FERTILITY ENDOCRINE & ANDROLOGY CONSULTANTS LLC (NPI# 1316155419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316155419 |
| Entity Type | Organization |
| Organization Name | FERTILITY ENDOCRINE & ANDROLOGY CONSULTANTS LLC |
| Practice Address |
1725 W Harrison St Suite 739 Chicago IL 60612-3841 |
| Practice Telephone | 3129422400 |
| Practice Fax Number | 3129422485 |
| Mailing Telephone | 3129422400 |
| Mailing Fax Number | 3129422485 |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ELWYN M GRIMES (PRESIDENT) |
| Authorized Official Telephone | 3129422400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1725 W HARRISON ST SUITE 739 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446163 | Alvaro A Figueroa | Dentist | 1725 W Harrison St, Ste 425, Chicago, IL 60612-3836 | 2005-06-09 |
| 1487251096 | Katherine Frigo | Registered Nurse | 1725 W Harrison St, Chicago, IL 60612-3841 | 2020-10-06 |
| 1568085413 | Jaime Rizzie | Dietitian, Registered | 1725 W Harrison St, Chicago, IL 60612-3841 | 2020-05-27 |
| 1710507025 | Peter Wu | Pharmacist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2020-04-16 |
| 1316419047 | Lauren G Markham | Social Worker | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-12-19 |
| 1366917759 | Anan Hani Shtewe | Neurological Surgery | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-10-11 |
| 1679057087 | Colleen Tapia | Nurse Practitioner | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-09-20 |
| 1316435035 | Charalampos Siotos | Plastic Surgery | 1725 W Harrison St, Suite 425, Chicago, IL 60612 | 2018-04-27 |
| 1427555937 | Brooke Harrar | Physical Therapist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-04-11 |
| 1356859250 | Esther Kim | Specialist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-01-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 |
|---|---|---|---|---|
| 1982059275 | Vios Fertility Institute Chicago | Obstetrics & Gynecology | 1455 N Milwaukee Ave, Chicago, IL 60622-2015 | 2016-04-25 |
| 1083932032 | Jennifer Erin Hirshfeld-cytron | Obstetrics & Gynecology | 676 N Saint Clair St Ste 1875, Chicago, IL 60611-2927 | 2010-05-13 |
| 1770781767 | Liliana V Gaynor | Obstetrics & Gynecology | 845 N Michigan Avenue, Suite 949 West, Chicago, IL 60611-2211 | 2007-07-11 |
| 1558404251 | Angeline N Beltsos | Obstetrics & Gynecology | 1455 N Milwaukee Ave Fl 2, Chicago, IL 60622-2015 | 2007-02-14 |
| 1164591301 | Barbara A Soltes | Obstetrics & Gynecology | 1725 W. Harrison Street, Suite 739, Chicago, IL 60612 | 2006-11-06 |
| 1134166531 | Ilan Tur-kaspa | Obstetrics & Gynecology | 2825 N Halsted St, Chicago, IL 60657-5105 | 2006-06-02 |
| 1548624943 | Jennifer Bender Bakkensen | Obstetrics & Gynecology | 251 E Huron St, Chicago, IL 60611-2908 | 2016-04-12 |
| 1609118728 | Erica Denise Louden | Obstetrics & Gynecology | 1455 N Milwaukee Ave Fl 2, Chicago, IL 60622-2015 | 2013-03-27 |
| 1285991679 | Amanda Adeleye | Obstetrics & Gynecology | 5841 S Maryland Ave # Mc2050, Chicago, IL 60637-1443 | 2012-04-23 |
| 1467784579 | Lia Ann Bernardi | Obstetrics & Gynecology | 259 E Erie St, Suite 2400, Chicago, IL 60611-2987 | 2010-02-01 |
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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.