DR. MORDECAI M GERSTEIN


Address: 2949 W Lunt Ave, Chicago, IL 60645-2919
Phone: 7732742678

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
036-076565 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN RAILROAD MEDICARE P00632888 01
IN ANTHEM 000000526820 01

Office Location

Street Address 2949 W LUNT AVE
City CHICAGO
State IL
Zip Code 60645-2919

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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
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City CHICAGO
Zip Code 60645

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Dataset Information

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.

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