DR. KATHRYN L CHUBRILO (NPI# 1144616897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144616897 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN L CHUBRILO |
| Credential | D.O. |
| Practice Address |
5841 S Maryland Ave # Mc2030 Chicago IL 60637-1443 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 7737021000 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2019-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
036149249 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 130 Hartford Rd, Manchester, CT 060405921 | 8605334679 |
| Street Address |
5841 S MARYLAND AVE # MC2030 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457497802 | Christos Lazaridis | Psychiatry & Neurology | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637 | 2007-01-30 |
| 1811458268 | Yashmi Mahat | Internal Medicine | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1443 | 2019-03-28 |
| 1053872515 | Wonhee Lee | Psychiatry & Neurology | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1443 | 2019-03-27 |
| 1740741214 | Brenda Auffinger | Psychiatry & Neurology | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1443 | 2019-03-27 |
| 1225522212 | Ina Dervishi | Internal Medicine | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1443 | 2018-06-21 |
| 1841783115 | John Thomas Fortunato | Psychiatry & Neurology | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637 | 2018-06-12 |
| 1255856027 | Ronald Alvarado Dyer | Psychiatry & Neurology | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637 | 2017-08-14 |
| 1194255851 | Alexandra Eid | Internal Medicine | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637 | 2017-06-15 |
| 1831620129 | Sara Ashley Klein | Internal Medicine | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637 | 2017-03-27 |
| 1972044113 | Faddi Ghassan Mohammed Saleh Velez | Psychiatry & Neurology | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637 | 2017-03-20 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 2084A2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurocritical Care |
| The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system. |
| Notes: Source: Adapted from the United Council for Neurologic Subspecialties website definition at: http://www.ucns.org/go/subspecialty/neurocritical [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487095659 | Jared Davis | Psychiatry & Neurology | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1447 | 2013-07-16 |
| 1922391523 | Starane Anthony Shepherd | Psychiatry & Neurology | 1725 W Harrison St, Suite 1106, Chicago, IL 60612-3841 | 2011-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669784559 | Hesham A Allam | Psychiatry & Neurology | 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 | 2010-07-08 |
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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.