STRAUSS SURGICAL GROUP ASSOC, S.C. (NPI# 1841217767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841217767 |
Entity Type | Organization |
Organization Name | STRAUSS SURGICAL GROUP ASSOC, S.C. |
Practice Address |
4640 N Marine Dr Chicago IL 60640-5719 |
Mailing Address |
5501 W 79th St Suite 400 Burbank IL 60459-1784 |
Practice Telephone | 7735646200 |
Practice Fax Number | 7735646201 |
Mailing Telephone | 7738844523 |
Mailing Fax Number | 7738844580 |
Enumeration Date | 2006-07-16 |
Last Update Date | 2014-10-21 |
Authorized Official Name | HERBERT SOHN (PRESIDENT) |
Authorized Official Telephone | 7735646200 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 036036482 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE SHIELD | 01615141 | 01 |
IL | 036036482 | 05 | |
RAILROAD MEDICARE | 340007445 | 01 |
Street Address |
4640 N MARINE DR |
City | CHICAGO |
State | IL |
Zip Code | 60640-5719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982602629 | Maribe Bangayan | Internal Medicine | 4640 N Marine Dr, Chicago, IL 60640-5719 | 2005-07-07 |
1538473640 | Rny Medicare Ltd | Internal Medicine | 4640 N Marine Dr, Chicago, IL 60640-5719 | 2010-07-30 |
1871772111 | Modern Eye Caer Ltd | Ophthalmology | 4640 N Marine Dr, 8 Blum, Chicago, IL 60640-5719 | 2007-11-02 |
1821218793 | Mervin J. Weis & Bruce L. Ferguson Md, Sc | Internal Medicine | 4640 N Marine Dr, Ste C 6100, Chicago, IL 60640-5719 | 2007-04-26 |
1720131014 | Shifa Cardiology Consultants Md Sc | Internal Medicine | 4640 N Marine Dr, Chicago, IL 60640-5719 | 2007-01-19 |
1316029499 | Sheldon L Edelson Md Sc | Internal Medicine | 4640 N Marine Dr, A6200, Chicago, IL 60640-5719 | 2006-10-19 |
1912996174 | Herbert Sohn | Urology | 4640 N Marine Dr, Chicago, IL 60640-5719 | 2005-10-19 |
1477546711 | Aleksandra Ivanovic | Internal Medicine | 4640 N Marine Dr, Suite 6100c, Chicago, IL 60640-5719 | 2005-08-23 |
1043212954 | Mervyn J. Weis | Internal Medicine | 4640 N Marine Dr, Suite 6100c, Chicago, IL 60640-5719 | 2005-08-11 |
1013918804 | Muhammad As Saudye | Internal Medicine | 4640 N Marine Dr, Chicago, IL 60640-5719 | 2005-08-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
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Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
1467878314 | Oluwarotimi Sewedo Nettey | Urology | 1524 S. Sangamon Street, Unit 403, Chicago, IL 60608 | 2014-03-14 |
1881957405 | Ricardo R Rios | Urology | 5600 W Addison St Ste 305, Chicago, IL 60634-4468 | 2012-06-19 |
1972863124 | James Wren | Urology | 675 N Saint Clair St Fl 20, Chicago, IL 60611 | 2012-05-22 |
1780940023 | Ryan Patrick Werntz | Urology | 5841 S Maryland Ave # 6038, Chicago, IL 60637-1447 | 2012-04-11 |
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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.