VAIDOTAS PETRUS (NPI# 1154513505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154513505 |
| Entity Type | Individual |
| Full Name | VAIDOTAS PETRUS |
| Other Name | VAIDOTAS PETRUSKEVICIUS |
| Credential | MD |
| Practice Address |
5145 N California Ave Ste M276 Chicago IL 60625-3661 |
| Mailing Address |
2740 W Foster Ave Ste Ll7 Chicago IL 60625-3543 |
| Practice Telephone | 7738788200 |
| Practice Fax Number | 7732934171 |
| Mailing Telephone | 7738788200 |
| Mailing Fax Number | 7732934197 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036118601 | IL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 036118601 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS# | 1619784 | 01 | |
| DEA | FP0309270 | 01 | |
| BCBS# | 1620633 | 01 | |
| IL | CONTROLLED SUBSTANCE | 336079735 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6225 W Touhy Ave, Chicago, IL 606461105 | 7736312223 | 7736315607 |
| Street Address |
5145 N CALIFORNIA AVE STE M276 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-3661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518177450 | Natalia Galkine | Psychiatry & Neurology | 5145 N California Ave Ste M276, Chicago, IL 60625-3661 | 2007-05-22 |
| 1699144980 | Caitlin Mckenna Meaton | Hospitalist | 5145 N California Ave Ste M276, Chicago, IL 60625 | 2015-09-17 |
| 1255771358 | Gregory Anderson | Internal Medicine | 5145 N California Ave Ste M276, Chicago, IL 60625-3661 | 2013-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| 1437544764 | Victoria Grace Behrend | Hospitalist | 259 East Erie St, Chicago, IL 60611 | 2015-04-02 |
| 1639562267 | Alexandra Steverson | Hospitalist | 2322 N Commonwealth Ave Apt 314, Chicago, IL 60614-3408 | 2015-03-06 |
| 1255774527 | Ketevan Gvalia | Hospitalist | 170 W Polk St Apt 1007, Chicago, IL 60605 | 2013-04-16 |
| 1518200468 | Amanda Bradke | Hospitalist | 1700 W Van Buren St Ste 500, Chicago, IL 60612 | 2013-03-28 |
| 1033421953 | Asim Mohammed Saeed | Hospitalist | 4332 N. Elston Ave., Chicago, IL 60641 | 2010-07-08 |
| 1437316882 | Sarah Koopmann | Hospitalist | 2951 S King Dr Apt 610, Chicago, IL 60616-3317 | 2008-05-21 |
| 1134140254 | Sabine Barbara Sobek | Hospitalist | 251 E. Huron St, Ste 16-738, Chicago, IL 60611 | 2006-07-22 |
| 1235162413 | Marianne Tschoe | Hospitalist | 251 E Huron St Ste 16-738, Chicago, IL 60611-2908 | 2006-07-09 |
| 1275581803 | Lawrence Yuen | Hospitalist | 251 E Huron St # 16-738, Chicago, IL 60611-2908 | 2006-05-05 |
| Find all providers in CHICAGO | ||||
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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.