SHERAHSAN K NIAZI (NPI# 1902972516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902972516 |
| Entity Type | Individual |
| Full Name | SHERAHSAN K NIAZI |
| Credential | MD |
| Practice Address |
831 N Larkin Ave Joliet IL 60435 |
| Mailing Address |
831 N Larkin Ave Joliet IL 60435-3460 |
| Practice Telephone | 8157418888 |
| Practice Fax Number | 8157303323 |
| Mailing Telephone | 8157418888 |
| Mailing Fax Number | 8157303323 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2013-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036089109 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD.11359R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036089109 | 05 |
| Street Address |
831 N LARKIN AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689871212 | Maria Irene Victoria Herrera Onagan | Pediatrics | 831 N Larkin Ave, Joliet, IL 60435-3460 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134343320 | G & L Alcala Pediatric Practice | Pediatrics | 301 N Springfield Avenue, Joliet, IL 60435-6590 | 2007-04-12 |
| 1679649388 | Nabil Jaber | Pediatrics | 1106 North Larkin, Upper Level, Joliet, IL 60435 | 2006-11-27 |
| 1770660938 | Sueann Nagpal | Pediatrics | 211 N Hammes Ave, Joliet, IL 60435-8113 | 2006-11-01 |
| 1821012410 | Shanthi R Gopi | Pediatrics | 300 N. Ottawa St., Joliet, IL 60432 | 2006-07-27 |
| 1699763805 | Liberato D Alcala | Pediatrics | 301 Springfield Ave, Joliet, IL 60435-6590 | 2005-10-11 |
| 1972591188 | Gilda M Alcala | Pediatrics | 301 N Springfield Ave, Joliet, IL 60435-6590 | 2005-10-11 |
| 1134117344 | Jonette P Belicena | Pediatrics | 301 Madison St Ste 120, Joliet, IL 60435-6652 | 2005-10-11 |
| 1245874635 | City Center Health Care | Pediatrics | 300 N Ottawa St, Joliet, IL 60432-4009 | 2019-10-29 |
| 1689028953 | Anusha Khapekar | Pediatrics | 1106 Neal Ave, Joliet, IL 60433-2548 | 2016-04-22 |
| 1306189204 | Joseph Giancarlo | Pediatrics | 114 Barney Dr, Joliet, IL 60435-6404 | 2013-03-29 |
| Find all providers in JOLIET | ||||
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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.