CUOGHI C EDENS (NPI# 1114247087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114247087 |
| Entity Type | Individual |
| Full Name | CUOGHI C EDENS |
| Credential | MD |
| Practice Address |
5841 S Maryland Ave Chicago IL 60637-1443 |
| Mailing Address |
150 Harvester Dr Ste 300 Burr Ridge IL 60527-5965 |
| Practice Telephone | 7737021000 |
| Mailing Telephone | 7737021000 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
036.146559 | IL | Allopathic & Osteopathic Physicians |
| Y | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
036.146559 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
5841 S MARYLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887296 | Rita Lynn Mcgill | Internal Medicine | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2005-08-09 |
| 1447851472 | Basirat Sulaiman | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-11-05 |
| 1982204061 | Martha Daniela Gorski | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-10-28 |
| 1841807179 | Jason Bugno | Pharmacist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-30 |
| 1942816798 | Emily Mancewicz | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-17 |
| 1841805546 | Anayeli Locascio | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-10 |
| 1336752856 | Rachel Barsella | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-25 |
| 1982215620 | Jennifer Risner | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-16 |
| 1134739857 | Moshe Bedziner | Physician Assistant | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-06 |
| 1427676899 | Brittney Blackwell | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-07-11 |
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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 | 2080P0216X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Rheumatology |
| A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780194423 | Rotem Semo Oz | Pediatrics | 5841 S Maryland Ave Rm C101, Chicago, IL 60637-1443 | 2017-10-09 |
| 1417104274 | Deirdre Ita De Ranieri | Pediatrics | 5841 S Maryland Ave # Mc5044, Chicago, IL 60637-1447 | 2008-08-24 |
| 1578576724 | Michael L Miller | Pediatrics | 255 E Chicago Avenue, Lurie Children's Hospital #50 Division of Rheumatology, Chicago, IL 60611 | 2006-08-15 |
| 1124549993 | Taha Moussa | Pediatrics | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2017-07-03 |
| 1568882157 | Joseph Mcdonald Jr. | Pediatrics | 5841 S Maryland Ave # Mc5044, Chicago, IL 60637-1443 | 2014-04-22 |
| 1912342452 | Brian Edward Nolan | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2013-05-09 |
| 1063672095 | Risa Alperin | Pediatrics | 2300 N Childrens Plz, Box 50, Chicago, IL 60614-3363 | 2008-06-12 |
| 1649430166 | Melissa S Tesher | Pediatrics | 5841 S Maryland Ave, Rm C101, Mc 5044, Chicago, IL 60637-1447 | 2008-06-10 |
| 1821027004 | Karen Brandt Onel | Pediatrics | 5841 S Maryland Ave, Mc5044, Chicago, IL 60637-1447 | 2006-07-01 |
| 1336104348 | Marisa Sue Klein-gitelman | Pediatrics | 2300 Childrens Plaza, #50, Chicago, IL 60614 | 2006-04-20 |
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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.