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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
675 N Saint Clair St, Suite 19-250, Chicago, IL 606115975 | 3126956022 |
Street Address |
2211 N OAK PARK AVE |
City | CHICAGO |
State | IL |
Zip Code | 60707-3351 |
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 |
Find all providers in the same location |
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 Code | 2082S0099X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
Specialization | Plastic Surgery Within the Head and Neck |
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. |
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 |
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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.