Midori Takeyasu Par (NPI# 1376543199, PAC ID# 3870494024) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1376543199 |
| PAC ID by PECOS | 3870494024 |
| Professional Enrollment ID | I20040120000327 |
| Full Name | Midori Takeyasu Par |
| Organization Legal Name | CEPAMERICA ILLINOIS LLP |
| Address |
2900 N Lake Shore Dr Chicago IL 60657-5640 |
| Phone Number | 7736653000 |
| Gender | F |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3274793633 |
| Number of Group Practice Members | 302 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140224 | PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO |
| 140231 | EDWARD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 7736653000 | CEPAMERICA ILLINOIS LLP |
| 430 Warrenville Rd, Suite 210, Lisle, IL 60532-1348 | 6304326180 | DUPAGE MEDICAL GROUP LTD |
| Organization Legal Name | CEPAMERICA ILLINOIS LLP |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason R Foreman | Emergency Medicine | Cepamerica Illinois LLP | 600 S Randall Rd, Advocate Sherman Urgent Care Center Algonquin, Algonquin, IL 60102-5935 |
| Angela Giardono | Nurse Practitioner | Cepamerica Illinois LLP | 5666 E State St, Rockford, IL 61108-2425 |
| Shirley S Sheth | Emergency Medicine | Cepamerica Illinois LLP | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Paul A Toofan | Emergency Medicine | Cepamerica Illinois LLP | 503 N Maple St, Effingham, IL 62401-2006 |
| Robert P Rifenburg | Emergency Medicine | Cepamerica Illinois LLP | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Amardeep Singh | Emergency Medicine | Cepamerica Illinois LLP | 1500 S Fairfield Ave, Chicago, IL 60608-1782 |
| Malati Vadapalli Sekaran | Emergency Medicine | Cepamerica Illinois LLP | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Kirsti Rose Mitchell | Nurse Practitioner | Cepamerica Illinois LLP | 1500 S Fairfield Ave, Chicago, IL 60608-1782 |
| Kristin E Peterson | Emergency Medicine | Cepamerica Illinois LLP | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Dominique K Craver | Nurse Practitioner | Cepamerica Illinois LLP | 1500 S Fairfield Ave, Chicago, IL 60608-1782 |
| Street Address |
2900 N LAKE SHORE DR |
| City | CHICAGO |
| State | IL |
| Zip | 60657-5640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taha Alrifai | Internal Medicine | Presence Healthcare Services | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 |
| Julie A Rothschild | Emergency Medicine | Cepamerica Illinois LLP | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 |
| Kamal K Chawla | Cardiovascular Disease (cardiology) | Presence Saint Joseph Hospital | 2900 N Lake Shore Dr, Fl 2, Chicago, IL 60657-5640 |
| Sara Damm Winstanley | Emergency Medicine | Cepamerica Illinois LLP | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 |
| Mehr N Aftab | Anesthesiology | Midwest Anesthesia Partners LLC | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 |
| Freidoon Azizi | Gynecological Oncology | 2900 N Lake Shore Dr, Suite 216, Chicago, IL 60657-5640 | |
| Michael J Perconti | Anesthesiology | Midwest Anesthesia Partners LLC | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 |
| Shyam Chalise | Internal Medicine | Presence Healthcare Services | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 |
| Patricia A Sweeny-rywak | Emergency Medicine | Cepamerica Illinois LLP | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 |
| Arvind Balavenkataraman | Internal Medicine | Presence Healthcare Services | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey L Frederick | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Stephanie L Lyons | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Alaina R Bandstra | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Dominic M Maino | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Thomas Cohen | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Michael J Dubick | Chiropractic | 3250 N Lincoln Ave, Suite 1, Chicago, IL 60657-1192 | |
| Eric T Niwinski | Physical Therapy | Ipt Management Services, Inc | 3420 N Lincoln Ave, Chicago, IL 60657-1195 |
| Shannan M Vanantwerp | Physical Therapy | Ipt Management Services, Inc | 3420 N Lincoln Ave, Chicago, IL 60657-1195 |
| Lauren E Buck | Physical Therapy | Ipt Management Services, Inc | 3420 N Lincoln Ave, Chicago, IL 60657-1195 |
| James Hayes | Clinical Social Worker | 3409 N Paulina St, Chicago, IL 60657-1220 | |
| Find all physicians in zip 60657 | |||
| City | CHICAGO |
| Zip Code | 60657 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CHICAGO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Midori Takeyasu Par.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.