MARK JONATHAN SCHACHT (NPI# 1265577621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265577621 |
| Entity Type | Individual |
| Full Name | MARK JONATHAN SCHACHT |
| Credential | MD |
| Practice Address |
800 Austin St Suite 569e Evanston IL 60202-3439 |
| Practice Telephone | 8473285600 |
| Practice Fax Number | 8473289129 |
| Mailing Telephone | 8473285600 |
| Mailing Fax Number | 8473289129 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036060812 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036060812 | 05 |
| Street Address |
800 AUSTIN ST SUITE 569E |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506665 | Thomas J Campbell | Internal Medicine | 800 Austin St, Ste 451e, Evanston, IL 60202-3455 | 2005-05-27 |
| 1518579739 | Rizwana Patel | Nurse Practitioner | 800 Austin St, Evanston, IL 60202-3439 | 2020-08-19 |
| 1467949594 | Hazel H Almores | Nurse Practitioner | 800 Austin St, East Tower, Ste 360, Evanston, IL 60202 | 2018-04-14 |
| 1073043469 | Envision Mobile Imaging, LLC | Clinic/Center | 800 Austin St, Evanston, IL 60202-3439 | 2017-06-18 |
| 1407209265 | Czamira Alba | Nurse Practitioner | 800 Austin St, Ste 369, Evanston, IL 60202-3439 | 2016-07-18 |
| 1396103230 | Gnogno Md Visiting Physician Group Inc. | Internal Medicine | 800 Austin St, 269e, Evanston, IL 60202-3439 | 2016-02-07 |
| 1255706131 | Presence Chicago Hospitals Network | Internal Medicine | 800 Austin St, Suite 207 West Tower, Evanston, IL 60202-3439 | 2015-12-03 |
| 1730566779 | Sonam Shokso | Nurse Practitioner | 800 Austin St, Suite 269, Evanston, IL 60202-3439 | 2015-04-29 |
| 1235574237 | Anshu Gupta, Md, P.C. | Internal Medicine | 800 Austin St, Suite 607, West Tower, Evanston, IL 60202-3439 | 2013-05-03 |
| 1447508874 | Mohamad Albsheri | Student in an Organized Health Care Education/Training Program | 800 Austin St, Evanston, IL 60202-3439 | 2012-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063708592 | Bear River Urology, LLC | Urology | 196 Arrowhead Dr, Suite #4, Evanston, WY 82930-8752 | 2011-06-23 |
| 1568776417 | Lome Urology Ltd | Urology | 800 Austin St, Suite 569e, Evanston, IL 60202-3439 | 2010-08-03 |
| 1750570743 | Greater Chicago Urology | Urology | 800 Austin St, Suite 569 E, Evanston, IL 60202-3439 | 2007-10-16 |
| 1578608949 | Peter Thomas Vaselopulos | Urology | 800 Austin St, Suite 569, Evanston, IL 60202-3439 | 2007-02-21 |
| 1871638338 | Leon Gershon Lome | Urology | 800 Austin St, Suite 457e, Evanston, IL 60202-3439 | 2007-02-21 |
| 1912059254 | Uropartners, LLC | Urology | 800 Austin St, East Tower, Ste. 363, Evanston, IL 60202-3439 | 2007-01-17 |
| 1780797969 | Charles B. Brendler | Urology | 2650 Ridge Ave, Walgreen Building Suite 2507, Evanston, IL 60201-1718 | 2006-08-15 |
| 1558375873 | Thomas C. Keeler | Urology | 1000 Central St, Suite 720, Evanston, IL 60201-1777 | 2006-07-29 |
| 1184638496 | Peter M. Colegrove | Urology | 1000 Central St, Suite 720, Evanston, IL 60201-1777 | 2006-07-29 |
| 1245257930 | Leon G Lome Md Sc | Urology | 800 Austin St, Ste 569 East Tower, Evanston, IL 60202-3439 | 2006-07-17 |
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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.