DR. DAVID A DEBOER (NPI# 1346242559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346242559 |
| Entity Type | Individual |
| Full Name | DR. DAVID A DEBOER |
| Credential | M.D., MBA |
| Practice Address |
7447 W Talcott Avenue Ste. 512 Chicago IL 60631 |
| Practice Telephone | 7735946460 |
| Practice Fax Number | 7735946473 |
| Mailing Telephone | 7735946460 |
| Mailing Fax Number | 7735946473 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036073979 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1205 S Main St Ste 101, Crown Point, IN 463073677 | 2196620077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942373238 | David S. Deboer | Psychologist | 180 N Michigan Ave Ste 540, Chicago, IL 60601-7426 | 2006-11-16 |
| 1174782908 | David W Deboer | Counselor | 1550 W Rosedale St, Suite 518, Fort Worth, TX 76104-7438 | 2008-06-06 |
| 1942265400 | David K. Deboer | Orthopaedic Surgery | 2400 Patterson St, Suite 100, Nashville, TN 37203-1562 | 2006-04-19 |
| Street Address |
7447 W TALCOTT AVENUE STE. 512 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585978 | Jeffrey Mark Silver | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7447 W Talcott Avenue, Ste. 512, Chicago, IL 60631 | 2005-06-01 |
| 1619092095 | Keith Michael Ladendorf | Physician Assistant | 7447 W Talcott Avenue, Suite 512, Chicago, IL 60631 | 2007-03-21 |
| 1023075306 | Northwest Orthopaedic Assoc Ltd | Family Medicine | 7447 W Talcott Avenue, Northwest Orthopaedic Associates Ltd Suite 500, Chicago, IL 60631-3745 | 2006-04-28 |
| 1558345850 | Daniel E Sullivan | Orthopaedic Surgery | 7447 W Talcott Avenue, Suite 500 Northwest Orthopaedic Associates Ltd, Chicago, IL 60631-3745 | 2005-12-01 |
| 1972586808 | Iwona U Sobczak | Psychiatry & Neurology | 7447 W Talcott Avenue, Suite #367, Chicago, IL 60631 | 2005-11-23 |
| 1144202748 | Richard J Hayek | Orthopaedic Surgery | 7447 W Talcott Avenue, Suite 500 Northwest Orthopaedic Associates Ltd, Chicago, IL 60631-3745 | 2005-11-18 |
| 1962483123 | Robert Lorenz | Physician Assistant | 7447 W Talcott Avenue, Suite 512, Chicago, IL 60631 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760930028 | Hiroto Kitahara | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5841 S. Maryland Avenue M/c6040, Chicago, IL 60637 | 2016-09-15 |
| 1720440282 | Azad Karim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 441 E Erie St Apt 1803441, Chicago, IL 60611-4446 | 2016-03-24 |
| 1235557190 | Bartlomiej Imielski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 E. Huron St., Galter 11-140, Chicago, IL 60611 | 2014-03-28 |
| 1952744823 | Walter Lee Barker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2912 N. Commonwealth Ave., #11c, Chicago, IL 60657-6235 | 2013-04-10 |
| 1386918787 | Attapoom Susupaus | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 East Huron St, Galter Pavillion 11-140, Chicago, IL 60611-2968 | 2012-03-02 |
| 1164740304 | Audrey Christine Pendleton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1725 W Harrison St Ste 1156, Chicago, IL 60612-3852 | 2010-05-12 |
| 1063669752 | Michael C Monge | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 225 E Chicago Ave # 22, Cardiovascular Surgery, Chicago, IL 60611-2991 | 2008-08-25 |
| 1245452267 | Riccardo Benvenuto | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3240 N. Lake Shore Dr., Apt. 6a, Chicago, IL 60657-3909 | 2007-05-02 |
| 1073646113 | Keiko Okumura | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1635 West Congress Parkway, Chicago, IL 60612 | 2007-03-14 |
| 1184771172 | Samuel Suk Kim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 676 N Saint Clair St Ste 2320, Chicago, IL 60611 | 2007-01-04 |
| 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.