SAMUEL DOREVITCH (NPI# 1013993914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013993914 |
| Entity Type | Individual |
| Full Name | SAMUEL DOREVITCH |
| Credential | MD |
| Practice Address |
75 Remittance Dr Suite 1951 Chicago IL 60675-1001 |
| Mailing Address |
5336 N Lakewood Ave Chicago IL 60640-2209 |
| Practice Telephone | 8475355917 |
| Practice Fax Number | 8475355801 |
| Mailing Telephone | 7733349029 |
| Mailing Fax Number | 3129960064 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
36083148 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36083148 | 05 |
| Street Address |
75 REMITTANCE DR SUITE 1951 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60675-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225019474 | Eugene P Durbin | General Practice | 75 Remittance Dr, Chicago, IL 60675-6508 | 2005-11-07 |
| 1740687482 | Deanna Franke | Pathology | 75 Remittance Dr, Dept 6601, Chicago, IL 60675-6601 | 2014-11-24 |
| 1720326085 | Carolyn Wells | Registered Nurse | 75 Remittance Dr, Suite 1293, Chicago, IL 60675-1293 | 2013-01-22 |
| 1316904063 | David W Hill Jr. | Emergency Medicine | 75 Remittance Dr, Chicago, IL 60675-1951 | 2006-04-27 |
| 1538145479 | Nancy S Clark | Emergency Medicine | 75 Remittance Dr, Suite 1951, Chicago, IL 60675-1001 | 2005-12-22 |
| 1205812047 | Thomas Glimp | Emergency Medicine | 75 Remittance Dr, Suite 1951, Chicago, IL 60675-1001 | 2005-12-22 |
| 1124005954 | Ann Vertovec | Emergency Medicine | 75 Remittance Dr, Suite 1951, Chicago, IL 60675-1001 | 2005-12-22 |
| 1164408910 | Steven W Hodges | Emergency Medicine | 75 Remittance Dr, Suite 1951, Chicago, IL 60675-1001 | 2005-12-22 |
| 1922085729 | Aaron S Epstein | Emergency Medicine | 75 Remittance Dr, Suite 1951, Chicago, IL 60675-1001 | 2005-12-22 |
| 1881670875 | Margaret A Lynch | Emergency Medicine | 75 Remittance Dr, Suite 1951, Chicago, IL 60675-1001 | 2005-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487643763 | Debra O'connor | Family Medicine | 2835 N Sheffield Ave, Suite 104, Chicago, IL 60675-0001 | 2005-10-19 |
| 1093792806 | Steve R Edelstein | Emergency Medicine | 73 Remittance Dr, Suite 1951, Chicago, IL 60675-1000 | 2005-12-22 |
| 1598042731 | Jessica E Rosette | Physician Assistant | 75 Remit Dr # 1056, Chicago, IL 60675-1056 | 2011-11-15 |
| 1235550922 | Indiana Emergency Physicians, LLP | Hospitalist | 75 Remit Dr, Suite 1122, Chicago, IL 60675-1122 | 2013-12-23 |
| 1528327376 | John T Smieska IIi | Physician Assistant | 75 Remit Dr, Suite 1248, Chicago, IL 60675-1248 | 2012-05-15 |
| 1295962892 | Emily C Williams | Emergency Medicine | 75 Remit Dr # 1248, Chicago, IL 60675-1248 | 2009-06-22 |
| 1306121165 | Kay Yamaoka | Physician Assistant | 75 Remit Dr # 1248, Chicago, IL 60675-1248 | 2011-10-12 |
| 1083860845 | Alivio Medical Center, Inc. | Local Education Agency (LEA) | Alivio Medical Ctr, 75 Remittance Dr. Suite 6577, Chicago, IL 60675-6577 | 2008-08-13 |
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760715 | Michael James Doolin | Emergency Medicine | 1338 S Clinton St, Chicago, IL 60607-5037 | 2019-09-24 |
| 1578091971 | The Board of Trustee for The University of Illinois | Emergency Medicine | 10000 West O'hare, Terminal 2, Chicago, IL 60660-0508 | 2017-05-30 |
| 1669712808 | Kathryn Theresa Pajak | Emergency Medicine | 5659 S Oak Park Ave, Chicago, IL 60638-3227 | 2013-02-26 |
| 1174832976 | Craig William Dean | Emergency Medicine | 155 N Harbor Dr Apt 309, Chicago, IL 60601-7386 | 2010-09-28 |
| 1770809881 | King, Ltd | Emergency Medicine | 9332 S Vanderpoel Ave, Chicago, IL 60643-5852 | 2010-04-14 |
| 1528099876 | Robert Newell Miller Iv | Emergency Medicine | 4349 N Campbell Ave, Unit A, Chicago, IL 60618-1664 | 2006-07-05 |
| 1164462248 | Joseph Stock | Emergency Medicine | 119 W Chestnut St, Chicago, IL 60610-3288 | 2006-06-07 |
| 1093761363 | Erica Salaman | Emergency Medicine | 1841 W 19th St, 2r, Chicago, IL 60608-2713 | 2006-05-26 |
| 1649245564 | Christopher Beach | Emergency Medicine | 211 East Ontario, Suite 200, Chicago, IL 60611-3284 | 2006-02-22 |
| 1093792806 | Steve R Edelstein | Emergency Medicine | 73 Remittance Dr, Suite 1951, Chicago, IL 60675-1000 | 2005-12-22 |
| 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.