DR. JONATHAN FREDERICK BEAN (NPI# 1356583413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356583413 |
Entity Type | Individual |
Full Name | DR. JONATHAN FREDERICK BEAN |
Credential | MD |
Practice Address |
1500 S Fairfield Ave Chicago IL 60608-1782 |
Practice Telephone | 7735422000 |
Mailing Telephone | 7735422000 |
Enumeration Date | 2009-04-03 |
Last Update Date | 2020-01-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 036.130998 | IL | Allopathic & Osteopathic Physicians |
Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
036.130998 | IL | Allopathic & Osteopathic Physicians |
N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
036.130998 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036.130998 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
8201 E Riverside Blvd, Rockford, IL 611142300 | 8159707000 | |
5666 E State St, Rockford, IL 611082425 | 8152262000 | |
1740 W Taylor St, Chicago, IL 606127232 | 8666002273 | |
1801 W Taylor St, Chicago, IL 60612 | 3123554300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730160953 | Jonathan Bean | Physical Medicine & Rehabilitation | 300 1st Ave, Srh Spaulding Rehab Hospital, Boston, MA 02129-3109 | 2005-11-07 |
1326308628 | Jonathan Bean | Dentist | 33 Trafalgar Sq Ste 201, Nashua, NH 03063-4901 | 2012-05-21 |
Street Address |
1500 S FAIRFIELD AVE |
City | CHICAGO |
State | IL |
Zip Code | 60608-1782 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275564197 | Paul M. Berkowitz | Psychiatry & Neurology | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2006-07-06 |
1528668274 | Mount Sinai Hospital Medical Center | Clinic/Center | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-10-30 |
1669089306 | Sabin Gajurel | Internal Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-09-27 |
1710591854 | Trisha May Homan | Nurse Practitioner | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-09-05 |
1861005134 | Elizaveta Vitkovskaya | Internal Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-26 |
1104439751 | Vishal Kwatra | Internal Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-24 |
1265044226 | Temitayo Kafisanwo | Nurse Practitioner | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-20 |
1891306577 | Nardeen Morkos | Family Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-14 |
1659981983 | Anuradha Sakhuja | Internal Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-02 |
1508474818 | Anthony Adly Messiha | Family Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-07-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
Find all providers in zip 60608 |
Taxonomy Code | 2086S0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Critical Care |
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275709438 | Abigail Kirsten Tarbox | Surgery | 676 N St Claire St, Northwestern Memorial Hospital, Chicago, IL 60611 | 2008-05-07 |
1235304551 | Peter Gerard Bendix | Surgery | 5841 S Maryland Ave # 5033, Chicago, IL 60637-1443 | 2008-04-28 |
1295753093 | Carlos Ortega Md Sc | Surgery | 5140 N California Ave Ste 780, Chicago, IL 60625-7066 | 2006-07-18 |
1457787475 | Giovanni D. Giannotti Md, S.c. | Surgery | 2222 W Division St, Suite 335, Chicago, IL 60622-2717 | 2013-09-23 |
1295025534 | Jennifer Turney Cone | Surgery | 5841 S Maryland Ave # Mc5033, Chicago, IL 60637-1443 | 2011-04-07 |
1124253935 | Anne M Stey | Surgery | 259 E Erie St Fl 16, Chicago, IL 60611-2987 | 2009-05-22 |
1134369630 | Nikunj K. Chokshi | Surgery | 5841 S Maryland Ave, Chicago, IL 60637 | 2009-02-24 |
1922254127 | Elizabeth Gwinn | Surgery | 836 W Wellington Ave Rm 4813cc, Chicago, IL 60657-5147 | 2008-08-07 |
1699937292 | Priya Saraswathi Prakash | Surgery | 5841 S Maryland Ave # Mc5033, Chicago, IL 60637-1443 | 2008-06-26 |
1346437191 | Mamta Swaroop | Surgery | 676 N Saint Clair St, Ste 650, Chicago, IL 60611-2927 | 2007-09-26 |
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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.