DR. MORDECAI M GERSTEIN (NPI# 1114955697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114955697 |
Entity Type | Individual |
Full Name | DR. MORDECAI M GERSTEIN |
Credential | M.D. |
Practice Address |
2949 W Lunt Ave Chicago IL 60645-2919 |
Practice Telephone | 7732742678 |
Practice Fax Number | 7732742697 |
Mailing Telephone | 7732742678 |
Mailing Fax Number | 7732742697 |
Enumeration Date | 2006-06-30 |
Last Update Date | 2008-11-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036-076565 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | RAILROAD MEDICARE | P00632888 | 01 |
IN | ANTHEM | 000000526820 | 01 |
Street Address |
2949 W LUNT AVE |
City | CHICAGO |
State | IL |
Zip Code | 60645-2919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306210117 | Brenda Ann Jarred | Massage Therapist | 6510 N Claremont Ave, 3rd Floor, Chicago, IL 60645 | 2015-11-17 |
1568850881 | Kathryn A Pusateri | Counselor | 6554 North Rockwell Street, Suite 2, Chicago, IL 60645 | 2015-01-09 |
1447671169 | Miriam Belsky | Speech-Language Pathologist | 6524 N Mozart St Apt 3, Chicago, IL 60645 | 2013-12-23 |
1972880912 | Harold B Shrifter | Internal Medicine | 6450 N. California Ave., Chicago, IL 60645 | 2011-11-04 |
1306159710 | Amy M Carl | Social Worker | 3003 W Touhy, Council for Jewish Elderly, Chicago, IL 60645 | 2010-07-15 |
1699919043 | Boguslawa Romanowska | Physical Therapist | 6211 N. Milwaukee, Chicago, IL 60645 | 2009-04-29 |
1851539522 | Yoela Tamara Holman | Speech-Language Pathologist | 3056 W. Sherwin Ave., Chicago, IL 60645 | 2009-02-03 |
1285884577 | Ingrid Forsberg | Nurse Practitioner | 7510 N Western, Chicago, IL 60645 | 2008-09-24 |
1881842581 | S Fatima Md Sc | Internal Medicine | 7133 North Ridge Blvd., Chicago, IL 60645 | 2008-09-05 |
1013173467 | A Place for Children | Early Intervention Provider Agency | 2425 W Pratt, Chicago, IL 60645 | 2008-08-05 |
Find all providers in zip 60645 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
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 |
---|---|---|---|---|
1588970933 | Farbod Ghods | Internal Medicine | 5841 S Maryland Ave # Mc6026, Chicago, IL 60637-1447 | 2010-08-24 |
1588984454 | James M Walter | Internal Medicine | 240 East Huron, Mcgaw M-300, Chicago, IL 60611 | 2010-06-02 |
1972829240 | Devon Wayne Paul | Internal Medicine | 1414 S Fairfield Ave, Chicago, IL 60608 | 2010-04-12 |
1538346200 | Irtaza Iqbal Khan | Internal Medicine | 2626 N Lakeview Ave Apt 1003, Chicago, IL 60614-1811 | 2008-01-24 |
1528242682 | Sherene Sami Fakhran | Internal Medicine | 240 E. Huron, Mcgaw Pavillion, Suite M-360, Chicago, IL 60611 | 2007-12-26 |
1255483897 | Jason Thomas Poston | Internal Medicine | 5841 S Maryland Ave Ste Mc6076, Chicago, IL 60637-1626 | 2007-01-16 |
1609937432 | Jeffrey Randall Jacobson | Internal Medicine | 909 South Wolcott Avenue, 3141 Comrb, Chicago, IL 60612-3725 | 2006-12-13 |
1396839973 | Yaakov Friedman | Internal Medicine | Provident Hospital, 500 . 51 Street, Chicago, IL 60615-2400 | 2006-10-03 |
1669574299 | Jyothi Jolepalem | Internal Medicine | 1500 South California Ave, Sinai Medical Group Dept. of Pulmonary & Critical Care, Chicago, IL 60608-1797 | 2006-09-03 |
1265451397 | Babak Mokhlesi | Internal Medicine | University of Chicago Hospitals, 5841 S. Maryland Ave, Mc 6026, Chicago, IL 60637 | 2006-07-19 |
Find all providers in CHICAGO |
Please comment or provide details below to improve the information on DR. MORDECAI M GERSTEIN.
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.