ASAD REDJAI MD SC (NPI# 1861766404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861766404 |
| Entity Type | Organization |
| Organization Name | ASAD REDJAI MD SC |
| Practice Address |
1945 W Wilson Ave Suite 6120 Chicago IL 60640-5255 |
| Practice Telephone | 7737845300 |
| Practice Fax Number | 7737845391 |
| Mailing Telephone | 7737845300 |
| Mailing Fax Number | 7737845391 |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |
| Authorized Official Name | DR. ASAD REDJAI (PRESIDENT) |
| Authorized Official Telephone | 7737845300 |
| Authorized Official Credential | MD SC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
036053488 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036053488 | 05 |
| Street Address |
1945 W WILSON AVE SUITE 6120 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639160658 | Larry Alan Fisher | Dentist | 1945 W Wilson Ave, Suite 2112, Chicago, IL 60640-5255 | 2005-10-31 |
| 1710519921 | Claire Husaynu | Occupational Therapist | 1945 W Wilson Ave, Chicago, IL 60640-5255 | 2020-02-05 |
| 1700425378 | Kimberly A George | Occupational Therapist | 1945 W Wilson Ave, Chicago, IL 60640-5255 | 2019-12-31 |
| 1790337228 | Tomasa Valencia | Nurse Practitioner | 1945 W Wilson Ave, Chicago, IL 60640 | 2019-07-15 |
| 1417489311 | Laura Therese Toscano | Hearing Instrument Specialist | 1945 W Wilson Ave, Suite 6108, Chicago, IL 60640-5255 | 2017-03-30 |
| 1578001285 | Lakeshore Psychotherapy Group LLC | Psychologist | 1945 W Wilson Ave, Suite 6117, Chicago, IL 60640-5255 | 2017-02-02 |
| 1194192088 | Eva Lopez | Audiologist | 1945 W Wilson Ave, Suite 6108, Chicago, IL 60640-5255 | 2015-08-26 |
| 1861887036 | Robert L Neems Dds PC | Dentist | 1945 W Wilson Ave, Suite 5117, Chicago, IL 60640-5255 | 2015-04-03 |
| 1518365857 | Lauren Johnson | Social Worker | 1945 W Wilson Ave, Suite 5115, Chicago, IL 60640 | 2014-12-19 |
| 1902239460 | Melissa Kwafo | Social Worker | 1945 W Wilson Ave, Chicago, IL 60640-5255 | 2013-08-19 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407484645 | Macumber Medical Ltd | Clinic/Center | 3114 W Irving Park Rd Ste 1w, Chicago, IL 60618-3435 | 2020-04-01 |
| 1689226318 | Midway Spine and Joint Pain Physicians | Clinic/Center | 5720 S Pulaski Rd, Chicago, IL 60629-4435 | 2019-07-12 |
| 1497215933 | Activate Healthcare | Clinic/Center | 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 | 2019-03-21 |
| 1689989717 | A Better Weigh, Inc | Clinic/Center | 1931 W 95th St, Chicago, IL 60643-1105 | 2010-08-12 |
| 1598086399 | Bernadette B Mayer Md Sc | Clinic/Center | 5365 W Devon Ave, Chicago, IL 60646-4142 | 2010-06-15 |
| 1124295340 | Demetrios Petrovas M.d. S.c. | Clinic/Center | 3960 North Harlem Ave, Chicago, IL 60634-2219 | 2008-05-15 |
| 1689841801 | Petrovas Medical Center, S.c | Clinic/Center | 5962 N Lincoln Ave Ste 12, Chicago, IL 60659-3762 | 2008-05-15 |
| 1952577926 | Jefferson Park Medical Center, Ltd. | Clinic/Center | 4955 N Milwaukee Ave Ste 4, Chicago, IL 60630-2175 | 2008-04-30 |
| 1194833616 | Wicker Park Chiropractic Health | Clinic/Center | 2300 W North Ave, Chicago, IL 60647-5659 | 2006-08-25 |
| 1073567541 | Horizon Dante Pimentel | Clinic/Center | 4402 W Lawrence Ave, Chicago, IL 60630-2511 | 2006-05-20 |
| Find all providers in CHICAGO | ||||
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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.