STEPHANIE LAM (NPI# 1871956714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871956714 |
| Entity Type | Individual |
| Full Name | STEPHANIE LAM |
| Credential | DO |
| Practice Address |
5841 S Maryland Ave # Mc1145 Chicago IL 60637-1443 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 7737029659 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2019-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
036.148740 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609059088 | Stephanie H Lam | Pharmacist | 2271 79th St, Brooklyn, NY 11214-2004 | 2007-12-09 |
| 1609499557 | Stephanie Lam | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2020-05-27 |
| 1639600315 | Stephanie Lam | Pharmacist | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2017-03-23 |
| 1528411030 | Stephanie Lam | Radiology | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2016-07-20 |
| 1811272628 | Stephanie Lam | Physical Therapist | 2021 K St. Nw, 750, Washington, DC 20006 | 2011-10-13 |
| 1770674566 | Stephanie K Lam | Obstetrics & Gynecology | 16th Street At 1st Avenue, New York, NY 10003 | 2006-09-27 |
| Street Address |
5841 S MARYLAND AVE # MC1145 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689961179 | Ahmeneh Ghavam | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2011-07-05 |
| 1093378986 | Trudy Jean Johnson | Nurse Practitioner | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2019-04-17 |
| 1376073221 | Cara Elizabeth Coleman | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2017-06-14 |
| 1437513918 | Allison Patten | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2016-04-11 |
| 1609258474 | Ahmed Arshad | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637 | 2015-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982150702 | Kayla Duvall | Pediatrics | 5841 S Maryland Ave # 1145, Chicago, IL 60637-1443 | 2016-08-31 |
| 1215304258 | Huda Adam | Pediatrics | 5706 S Blackstone Ave, Unit 1, Chicago, IL 60637-1824 | 2015-08-25 |
| 1699916932 | Deanna Marie Behrens | Pediatrics | 840 S. Wood, Department of Pediatrics, Uic, Chicago, IL 60612 | 2009-03-17 |
| 1326207663 | Lauren Elizabeth Marsillio | Pediatrics | 225 E Chicago Ave # 15-119d, Chicago, IL 60611-2991 | 2008-06-02 |
| 1376606491 | Pallavi P. Patwari | Pediatrics | 1620 W Harrison St, Suite 7 Kellogg, Chicago, IL 60612-3801 | 2006-12-19 |
| 1972665974 | Denise M. Goodman | Pediatrics | 2300 N Childrens Plz # 73, Chicago, IL 60614-3363 | 2006-12-15 |
| 1407897887 | Rachel K Wolfson | Pediatrics | 5839 S Maryland Ave, Mc 4064, Chicago, IL 60637-1463 | 2006-06-09 |
| 1437513918 | Allison Patten | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2016-04-11 |
| 1316301351 | Joan Nicole Buen | Pediatrics | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2016-04-06 |
| 1740609270 | Andrew Wolf | Pediatrics | 1653 W Congress Pkwy, Suite 761 Jones Building Rush University Medical Center, Chicago, IL 60612-3833 | 2014-04-13 |
| 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.