DR. ROBERT E. MERRICK (NPI# 1437272549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437272549 |
| Entity Type | Individual |
| Full Name | DR. ROBERT E. MERRICK |
| Credential | MD |
| Practice Address |
1633 W Berwyn Ave Chicago IL 60640-2005 |
| Practice Telephone | 2178487856 |
| Mailing Telephone | 2178487856 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
036054685 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE SHIELD | 110123 | 01 |
| IL | 036054685 | 05 | |
| IL | BLUE SHIELD | 00115241 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700861648 | Robert J Merrick | Optometrist | 118 N Huron St, Cheboygan, MI 49721-1625 | 2005-12-14 |
| 1679562474 | Robert J Merrick | Family Medicine | 200 Main St, Guttenberg, IA 52052-9108 | 2005-10-14 |
| 1346233590 | Robert Benjamin Merrick | Radiology | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2005-08-23 |
| Street Address |
1633 W BERWYN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790747517 | Anjen Chenn | Pathology | 303 E Chicago Ave, Ward 3-200, Chicago, IL 60611-4296 | 2006-04-05 |
| 1598111403 | Kyle G Parker | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1447 | 2016-05-10 |
| 1538515473 | Samuel E Weinberg | Pathology | 251 E Huron St, Chicago, IL 60611-3055 | 2016-05-10 |
| 1437449238 | Nazneen Fatima | Pathology | 251 E Huron St, Feinberg 7-220, Chicago, IL 60611-2908 | 2011-04-13 |
| 1871811786 | Board of Trustees of The University of Illinois | Pathology | 1740 W. Taylor Street, Chicago, IL 60612 | 2010-05-17 |
| 1346568748 | Adriana Acurio | Pathology | 1501 S California Ave, Chicago, IL 60608-1732 | 2010-05-10 |
| 1336461599 | Megan E Mcnerney | Pathology | 5841 S Maryland Ave, Mc6101 P615a, Chicago, IL 60637-1447 | 2010-02-15 |
| 1114158342 | Angella Charnot-katsikas | Pathology | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2009-08-05 |
| 1033315528 | Shoujin Wu | Pathology | 820 S Damen Ave, Atten: Palms 113, Chicago, IL 60612-3728 | 2007-06-22 |
| 1245435361 | University of Illinois At Chicago | Pathology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2007-06-19 |
| 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.