JOHAN FREDRIK NORDENSTAM (NPI# 1952614265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952614265 |
| Entity Type | Individual |
| Full Name | JOHAN FREDRIK NORDENSTAM |
| Credential | MD |
| Practice Address |
1801 W Taylor St Occ 3f Chicago IL 60612-4795 |
| Mailing Address |
840 S Wood St Suite 518 Csb -mc 957 Chicago IL 60612-4325 |
| Practice Telephone | 3123554300 |
| Practice Fax Number | 3124131206 |
| Mailing Telephone | 3129962061 |
| Mailing Fax Number | 3129961214 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2016-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 036.133844 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036.133844 | 05 |
| Street Address |
1801 W TAYLOR ST OCC 3F |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-4795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992790828 | Julia Corcoran | Surgery | 1801 W Taylor St, 3f Occ Mc 741, Chicago, IL 60612-4795 | 2005-09-16 |
| 1659986982 | Rebekah Nailor-zee | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2020-09-14 |
| 1245856442 | Tara Kristen Maga | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2020-06-23 |
| 1427678606 | Lauren Grieco | Physical Therapist | 1801 W Taylor St, Chicago, IL 60612-4795 | 2020-04-17 |
| 1255993887 | Katherine Josephine Cobian | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2019-07-03 |
| 1689130494 | Anna Titcomb | Dietitian, Registered | 1801 W Taylor St, Chicago, IL 60612-4795 | 2019-02-17 |
| 1740757012 | Jessica Spitelli | Nurse Practitioner | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-10-25 |
| 1255807400 | Alexus Ann Bushee | Physician Assistant | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-10-15 |
| 1114417995 | Madelyn Katz | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-05-16 |
| 1013413301 | Diana Lorena Bejarano Pineda | Student in an Organized Health Care Education/Training Program | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376845149 | Saeed Salem Albalawi | Colon & Rectal Surgery | 2626 N Ashland Ave, Apartment #1, Chicago, IL 60614-1102 | 2010-11-29 |
| 1386962207 | Gerald Gantt Jr. | Colon & Rectal Surgery | 840 S Wood St Ste 518e, Chicago, IL 60612 | 2010-05-17 |
| 1942291604 | Vitaliy Y. Poylin | Colon & Rectal Surgery | 259 E Erie St Fl 16, Chicago, IL 60611-2987 | 2005-11-02 |
| 1558814251 | Jean-sebastien Trepanier | Colon & Rectal Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2016-07-28 |
| 1386027753 | Francois Dagbert | Colon & Rectal Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2015-07-03 |
| 1457792046 | Jiri George Melich | Colon & Rectal Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2013-07-11 |
| 1295004976 | Vamsi R Velchuru | Colon & Rectal Surgery | 840 S Wood St, Div of Colon and Rectal Surgery, Chicago, IL 60612-4325 | 2011-12-23 |
| 1316278088 | Tim Heilizer Sc Corp | Colon & Rectal Surgery | 2222 W Division St, Suite 110, Chicago, IL 60622-2717 | 2010-01-20 |
| 1073743209 | Ernestine Hambrick | Colon & Rectal Surgery | 1340 S Damen Ave, Suite 200, Chicago, IL 60608-1169 | 2009-07-22 |
| 1578767588 | Michael Francis Mcgee | Colon & Rectal Surgery | 676 N Saint Clair St, Suite 650, Chicago, IL 60611-2927 | 2007-06-13 |
| 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.