DR. ALFONSO V MELLIJOR (NPI# 1356328728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356328728 |
| Entity Type | Individual |
| Full Name | DR. ALFONSO V MELLIJOR |
| Credential | M.D. |
| Practice Address |
2361 Paysphere Circle Chicago IL 60674 |
| Mailing Address |
2520 Elisha Avenue Zion IL 60099 |
| Practice Telephone | 8477464358 |
| Mailing Telephone | 8478726259 |
| Mailing Fax Number | 8478725716 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2015-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
036.062224 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2361 PAYSPHERE CIRCLE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497744106 | Herbert H Beck IIi | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-10-14 |
| 1649559212 | Shelly Vijay | Internal Medicine | 2361 Paysphere Circle, Chicago, IL 60674 | 2011-08-12 |
| 1790006393 | Syed Zahid Aziz Khalid | Emergency Medicine | 2361 Paysphere Circle, Chicago, IL 60674 | 2010-06-17 |
| 1306818109 | Istvan Redei | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2006-02-06 |
| 1700865656 | Peter T. Senatore | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2006-01-10 |
| 1588643449 | Pakorn Sirijintakarn | Radiology | 2361 Paysphere Circle, Chicago, IL 60674 | 2006-01-10 |
| 1922085372 | S. Charles Charles Lindsay | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1245217611 | Rakhshanda Neelam | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1164409447 | Elham Abboud | Pathology | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1518944800 | Dennis L Citrin | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043205107 | Yiping Fu | Internal Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2005-09-14 |
| 1114417615 | Nicole Beltran | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674 | 2018-05-10 |
| 1598207375 | Shency Varughese | Registered Nurse | 2361 Paysphere Cir, Chicago, IL 60674 | 2016-11-10 |
| 1861850331 | Katrina Sue Barger | Physician Assistant | 2361 Paysphere Cir, Chicago, IL 60674 | 2016-01-29 |
| 1013255975 | Ruth M Diamond | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674 | 2013-01-27 |
| 1649590878 | Mehul Arvind Patel | Physician Assistant | 2361 Paysphere Cir, Chicago, IL 60674 | 2010-06-10 |
| 1265668750 | Solomon R Katta | Family Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2009-06-10 |
| 1639314834 | Madhavi Nagilla | Internal Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2008-12-03 |
| 1699943720 | Miral Sapan Amin | Surgery | 2361 Paysphere Cir, Chicago, IL 60674 | 2008-02-12 |
| 1699960088 | Sarah Jean Tuohy | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674 | 2007-09-10 |
| Find all providers in zip 60674 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033162839 | Mark M. Connolly | Surgery | 2913 N Commonwealth Ave, 5th Floor, Chicago, IL 60657-6211 | 2006-05-19 |
| 1588662928 | Swati Kulkarni | Surgery | 250 E Superior St, Suite 420, Chicago, IL 60611-2914 | 2005-07-11 |
| 1235424656 | Fadi Suhail Dahdaleh | Surgery | 5841 S. Maryland Avenue, M/c 6040, Chicago, IL 60637 | 2011-06-14 |
| 1245556406 | Oliver S. Eng | Surgery | 5841 S Maryland Ave # Mc5094, Chicago, IL 60637-1443 | 2010-04-13 |
| 1699008706 | S. O. Group, S.c. | Surgery | 1725 W. Harrison Street, Suite 409, Chicago, IL 60612 | 2009-09-09 |
| 1942457072 | Anthony Yang | Surgery | 675 N Saint Clair St Ste 21-700, Chicago, IL 60611-5975 | 2008-08-20 |
| 1922265032 | Rohit Ramesh Sharma | Surgery | 5841 S Maryland Ave, Mc 6040, Chicago, IL 60637-1447 | 2008-05-18 |
| 1508085630 | Board of Trustees of The University of Illinois | Surgery | 840 S Wood St, Chicago, IL 60612-7322 | 2007-04-25 |
| 1528114501 | Cdn Surgical Assoc., Ltd. | Surgery | 2913 N Commonwealth Ave, Chicago, IL 60657-6211 | 2007-01-25 |
| 1629171822 | Donald K Wood | Surgery | 1740 W Taylor St, Chicago, IL 60612-7232 | 2006-09-06 |
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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.