DR. CHEVON M RARIY (NPI# 1841452406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841452406 |
| Entity Type | Individual |
| Full Name | DR. CHEVON M RARIY |
| Other Name | CHEVON M HASWELL |
| Credential | M.D. |
| Practice Address |
Cancer Treatment Centers of America 2520 Elisha Avenue Zion IL 60099 |
| Mailing Address |
Cancer Treatment Centers of America 2361 Paysphere Circle Chicago IL 60674 |
| Practice Telephone | 8003229183 |
| Mailing Telephone | 8003229183 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD440962 | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MT193443 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036.150497 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICAL LICENSE | MD440962 | 01 |
| Street Address |
CANCER TREATMENT CENTERS OF AMERICA 2520 ELISHA AVENUE |
| City | ZION |
| State | IL |
| Zip Code | 60099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053396374 | Kenny S. Yoo | Radiology | Cancer Treatment Centers of America, 2520 Elisha Avenue, Zion, IL 60099 | 2005-12-09 |
| 1144877077 | Elisa A Demet | Nurse Practitioner | Cancer Treatment Centers of America, 2520 Elisha Avenue, Zion, IL 60099 | 2019-08-26 |
| 1427420579 | Kelsey A Plagge | Physician Assistant | Cancer Treatment Centers of America, 2520 Elisha Avenue, Zion, IL 60099 | 2015-10-28 |
| 1992051056 | Emily T Penn | Nurse Anesthetist, Certified Registered | Cancer Treatment Centers of America, 2520 Elisha Avenue, Zion, IL 60099 | 2012-07-26 |
| 1013171453 | Tami C Carrillo | Radiology | Cancer Treatment Centers of America, 2520 Elisha Ave, Zion, IL 60099 | 2008-07-15 |
| 1073786745 | Laura C Farrington | Internal Medicine | Cancer Treatment Centers of America, 2520 Elisha Avenue, Zion, IL 60099 | 2008-04-02 |
| 1508061409 | Amy D. Rizman | Physician Assistant | Cancer Treatment Centers of America, 2520 Elisha Avenue, Zion, IL 60099 | 2007-06-19 |
| 1487730792 | Fehmida Mirbat Khan | Internal Medicine | Cancer Treatment Centers of America, 2520 Elisha Avenue, Zion, IL 60099 | 2006-10-29 |
| 1609962638 | Brent C Paxton | Chiropractor | Cancer Treatment Centers of America, 2520 Elisha Avenue, Zion, IL 60099 | 2006-10-05 |
| 1275558660 | Robert W Thumme | Emergency Medicine | Cancer Treatment Centers of America, 2520 Elisha Avenue, Zion, IL 60099 | 2006-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1295384790 | Loretta Beatrice Colwell | Technician | 3005 Elizabeth Ave, Zion, IL 60099 | 2019-09-06 |
| 1053893164 | Tea Mohn | Psychologist | 3901 W. 21st Street, Zion, IL 60099 | 2018-09-05 |
| 1326540808 | Monica Donald | Specialist/Technologist | 2825 Jethro Ct, Zion, IL 60099 | 2018-03-01 |
| 1265816516 | Igor Wroblewski | Internal Medicine | 2505 26th St, Zion, IL 60099 | 2015-07-16 |
| 1831432996 | Samuel Harrison Cannon Jr. | Nurse Anesthetist, Certified Registered | 3302 Wembley Dr, Zion, IL 60099 | 2013-03-27 |
| 1619213618 | Lizel Ann Granada | Nurse Practitioner | 2723 Sheridan Road, Suite C, Zion, IL 60099 | 2012-12-19 |
| 1194070540 | Shana Marie Pagtalunan Ramirez | Physical Therapist | 2404 Joppa Ave., Zion, IL 60099 | 2012-07-20 |
| 1962674978 | Zion Benton Children's Service | Dentist | 1608 W 23rd St, Zion, IL 60099 | 2008-03-31 |
| 1710176110 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 4580 Rt. 173, Zion, IL 60099 | 2007-10-22 |
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| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1356961304 | Wahid Kassar Md Ltd | Internal Medicine | 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 | 2020-04-20 |
| 1245701812 | Chrysalis Health of Il P.C. | Internal Medicine | 402 Gardenia Ln, Buffalo Grove, IL 60089-1661 | 2018-12-07 |
| 1467920124 | Impact Physician Group, Illinois, LLC | Internal Medicine | 115 E South St Ste F, Plano, IL 60545-1595 | 2018-11-10 |
| 1538669510 | Oa Labs Clinic LLC. | Internal Medicine | 6321 Fairview Ave Ste B, Westmont, IL 60559-2886 | 2018-02-16 |
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1356861496 | Javier Alcid Duron Tabora | Internal Medicine | 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 | 2017-06-20 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1780135426 | Endocrine and Metabolic Center Inc | Internal Medicine | 280 Stonegate Rd, Algonquin, IL 60102-5600 | 2016-10-18 |
| 1174975601 | Bilal Shaikh | Internal Medicine | 1750 W Harrison St Ste 250, Chicago, IL 60612 | 2016-07-08 |
| 1316396294 | Melissa Faye Cohen | Internal Medicine | 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 | 2016-06-10 |
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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.