DR. HORIA STAMBOLIU (NPI# 1932155025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932155025 |
| Entity Type | Individual |
| Full Name | DR. HORIA STAMBOLIU |
| Credential | M.D. |
| Practice Address |
326 W 64th St Suite 208 Chicago IL 60621-3114 |
| Mailing Address |
Po Box 3603 Oak Brook IL 60522-3603 |
| Practice Telephone | 7738657825 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2017-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036072108 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE | F400334142 | 01 |
| IL | 036072108 | 05 | |
| IL | DEA | BS2500064 | 01 |
| IL | CAQH | 13883512 | 01 |
| IL | AETNA BETTER HEALTH | QXIPQ0000149354 | 01 |
| Street Address |
326 W 64TH ST SUITE 208 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60621-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704381 | James Edward Beckett | Family Medicine | 326 W 64th St, St Bernard Hospital Dept Radiology, Chicago, IL 60621-3114 | 2005-07-18 |
| 1588262422 | Hailee Goodale | Dietitian, Registered | 326 W 64th St, Chicago, IL 60621-3146 | 2020-10-13 |
| 1619575560 | Iveta Janusauskaite | Dietitian, Registered | 326 W 64th St, Chicago, IL 60621-3114 | 2020-10-13 |
| 1649838004 | St Bernard Hospital & Health Care Center | Radiology | 326 W 64th St, Chicago, IL 60621-3114 | 2019-05-31 |
| 1144887738 | Chindika Healthcare Inc. | Internal Medicine | 326 W 64th St, Chicago, IL 60621-3114 | 2019-05-20 |
| 1467922005 | St Bernard Hospital & Health Care Center | Pathology | 326 W 64th St, Chicago, IL 60621-3114 | 2018-11-27 |
| 1366934176 | Sunil Sam | Nurse Practitioner | 326 W 64th St, Chicago, IL 60621-3114 | 2018-06-06 |
| 1073003463 | Jessica Lynn Frith | Nurse Practitioner | 326 W 64th St, Chicago, IL 60621-3146 | 2018-05-11 |
| 1588168934 | Kaitlyn Eisenberg | Dietitian, Registered | 326 W 64th St, Chicago, IL 60621-3114 | 2018-03-21 |
| 1538675699 | Dominique Yvette Murry | Nurse Practitioner | 326 W 64th St, Chicago, IL 60621-3114 | 2017-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
| 1275068876 | St. Bernard Hospital Ambulatory Care Clinic | Clinic/Center | 6307 S Stewart, Chicago, IL 60621 | 2017-04-21 |
| 1063954519 | Created2careltd | Secured Medical Transport (VAN) | 5632 S. Emerald Ave, Chicago, IL 60621 | 2016-11-15 |
| 1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
| 1194127787 | Aaa-1 Transportation | Secured Medical Transport (VAN) | 5740 S Emerald Ave, Chicago, IL 60621 | 2014-09-25 |
| 1871893859 | Anuj Jain | Family Medicine | 6508 S Halsted Street, Chicago, IL 60621 | 2010-10-25 |
| 1750538104 | Adolfo M. Maglaya, M.d., S.c. | Internal Medicine | 326 W. 64th St., Chicago, IL 60621 | 2008-08-27 |
| 1083882997 | Englewood Satellite Senior Center | Clinic/Center | 657 W. 63rd St, Chicago, IL 60621 | 2008-02-13 |
| 1295952059 | Carrington Radiology, S.c. | Radiology | St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 | 2007-04-20 |
| 1851427660 | Dilipkumar Parikh Md | Internal Medicine | 324 West 64th St, Suite 216, Chicago, IL 60621 | 2007-02-26 |
| Find all providers in zip 60621 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588970933 | Farbod Ghods | Internal Medicine | 5841 S Maryland Ave # Mc6026, Chicago, IL 60637-1447 | 2010-08-24 |
| 1588984454 | James M Walter | Internal Medicine | 240 East Huron, Mcgaw M-300, Chicago, IL 60611 | 2010-06-02 |
| 1972829240 | Devon Wayne Paul | Internal Medicine | 1414 S Fairfield Ave, Chicago, IL 60608 | 2010-04-12 |
| 1538346200 | Irtaza Iqbal Khan | Internal Medicine | 2626 N Lakeview Ave Apt 1003, Chicago, IL 60614-1811 | 2008-01-24 |
| 1528242682 | Sherene Sami Fakhran | Internal Medicine | 240 E. Huron, Mcgaw Pavillion, Suite M-360, Chicago, IL 60611 | 2007-12-26 |
| 1255483897 | Jason Thomas Poston | Internal Medicine | 5841 S Maryland Ave Ste Mc6076, Chicago, IL 60637-1626 | 2007-01-16 |
| 1609937432 | Jeffrey Randall Jacobson | Internal Medicine | 909 South Wolcott Avenue, 3141 Comrb, Chicago, IL 60612-3725 | 2006-12-13 |
| 1396839973 | Yaakov Friedman | Internal Medicine | Provident Hospital, 500 . 51 Street, Chicago, IL 60615-2400 | 2006-10-03 |
| 1669574299 | Jyothi Jolepalem | Internal Medicine | 1500 South California Ave, Sinai Medical Group Dept. of Pulmonary & Critical Care, Chicago, IL 60608-1797 | 2006-09-03 |
| 1265451397 | Babak Mokhlesi | Internal Medicine | University of Chicago Hospitals, 5841 S. Maryland Ave, Mc 6026, Chicago, IL 60637 | 2006-07-19 |
| 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.