ANDREA YAN-SIN LO (NPI# 1417226952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417226952 |
| Entity Type | Individual |
| Full Name | ANDREA YAN-SIN LO |
| Practice Address |
5839 S Maryland Ave Wp C-411 / Mc 4062 Chicago IL 60637-1463 |
| Practice Telephone | 7737026175 |
| Practice Fax Number | 7737021192 |
| Mailing Telephone | 7737026175 |
| Mailing Fax Number | 7737021192 |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
036.128924 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
5839 S MARYLAND AVE WP C-411 / MC 4062 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407897887 | Rachel K Wolfson | Pediatrics | 5839 S Maryland Ave, Mc 4064, Chicago, IL 60637-1463 | 2006-06-09 |
| 1831335850 | Claudine Geronimo Sinsioco | Psychiatry & Neurology | 5839 S Maryland Ave, Mc 3055, Chicago, IL 60637-1463 | 2008-12-22 |
| 1013161173 | Nicole W Carlson | Nurse Practitioner | 5839 S Maryland Ave, Mc 5044, Chicago, IL 60637-1463 | 2008-11-14 |
| 1225292402 | Siri Atma W Greeley | Pediatrics | 5839 S Maryland Ave, Mc5053, Chicago, IL 60637-1463 | 2008-07-16 |
| 1376717900 | Brian Dominic Bordini | Pediatrics | 5839 S Maryland Ave, Chicago, IL 60637-1463 | 2008-04-15 |
| 1831391754 | Hilary Rachel Jericho | Pediatrics | 5839 S Maryland Ave, Chicago, IL 60637-1463 | 2007-06-04 |
| 1669522603 | Ranjana R Gokhale | Pediatrics | 5839 S Maryland Ave, Mc 4065, Chicago, IL 60637-1447 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417141904 | Erik Ryan Barthel | Surgery | 5841 S Maryland Ave # Mc4062, University of Chicago Medicine, Chicago, IL 60637-1447 | 2007-08-28 |
| 1467666081 | Connie Jean Rossini | Surgery | 1725 W Harrison St Ste 708, Chicago, IL 60612-3841 | 2007-05-10 |
| 1356394217 | Childrens Surgical Foundation Inc | Surgery | 225 E Chicago Ave # 114, Chicago, IL 60611-2991 | 2006-05-19 |
| 1356822050 | Lurie Childrens Surgical Foundation Inc | Surgery | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2018-08-22 |
| 1649774803 | Rachael Sundland | Surgery | 5841 S Maryland Ave # Mc4062, Chicago, IL 60637-1443 | 2018-03-22 |
| 1245746213 | Chicagoland University Pediatric Surgery, LLC | Surgery | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2017-12-28 |
| 1043655285 | Frances Chinenye Okolo | Surgery | 5841 S Maryland Ave # Mc4062, Chicago, IL 60637-1443 | 2013-05-01 |
| 1235441429 | Jennifer Rose Defazio | Surgery | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2010-07-05 |
| 1417198318 | Mark Slidell | Surgery | 5841 S Maryland Ave, M/c 4062 C411, Chicago, IL 60637-1447 | 2009-03-23 |
| 1912147349 | Yue-yung Hu | Surgery | 225 E Chicago Ave # 63, Chicago, IL 60611-2991 | 2009-02-25 |
| 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.