CHIRAG A DHOLAKIA (NPI# 1972667624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972667624 |
| Entity Type | Individual |
| Full Name | CHIRAG A DHOLAKIA |
| Credential | M.D. |
| Practice Address |
745 Fletcher Dr Suite 302 Elgin IL 60123-4750 |
| Practice Telephone | 8476956600 |
| Practice Fax Number | 8476954279 |
| Mailing Telephone | 8476956600 |
| Mailing Fax Number | 8476954279 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2012-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036126478 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 1885 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036126478 | 05 |
| Street Address |
745 FLETCHER DR SUITE 302 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194795336 | Timothy J Roth | Urology | 745 Fletcher Dr, Elgin, IL 60123-4747 | 2006-01-23 |
| 1457712929 | Heather M. Creed | Nurse Practitioner | 745 Fletcher Dr, Suite 202, Elgin, IL 60123-4747 | 2016-03-11 |
| 1568846343 | Steven M Carlson | Nurse Practitioner | 745 Fletcher Dr, Suite 301, Elgin, IL 60123-4747 | 2015-07-12 |
| 1548581341 | Aaron E Ovadia | Urology | 745 Fletcher Dr, Suite 301, Elgin, IL 60123-4747 | 2010-06-15 |
| 1093964116 | Sonia Shailesh Godambe | Internal Medicine | 745 Fletcher Dr, Elgin, IL 60123-4747 | 2008-09-12 |
| 1508048406 | Mari A. Anderson | Registered Nurse | 745 Fletcher Dr, Suite 302, Elgin, IL 60123-4747 | 2007-12-03 |
| 1679755573 | Danel F. Eads | Specialist/Technologist, Other | 745 Fletcher Dr, Suite 302, Elgin, IL 60123-4747 | 2007-12-03 |
| 1598976821 | Jennifer Anne Cerutti | Urology | 745 Fletcher Dr, Suite 301, Elgin, IL 60123-4747 | 2007-05-25 |
| 1265596720 | Elgin Internal Medical Associates, S.c. | Internal Medicine | 745 Fletcher Dr, Suite 101, Elgin, IL 60123-4747 | 2006-12-20 |
| 1265512164 | William Levis | Internal Medicine | 745 Fletcher Dr, Elgin, IL 60123-4747 | 2006-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760781488 | Sr Surgical Assist Inc | Surgery | 37w716 Stratford Ln, Elgin, IL 60124-6750 | 2011-03-21 |
| 1851360721 | Raul L Aron | Surgery | 745 Fletcher Drive, #302, Elgin, IL 60123 | 2006-03-14 |
| 1508156803 | Lily Hsieh | Surgery | 745 Fletcher Dr Ste 302, Elgin, IL 60123-4750 | 2011-04-08 |
| 1982665196 | Leo M Farbota | Surgery | 745 Fletcher Dr, Suite 302, Elgin, IL 60123-4747 | 2006-03-29 |
| 1437110707 | Rachel P Baer | Surgery | 745 Fletcher Dr, #302, Elgin, IL 60123 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
| 1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
| 1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
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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.