CAROL GERSON (NPI# 1356336168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356336168 |
| Entity Type | Individual |
| Full Name | CAROL GERSON |
| Credential | MD |
| Practice Address |
1031 Ashland Ave River Forest IL 60305-1435 |
| Practice Telephone | 7083345160 |
| Mailing Telephone | 7083345160 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2012-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
036-057108 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVIDER ID | 1627123 | 01 |
| IL | 036057108 | 05 |
| Street Address |
1031 ASHLAND AVE |
| City | RIVER FOREST |
| State | IL |
| Zip Code | 60305-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063969004 | Logan N Nierzwicki | Physical Therapist | 7341 A Lake St, River Forest, IL 60305 | 2016-09-07 |
| 1427442292 | Gina Patel | Physical Therapist | 7341a Lake St, River Forest, IL 60305 | 2015-03-19 |
| 1316369630 | Kristin Burns | Social Worker | 1115 Thatcher Ave, River Forest, IL 60305 | 2014-01-07 |
| 1508102823 | Elizabeth Ralyea | Nurse Practitioner | 7251 W Lake Street, River Forest, IL 60305 | 2012-12-13 |
| 1194009175 | Mani Chhibba | Optometrist | 7345 West Lake Street, River Forest, IL 60305 | 2011-10-07 |
| 1508069212 | Fatima Ali Hyder | Internal Medicine | 7343 Lake St, River Forest, IL 60305 | 2007-06-08 |
| 1932314069 | Karen Vanslyck Darley | Dentist | 340 Lathryn Ave, River Forest, IL 60305 | 2007-05-11 |
| 1083836571 | Lucelita Abad Duffy | Physical Therapist | 7411 Lake Street, Rehabilitation & Sports Medicine West Suburban Resurrec, River Forest, IL 60305 | 2007-05-03 |
| 1457484669 | Michelle Annette Melyn | Psychiatry & Neurology | 7777 West Lake St, River Forest, IL 60305 | 2007-03-14 |
| 1588797757 | Marie T Walsh | Dentist | 7765 W. North Ave., River Forest, IL 60305 | 2007-03-14 |
| Find all providers in zip 60305 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014642 | Sue Kim | Otolaryngology | 3633 W Lake Ave, Suite 300, Glenview, IL 60026-5805 | 2005-09-20 |
| 1295720159 | Ilana Seligman | Otolaryngology | L000 Central St., Enh Ent Suite 610, Evanston, IL 60201 | 2005-09-16 |
| 1487649315 | Lauren Holinger | Otolaryngology | 225 E. Chicago Ave., #25, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605 | 2005-09-16 |
| 1730171018 | David L. Walner | Otolaryngology | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2005-08-22 |
| 1235556192 | Saied Ghadersohi | Otolaryngology | 225 E Chicago Ave # 25, Chicago, IL 60611-2991 | 2014-03-27 |
| 1275899155 | Jason Ramsey Bell | Otolaryngology | 2160 S 1st Ave, Building 105 Room 1870, Maywood, IL 60153-3328 | 2012-04-05 |
| 1912295379 | Valerie Cote | Otolaryngology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2011-07-19 |
| 1366741548 | Taher Valika | Otolaryngology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2011-03-27 |
| 1093017626 | Adventist Health Partners, Inc | Otolaryngology | 12 Salt Creek Ln, Ste 106, Hinsdale, IL 60521-8605 | 2010-12-02 |
| 1629228580 | Karla Renee Cheatham Brown | Otolaryngology | 110 Sunrise Trl, Carbondale, IL 62902-7523 | 2008-09-26 |
| Find all providers with the same taxonomy | ||||
| City | RIVER FOREST |
| Zip Code | 60305 |
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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.