DR. KENNY BOZORGI (NPI# 1255568333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255568333 |
| Entity Type | Individual |
| Full Name | DR. KENNY BOZORGI |
| Credential | M.D. |
| Practice Address |
409 W Huron St Suite 301 Chicago IL 60654-3431 |
| Practice Telephone | 3127877861 |
| Practice Fax Number | 3127877916 |
| Mailing Telephone | 3127877861 |
| Mailing Fax Number | 3127877916 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
036090621 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PO85733J9 | 05 |
| Street Address |
409 W HURON ST SUITE 301 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60654-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568490282 | Ann P Mcnamara | Anesthesiology | 409 W Huron St, 3rd Floor, Chicago, IL 60610-3431 | 2006-06-29 |
| 1659306272 | Ambulatory Anesthesiologists of Chicago, LLC | Anesthesiology | 409 W Huron St, 3rd Fl, Chicago, IL 60610-3431 | 2006-07-12 |
| 1093745366 | David Philip Cohen | Obstetrics & Gynecology | 409 W Huron St, Suite 500, Chicago, IL 60654-3431 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
| 1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
| 1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
| 1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
| 1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
| 1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
| Find all providers in zip 60654 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910657 | Allison Margaret Saiz | Obstetrics & Gynecology | 250 E Superior St Ste 5-2175, Chicago, IL 60611-2914 | 2015-04-22 |
| 1124126040 | Arthur Herbst | Obstetrics & Gynecology | 5841 South Maryland Mc 2050, Chicago, IL 60657 | 2006-09-21 |
| 1902194269 | Katherine Kurnit | Obstetrics & Gynecology | 5841 S Maryland Ave # Mc2050, Chicago, IL 60637-1443 | 2011-07-20 |
| 1497042147 | Anna E Strohl | Obstetrics & Gynecology | 250 E Superior St, Chicago, IL 60611 | 2011-07-01 |
| 1275829616 | Jerlinda Gladys Camille Ross | Obstetrics & Gynecology | 5841 S Maryland Ave, Mc 2050, Chicago, IL 60637-1447 | 2011-06-23 |
| 1699086173 | Josephine Soohee Kim | Obstetrics & Gynecology | 5841 S Maryland Ave # Mc2050, Chicago, IL 60637-1447 | 2010-06-29 |
| 1467682690 | Dario Roque | Obstetrics & Gynecology | 250 E Superior St Ste 4-420, Chicago, IL 60611-2914 | 2009-07-22 |
| 1922243211 | Summer Dewdney | Obstetrics & Gynecology | 1725 W Harrison St, Suite 842, Chicago, IL 60612-3841 | 2008-12-16 |
| 1336395888 | Tanya M. Pulver | Obstetrics & Gynecology | 900 W Nelson St, Chicago, IL 60657-6704 | 2008-08-15 |
| 1316147192 | Jean-marie Stephan | Obstetrics & Gynecology | 1725 W Harrison St Ste 1010, Chicago, IL 60612-3841 | 2007-07-20 |
| 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.