JON WILLIAM MARES (NPI# 1023375300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023375300 |
| Entity Type | Individual |
| Full Name | JON WILLIAM MARES |
| Credential | D.O. |
| Practice Address |
5841 S Maryland Ave # Mc1027 Chicago IL 60637-1443 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 7135023027 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Q6769 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
036.151545 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5841 S MARYLAND AVE # MC1027 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336245968 | David H. Sarne | Internal Medicine | 5841 S Maryland Ave # Mc1027, Chicago, IL 60637-1447 | 2006-09-14 |
| 1619362894 | Monika Darji | Internal Medicine | 5841 S Maryland Ave # Mc1027, Chicago, IL 60637 | 2015-04-03 |
| 1487043170 | Matthew Ettleson | Internal Medicine | 5841 S Maryland Ave # Mc1027, Chicago, IL 60637-1443 | 2015-01-18 |
| 1942608252 | El-waleed Mohammed Ali | Internal Medicine | 5841 S Maryland Ave # Mc1027, Chicago, IL 60637 | 2014-12-18 |
| 1376959510 | Sonaina Imtiaz | Internal Medicine | 5841 S Maryland Ave # Mc1027, Chicago, IL 60637-1447 | 2014-07-09 |
| 1942615596 | Isabel Casimiro | Internal Medicine | 5841 S Maryland Ave # Mc1027, Chicago, IL 60637-1443 | 2014-06-23 |
| 1720406408 | Mark Joshua Dela Cruz | Internal Medicine | 5841 S Maryland Ave # Mc1027, Chicago, IL 60637 | 2014-03-31 |
| 1609018803 | Olha Duchon | Internal Medicine | 5841 S Maryland Ave # Mc1027, Chicago, IL 60637-1443 | 2009-04-02 |
| 1659520534 | Iliana Bozhidarova Doycheva | Internal Medicine | 5841 S Maryland Ave # Mc1027, Chicago, IL 60637-1443 | 2008-09-16 |
| 1417099771 | Raghavendra G. Mirmira | Internal Medicine | 5841 S Maryland Ave # Mc1027, Chicago, IL 60637-1443 | 2007-02-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235627332 | Chicago Nephrology Associates, LLC | Internal Medicine | 3023 N Clark St #302, Chicago, IL 60657 | 2018-04-25 |
| 1619328820 | Nay Seif | Internal Medicine | 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 | 2016-06-29 |
| 1447611389 | Skyline Medical Associates LLC | Internal Medicine | 100 E 14th St Apt 1907, Chicago, IL 60605-3673 | 2016-03-18 |
| 1972936581 | Marshall David Lindheimer | Internal Medicine | 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 | 2013-08-19 |
| 1952656167 | Primecare Nephrology & Hypertension Sc Corp | Internal Medicine | 4810 S Kenwood Ave, Chicago, IL 60615-2016 | 2012-07-13 |
| 1558650697 | Stephanie Michelle Toth-manikowski | Internal Medicine | 820 S Wood St # Mc793, Chicago, IL 60612 | 2011-03-29 |
| 1326372855 | Daniel Fantus | Internal Medicine | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2009-09-30 |
| 1487882791 | Sylvester Barnes Iv | Internal Medicine | 900 S Clark St Apt 1801, Chicago, IL 60605 | 2009-06-24 |
| 1952551517 | Jane Vernik Md, S.c. | Internal Medicine | 637 South Wood Street St 215, Division of Nephrology, Durand Building, Chicago, IL 60612 | 2008-09-19 |
| 1073643193 | Malathi Shah | Internal Medicine | 1625 E 75th St Ste 328, Chicago, IL 60649-3603 | 2007-03-07 |
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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.