TIM S. PROVIAS (NPI# 1912169764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912169764 |
| Entity Type | Individual |
| Full Name | TIM S. PROVIAS |
| Credential | M.D. |
| Practice Address |
675 N Saint Clair St Galter 19-100 Chicago IL 60611-5975 |
| Mailing Address |
680 N Lake Shore Dr Suite 1000 Chicago IL 60611-4546 |
| Practice Telephone | 3126952458 |
| Practice Fax Number | 3126950063 |
| Mailing Telephone | 3126952458 |
| Mailing Fax Number | 3126950063 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2015-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036129441 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
675 N SAINT CLAIR ST GALTER 19-100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-5975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459099 | Dana Rigsby Gossett | Obstetrics & Gynecology | 675 N Saint Clair St, Galter 14-200, Chicago, IL 60611-5975 | 2005-06-28 |
| 1679180921 | Mary Grace Kaleta | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2020-09-29 |
| 1790313955 | Jill Christine Maseman | Registered Nurse | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2020-03-31 |
| 1487291092 | Jacqueline Andrea Savinon | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2019-12-02 |
| 1518527589 | Monet Danielle Welton | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2019-06-20 |
| 1598245532 | Catherine Cassingham | Social Worker | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-08-20 |
| 1831677145 | Caroline Lee | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-07-30 |
| 1942796982 | Lindsay Victoria Brown | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-07-02 |
| 1437647989 | Margarita Mana-ay | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-04-30 |
| 1447762018 | Melissa Minh Nguyet Truong | Physician Assistant | 675 N Saint Clair St, 15th Floor, Suite 200, Chicago, IL 60611-5975 | 2017-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154550119 | Elliott M Groves | Internal Medicine | 840 S Wood St Ste Smc715, Chicago, IL 60612-4325 | 2009-07-10 |
| 1952513335 | Muhammad Sikander Akbar | Internal Medicine | 6300 N Lincoln Ave, Chicago, IL 60659-1204 | 2007-05-05 |
| 1861591356 | Amit D Vyas | Internal Medicine | 2315 E 93rd St Ste 236, Chicago, IL 60617-3984 | 2006-09-21 |
| 1043230857 | Mohamed Dahodwala | Internal Medicine | 6441 S Pulaski Rd, Suite 100, Chicago, IL 60629-5148 | 2006-07-21 |
| 1609173426 | Allan Julian Beall Sacasa | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2011-02-14 |
| 1316172182 | Conner Michael O'keefe | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2009-05-22 |
| 1952563512 | Amit D Vyas Md Sc | Internal Medicine | 2315 E 93rd St Ste 236, Chicago, IL 60617-3984 | 2008-06-25 |
| 1447427356 | Akhtar Parvaiz Md | Internal Medicine | 2315 E 93rd St, Ste 237, Chicago, IL 60617-3936 | 2008-05-09 |
| 1902079718 | North-west Cardio-vascular Center | Internal Medicine | 3115 N Harlem Ave, Suite 202, Chicago, IL 60634-4684 | 2008-04-12 |
| 1417133190 | Anupama Shivaraju | Internal Medicine | 7447 W Talcott Ave Ste 222, Chicago, IL 60631-3713 | 2008-01-13 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on TIM S. PROVIAS.
| 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.