. Eng | Surgery | 5841 S Maryland Ave # Mc5094, Chicago, IL 60637-1443 | 2010-04-13 |
| 1699008706 | S. O. Group, S.c. | Surgery | 1725 W. Harrison Street, Suite 409, Chicago, IL 60612 | 2009-09-09 |
| 1942457072 | Anthony Yang | Surgery | 675 N Saint Clair St Ste 21-700, Chicago, IL 60611-5975 | 2008-08-20 |
| 1922265032 | Rohit Ramesh Sharma | Surgery | 5841 S Maryland Ave, Mc 6040, Chicago, IL 60637-1447 | 2008-05-18 |
| 1508085630 | Board of Trustees of The University of Illinois | Surgery | 840 S Wood St, Chicago, IL 60612-7322 | 2007-04-25 |
| 1528114501 | Cdn Surgical Assoc., Ltd. | Surgery | 2913 N Commonwealth Ave, Chicago, IL 60657-6211 | 2007-01-25 |
| 1629171822 | Donald K Wood | Surgery | 1740 W Taylor St, Chicago, IL 60612-7232 | 2006-09-06 |
| 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.