DR. KOCHUTHRESIA MATHAI NEDUMGOTTIL (NPI# 1871706523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871706523 |
| Entity Type | Individual |
| Full Name | DR. KOCHUTHRESIA MATHAI NEDUMGOTTIL |
| Credential | M.D |
| Practice Address |
1901 W. Harrison St. Chicago IL 60612 |
| Mailing Address |
216 79th Street Willowbrook IL 60527-2407 |
| Practice Telephone | 3128641900 |
| Mailing Telephone | 6309201569 |
| Mailing Fax Number | 6303108583 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1901 W. HARRISON ST. |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467483057 | Isaac Paintsil | Internal Medicine | 1901 W. Harrison St., John H. Stroger, Jr. Hospital of Cook County, Chicago, IL 60612-3714 | 2006-07-05 |
| 1609132984 | Theresa Kim | Emergency Medicine | 1901 W. Harrison St., Chicago, IL 60612-9985 | 2012-04-11 |
| 1184912529 | John Erikson Yap | Internal Medicine | 1901 W. Harrison St., Chicago, IL 60612 | 2011-07-19 |
| 1700199403 | Mansi Shah | Pharmacist | 1901 W. Harrison St., Chicago, IL 60612 | 2010-07-22 |
| 1689866717 | Andrzej Staszkiewicz | Anesthesiology | 1901 W. Harrison St., Pain Clinic B 1st Floor, Chicago, IL 60612 | 2007-08-13 |
| 1760564785 | Fred Rosen | Internal Medicine | 1901 W. Harrison St., John H. Stroger, Jr. Hospital of Cook County, Chicago, IL 60612-3714 | 2006-10-19 |
| 1356357529 | David Schwartz | Internal Medicine | 1901 W. Harrison St., John H. Stroger, Jr. Hospital of Cook County, Chicago, IL 60612 | 2006-07-31 |
| 1013933118 | Julie Lipkin | Family Medicine | 1901 W. Harrison St., Stroger Hospital, Chicago, IL 60612-3714 | 2006-07-14 |
| 1851316376 | Muhammad Rafiq | Internal Medicine | 1901 W. Harrison St., Asc Clinic, Chicago, IL 60612 | 2006-07-13 |
| 1902831456 | Cory M Franklin | Internal Medicine | 1901 W. Harrison St., John H.stroger Jr. Hospital of Cook County, Chicago, IL 60612-3714 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326254939 | River North Anesthesia Consultants,s.c. | Anesthesiology | Same Day Surgery,one East Erie, Suite 300, Chicago, IL 60611 | 2007-05-14 |
| 1457387334 | Richard M Dsida | Anesthesiology | 225 East Chicago Ave, Department of Anesthesia, Chicago, IL 60611 | 2006-06-23 |
| 1013334499 | Jacob Ralph Heninger | Anesthesiology | 225 E Chicago Ave, Chicago, IL 60611 | 2014-03-24 |
| 1891112355 | Mitchell L Phillips Jr. | Anesthesiology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2014-03-23 |
| 1780022301 | Katherine Elizabeth Ovsevitz | Anesthesiology | 1740 W Taylor St, 3200w Uih M/c516, Chicago, IL 60612 | 2013-06-05 |
| 1396023412 | Dena Els | Anesthesiology | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2011-07-22 |
| 1417242314 | Michael Robert King | Anesthesiology | 225 E Chicago Ave, Box 19, Chicago, IL 60611-2991 | 2011-06-20 |
| 1114211554 | Jaime Lynn Bozentka | Anesthesiology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2011-06-02 |
| 1346532371 | Eric Cheon | Anesthesiology | 225 East Chicago Avenue, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, IL 60611-2991 | 2011-05-10 |
| 1811296627 | Anthony Tomas Tantoco | Anesthesiology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2011-03-18 |
| 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.