DR. EDGAR DIZON (NPI# 1932141090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932141090 |
| Entity Type | Individual |
| Full Name | DR. EDGAR DIZON |
| Credential | M.D. |
| Practice Address |
900 Jorie Blvd Suite 186 Oak Brook IL 60523-2213 |
| Practice Telephone | 6309546700 |
| Practice Fax Number | 6309541555 |
| Mailing Telephone | 6309546700 |
| Mailing Fax Number | 6309541555 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
01028348A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200409240A | 05 |
| Street Address |
900 JORIE BLVD SUITE 186 |
| City | OAK BROOK |
| State | IL |
| Zip Code | 60523-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251160 | Antranik S Poladian | Pediatrics | 900 Jorie Blvd, Oak Brook, IL 60523 | 2005-08-03 |
| 1629525985 | Shelley Pier, Msw, Lcsw | Social Worker | 900 Jorie Blvd, Suite 36, Oak Brook, IL 60523-2213 | 2016-09-03 |
| 1376804864 | Physician Services At Home S.c | Internal Medicine | 900 Jorie Blvd, Suite # 58c, Oak Brook, IL 60523-2213 | 2012-05-31 |
| 1487940417 | Prompt Care Diagnostics Inc | Clinic/Center | 900 Jorie Blvd, Ste 14-4, Oak Brook, IL 60523-2213 | 2011-06-28 |
| 1083807606 | Shelley Gallivan | Nurse Practitioner | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2007-08-27 |
| 1982802864 | Prasanna Kumar Turaka | Pediatrics | 900 Jorie Blvd, Oak Brook, IL 60523-2213 | 2007-07-03 |
| 1073731808 | Kevin M. Connolly | Chiropractor | 900 Jorie Blvd, Suite 104, Oak Brook, IL 60523-2213 | 2007-04-24 |
| 1609990894 | Katerji Pediatric Neurology & Assoc | Pediatrics | 900 Jorie Blvd, Suite 220, Oak Brook, IL 60523-3846 | 2007-03-16 |
| 1831223973 | Rohitkumar Vasa | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2007-03-14 |
| 1346392750 | Terri L. Russell | Nurse Practitioner | 900 Jorie Blvd, #186, Oak Brook, IL 60523-2213 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358630 | Jennifer Renee Earnest | Counselor | 2526 Butterfield Road, Suite 138s, Oakbrook, IL 60523 | 2020-02-12 |
| 1881244614 | Meredith Elise Osborne | Pain Medicine | Joint Relief Institute, 600 22nd Street, Oak Brook, IL 60523 | 2019-09-13 |
| 1811450349 | Jessica A Kras | Physical Therapist | 2011 York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1356804876 | Derek M Jones | Physical Therapist | 2011 N. York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
| 1821537358 | The Anxiety Treatment Center - Western Suburbs, LLC | Counselor | 1100 Jorie Blvd, 227, Oak Brook, IL 60523 | 2017-02-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1154877850 | Sandhya Jayaram Shetty | Specialist/Technologist, Other | 1420 Kensington Rd., 201, Oak Brook, IL 60523 | 2016-09-01 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
| Find all providers in zip 60523 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1982802864 | Prasanna Kumar Turaka | Pediatrics | 900 Jorie Blvd, Oak Brook, IL 60523-2213 | 2007-07-03 |
| 1831223973 | Rohitkumar Vasa | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2007-03-14 |
| 1114963881 | Moon Kim | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-21 |
| 1528000361 | Joseph Torre | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-12 |
| 1811935281 | Manohar Rathi | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-04 |
| 1740228477 | Lamia Tareen | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-03 |
| 1245277581 | Shobhana Ravikumar | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-02 |
| 1033156385 | Arvind Shukla | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-02 |
| 1932147949 | Esther Speer | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-02 |
| 1447297817 | Leonardo Malalis | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-02 |
| Find all providers in OAK BROOK | ||||
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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.