DR. KEVIN BAIDOO (NPI# 1952759755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952759755 |
| Entity Type | Individual |
| Full Name | DR. KEVIN BAIDOO |
| Credential | M.D. |
| Practice Address |
3249 Oak Park Ave Berwyn IL 60402-3429 |
| Practice Telephone | 2156685058 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 125069210 | IL | Allopathic & Osteopathic Physicians |
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
036.152726 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3249 OAK PARK AVE |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690830 | Mark Choi | Radiology | 3249 Oak Park Ave, Metropolitan Advanced Radiological Services, Ltd, Berwyn, IL 60402-3429 | 2005-09-26 |
| 1316553969 | Bridget Prendergast | Nurse Anesthetist, Certified Registered | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-09-18 |
| 1033731914 | Nicolas Zuniga Penaranda | Student in an Organized Health Care Education/Training Program | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-05-13 |
| 1508487786 | Jack Steven Schirmer | Family Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-04-29 |
| 1750902003 | Peter Kim | Family Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-0715 | 2020-04-28 |
| 1851911762 | Tucker Brush | Internal Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-0715 | 2020-04-21 |
| 1225657497 | Yesenia Valdivia | Student in an Organized Health Care Education/Training Program | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-04-08 |
| 1386273621 | Darryl Jon Giambalvo | Student in an Organized Health Care Education/Training Program | 3249 Oak Park Ave, Berwyn, IL 60402-0715 | 2020-04-08 |
| 1700415049 | Brett Patrick Nelson | Family Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-0715 | 2020-04-08 |
| 1013546753 | Maria Ramirez | Family Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900409 | Michael Reavy | Physical Medicine & Rehabilitation | 90 Skokie Blvd, Wilmette, IL 60091-3054 | 2020-10-25 |
| 1750947586 | Kaitlyn Maloney | Physical Medicine & Rehabilitation | 125 Jan Ln Apt 2, De Soto, IL 62924-0045 | 2019-05-16 |
| 1134688294 | Ashraf Ali Elkossei | Physical Medicine & Rehabilitation | 9215 S Tripp Ave, Oak Lawn, IL 60453-1938 | 2019-03-18 |
| 1457854119 | Arielle Willett | Physical Medicine & Rehabilitation | 505 Washington Blvd, Oak Park, IL 60302-4005 | 2018-03-08 |
| 1205228475 | Elizabeth Palagi | Physical Medicine & Rehabilitation | 16825 Shannon Ct, Tinley Park, IL 60477-6551 | 2015-02-25 |
| 1780003178 | Paula Weihler Sc | Physical Medicine & Rehabilitation | 129 Commercial Dr, Unit 5b, Yorkville, IL 60560-4729 | 2014-04-14 |
| 1598920977 | Prescriptive Wellness LLC | Physical Medicine & Rehabilitation | 3330 W 177th St Ste 3f, Hazel Crest, IL 60429-2197 | 2008-07-24 |
| 1639356488 | Ukpenahiusi S Ighodaro | Physical Medicine & Rehabilitation | 231 W Main St Ste 101, Carpentersville, IL 60110-1772 | 2008-01-23 |
| 1619057338 | Charles Lawrence Carlton | Physical Medicine & Rehabilitation | 6007 N Sheridan Rd Apt 20a, Chicago, IL 60660-3005 | 2006-10-17 |
| 1932142973 | Philip H Dennis | Physical Medicine & Rehabilitation | 441 S State Route 157 Ste 102, Edwardsville, IL 62025-4017 | 2006-06-14 |
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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.