CIMIS FELLOWSHIP (NPI# 1194968164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194968164 |
| Entity Type | Organization |
| Organization Name | CIMIS FELLOWSHIP |
| Practice Address |
4905 Old Orchard Ctr Suite 409 Skokie IL 60077-1458 |
| Practice Telephone | 8476762200 |
| Practice Fax Number | 8476761813 |
| Mailing Telephone | 8476762200 |
| Mailing Fax Number | 8476761813 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2014-07-07 |
| Authorized Official Name | DR. CONSTANTINE T FRANTZIDES (DIRECTOR) |
| Authorized Official Telephone | 8476762200 |
| Authorized Official Credential | M.D., PH.D., F.A |
| Is Organization Subpart | Y |
| Parent Organization Name | CHICAGO INSTITUTE OF MINIMALLY INVASIVE SURGERY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
4905 OLD ORCHARD CTR SUITE 409 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437140530 | Alan Eugene Lasser | Dermatology | 4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1425 | 2005-10-30 |
| 1023554276 | Idalia Karolina Walo | Counselor | 4905 Old Orchard Ctr, Suite428, Skokie, IL 60077-1458 | 2017-01-12 |
| 1639611056 | Anuj Lal Md Ltd | Internal Medicine | 4905 Old Orchard Ctr, Lower Level, Skokie, IL 60077-1458 | 2016-11-16 |
| 1326437039 | Lasser Dermatology, LLC | Dermatology | 4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1458 | 2015-01-19 |
| 1679980924 | Toni Ellis Wolf, Dds, PC | Dentist | 4905 Old Orchard Ctr, Su 232, Skokie, IL 60077-1458 | 2014-07-18 |
| 1790127660 | Abc Home Health Care, Inc | Home Health | 4905 Old Orchard Ctr, Suite 736, Skokie, IL 60077-1458 | 2013-07-21 |
| 1780925305 | Gregory Kaczmarek, Md, LLC | Internal Medicine | 4905 Old Orchard Ctr, Lower Level, Skokie, IL 60077-1458 | 2013-03-06 |
| 1235401019 | Resurrection Services | General Practice | 4905 Old Orchard Ctr, Suite 634, Skokie, IL 60077-1458 | 2012-02-08 |
| 1316227655 | Sergio Rubinstein | Dentist | 4905 Old Orchard Ctr, Suite 420, Skokie, IL 60077-1458 | 2011-08-18 |
| 1427348903 | Alan J. Nidetz | Dentist | 4905 Old Orchard Ctr, Suite 420, Skokie, IL 60077-1458 | 2011-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548331036 | Raymond Pollak | Surgery | 4240 Dempster St, Suite F, Skokie, IL 60076-2070 | 2006-11-13 |
| 1710304670 | Michael Sean Mccormack | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2014-03-27 |
| 1891015079 | Justin Daniel Sobinsky | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-1214 | 2010-06-10 |
| 1811186471 | Jose M Velasco Md | Surgery | 9669 Kenton Ave, Suite 204, Skokie, IL 60076-1266 | 2007-10-19 |
| 1760684302 | Anastasia Cisneros-frausto | Surgery | 4225 Main St, Skokie, IL 60076-2046 | 2007-06-05 |
| 1063613685 | Robert L Shapiro | Surgery | 7100 Carpenter Rd, Skokie, IL 60077-3279 | 2007-05-30 |
| 1669596987 | Avram R. Kraft | Surgery | 4901 Searle Pkwy, Suite 130, Skokie, IL 60077-2919 | 2007-03-19 |
| 1033286661 | Constantine T Frantzides | Surgery | 4905 Old Orchard Shopping Ctr, Suite 409, Skokie, IL 60077-1425 | 2006-11-29 |
| 1699851915 | Cheong Jun Lee | Surgery | 9650 Gross Point Rd Ste 4900, Skokie, IL 60076-1214 | 2006-10-29 |
| 1659478535 | Joseph S Kokoszka | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2006-09-20 |
| Find all providers in SKOKIE | ||||
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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.