WESTSIDE RHEUMATOLOGY, INC. (NPI# 1821315128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821315128 |
| Entity Type | Organization |
| Organization Name | WESTSIDE RHEUMATOLOGY, INC. |
| Practice Address |
2875 W 19th St Chicago IL 60623-3501 |
| Mailing Address |
9449 S Kedzie Ave Suite 317 Evergreen Park IL 60805-2325 |
| Practice Telephone | 7739835785 |
| Practice Fax Number | 7084239666 |
| Mailing Telephone | 7739835785 |
| Mailing Fax Number | 7084239666 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |
| Authorized Official Name | DR. DONALD MASSENBURG (PHYSICIAN) |
| Authorized Official Telephone | 7739835785 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
036115006 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2875 W 19TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723999 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2005-07-14 |
| 1922658772 | James Yuanxin Huang | Physical Therapist | 2875 W 19th St, Rehab Department, Chicago, IL 60623 | 2019-09-13 |
| 1033768726 | Christine Leung | Occupational Therapist | 2875 W 19th St, Chicago, IL 60623-3501 | 2019-09-05 |
| 1477102101 | Anna Ruth Alexander | Physical Therapist | 2875 W 19th St, Chicago, IL 60623-3501 | 2019-09-05 |
| 1154893063 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-12-18 |
| 1225509763 | Rashawn Alisia Sims | Physician Assistant | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-12-10 |
| 1619459302 | Saint Anthony Hospital | Clinical Medical Laboratory | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-30 |
| 1619456423 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-13 |
| 1245719327 | Bruni Hirsch | Advanced Practice Midwife | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-09 |
| 1972006229 | Katherine De Los Trinos-ocampo | Nurse Practitioner | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611409 | Keith E Gilmer | Internal Medicine | 850 N Dewitt Pl Apt 10g, Chicago, IL 60611-7312 | 2018-12-29 |
| 1245643618 | Jean Lin | Internal Medicine | 240 E Huron St # M300, Chicago, IL 60611-2909 | 2014-06-03 |
| 1922445097 | Josna Haritha | Internal Medicine | 5841 S. Maryland Avenue, #0930, Chicago, IL 60637 | 2013-05-30 |
| 1811151236 | Pui-wing W. Dy | Internal Medicine | 1458 S Canal St, Chicago, IL 60607-5201 | 2008-07-15 |
| 1255519278 | Vladimir M Liarski | Internal Medicine | 5841 S Maryland Ave # Mc1052, Chicago, IL 60637-1447 | 2008-01-31 |
| 1649472440 | Kichul Ko | Internal Medicine | 5841 S Maryland Ave # Mc0930, Chicago, IL 60637-1443 | 2007-06-04 |
| 1841365939 | Dorothy Katherine Bloniarz | Internal Medicine | 5325 W Belmont Ave, Chicago, IL 60641-4104 | 2006-11-22 |
| 1790875797 | Robert S Katz | Internal Medicine | 1725 W Harrison St Ste 365, Chicago, IL 60612-3836 | 2006-10-13 |
| 1043303803 | Gary Richard Fahrenbach | Internal Medicine | 7447 Talcott, Suite 209, Chicago, IL 60631-3713 | 2006-10-02 |
| 1245278142 | Allan Pilloff | Internal Medicine | 1900 W Taylor St, Suite A, Chicago, IL 60612-3742 | 2006-06-03 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on WESTSIDE RHEUMATOLOGY, INC..
| 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.