DR. CHAD ALLEN PURNELL


Address: 2211 N Oak Park Ave, Chicago, IL 60707-3351
Phone: 8132818115

DR. CHAD ALLEN PURNELL (NPI# 1841586450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841586450
Entity Type Individual
Full Name DR. CHAD ALLEN PURNELL
Credential M.D.
Practice Address 2211 N Oak Park Ave
Chicago
IL 60707-3351
Mailing Address Po Box 8500 Lockbox 7642
Philadelphia
PA 19178-7642
Practice Telephone 8132818115
Practice Fax Number 8132818656
Mailing Telephone 7244331645
Enumeration Date 2011-06-22
Last Update Date 2019-09-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208200000X Plastic Surgery 125060058 IL Allopathic & Osteopathic Physicians
Y 2082S0099X Plastic Surgery
Specialization: Plastic Surgery Within the Head and Neck
036.135966 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
675 N Saint Clair St, Suite 19-250, Chicago, IL 606115975 3126956022

Office Location

Street Address 2211 N OAK PARK AVE
City CHICAGO
State IL
Zip Code 60707-3351

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790770659 Shubhra Mukherjee Pediatrics 2211 N Oak Park Ave, Chicago, IL 60707-3392 2005-09-16
1134740111 Emily Mary Thomas Occupational Therapist 2211 N Oak Park Ave, Chicago, IL 60707-3351 2020-05-01
1093335770 Kyle Cressy Deane Psychologist 2211 N Oak Park Ave, Chicago, IL 60707-3392 2020-04-22
1295299600 Allison Ragins Physician Assistant 2211 N Oak Park Ave, Chicago, IL 60707-3351 2019-01-30
1033686878 Katrina Marie Vogel Physician Assistant 2211 N Oak Park Ave, Chicago, IL 60707-3392 2018-10-30
1326536574 Shriners Hospitals for Children Anesthesiology 2211 N Oak Park Ave, Chicago, IL 60707-3351 2018-04-24
1427550748 Elizabeth Hampton Physical Therapist 2211 N Oak Park Ave, Chicago, IL 60707-3351 2018-03-02
1366986184 Lynn Freedman Nurse Practitioner 2211 N Oak Park Ave, Chicago, IL 60707-3351 2016-12-13
1992256531 Kelsey Lynn Moon Physician Assistant 2211 N Oak Park Ave, Chicago, IL 60707-3392 2016-10-19
1760835938 Pediatric Orthotic and Prosthetic Services - Midwest, LLC Prosthetic/Orthotic Supplier 2211 N Oak Park Ave, Chicago, IL 60707-3351 2016-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679077408 Karen Ennis, Slp, Inc. Speech-Language Pathologist 1709 73rd Ct, Elmood Park, IL 60707 2018-03-19
1518324995 Dosha Grant Registered Nurse 2317 N Rutherford, Elmwood Park, IL 60707 2016-01-15
1962774794 Oak Park Dental Group Dentist 7034 W. North Ave., Chicago, IL 60707 2012-02-09
1326277005 Resurrection Services Internal Medicine 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 2009-07-02
1134370059 Mefagui Dental Office P.C. Dentist 6913 W. Grand Ave, Chicago, IL 60707 2008-10-09
1821265760 Carly M. Smith Chiropractor 7716 W. North, Elmwood Pk, IL 60707 2008-05-09
1063695096 Henry J. Hagopian D.d.s. P.C. Dentist 7518 W. North Avenue, Elmwood Park, IL 60707 2007-12-13
1386864411 Brian M Caraba Dds PC Dentist 7124 W Diversey Ave, Chicago, IL 60707 2007-04-30
1104041243 Clinics for Wellness and Neuropathy, LLC Internal Medicine 2333 N. Harlem, Chicago, IL 60707 2007-04-16
1972621050 Sid Anderson Psychologist 2408 Westbrook Drive, Elmwood Park, IL 60707 2007-03-27
Find all providers in zip 60707

Taxonomy Information

Taxonomy Code 2082S0099X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery
Specialization Plastic Surgery Within the Head and Neck

Taxonomy Definition

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457512618 David Thammadi Shashikant Plastic Surgery 1112 Jonathan Drive, Inverness, IL 60010 2008-06-20
1992985832 Gabriel O Mooney Plastic Surgery 1120 N Melvin St, Gibson City, IL 60936-1477 2007-11-08

Competitor

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City CHICAGO
Zip Code 60707

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Dataset Information

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.

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