LAUREN MAY KOFFMAN (NPI# 1346531282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346531282 |
| Entity Type | Individual |
| Full Name | LAUREN MAY KOFFMAN |
| Credential | DO |
| Practice Address |
1725 W Harrison St Ste 1106 Chicago IL 60612-3845 |
| Mailing Address |
1725 W Harrison St Suite 1106 Chicago IL 60612 |
| Practice Telephone | 3129424500 |
| Mailing Telephone | (312) 942-4500 |
| Mailing Fax Number | 3129426755 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2017-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
H79360 | MD | Allopathic & Osteopathic Physicians |
| Y | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
036-143142 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1725 W HARRISON ST STE 1106 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700105970 | Christopher Carl Muth | Internal Medicine | 1725 W Harrison St Ste 1106, Chicago, IL 60612-3845 | 2010-05-26 |
| 1710503768 | Blake Beehler | Psychiatry & Neurology | 1725 W Harrison St Ste 1106, Chicago, IL 60612-3845 | 2020-06-24 |
| 1104441062 | Teona Munteanu | Psychiatry & Neurology | 1725 W Harrison St Ste 1106, Chicago, IL 60612-3845 | 2020-06-16 |
| 1164876553 | Zachary Benjamin Bulwa | Internal Medicine | 1725 W Harrison St Ste 1106, Chicago, IL 60612-3845 | 2016-04-21 |
| 1831525898 | Naira Arellano | Registered Nurse | 1725 W Harrison St Ste 1106, Chicago, IL 60612-3845 | 2013-09-23 |
| 1760725469 | Natalie Witek | Psychiatry & Neurology | 1725 W Harrison St Ste 1106, Chicago, IL 60612 | 2013-04-01 |
| 1992060271 | Fabian Sierra Morales | Psychiatry & Neurology | 1725 W Harrison St Ste 1106, Chicago, IL 60612-3845 | 2012-07-12 |
| 1629335450 | Thomas Jack Shoemaker | Psychiatry & Neurology | 1725 W Harrison St Ste 1106, Chicago, IL 60612-3845 | 2012-04-18 |
| 1750675187 | Joo Yeon Nam | Psychiatry & Neurology | 1725 W Harrison St Ste 1106, Chicago, IL 60612-3845 | 2011-06-02 |
| 1356654735 | Ivan Rocha Ferreira Da Silva | Psychiatry & Neurology | 1725 W Harrison St Ste 1106, Chicago, IL 60612-3845 | 2010-07-14 |
| Find all providers in the same location | ||||
| 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 | 2084A2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurocritical Care |
| The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system. |
| Notes: Source: Adapted from the United Council for Neurologic Subspecialties website definition at: http://www.ucns.org/go/subspecialty/neurocritical [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144616897 | Kathryn L Chubrilo | Psychiatry & Neurology | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1443 | 2015-04-09 |
| 1487095659 | Jared Davis | Psychiatry & Neurology | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1447 | 2013-07-16 |
| 1922391523 | Starane Anthony Shepherd | Psychiatry & Neurology | 1725 W Harrison St, Suite 1106, Chicago, IL 60612-3841 | 2011-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669784559 | Hesham A Allam | Psychiatry & Neurology | 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 | 2010-07-08 |
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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.