PETRAS V KISIELIUS (NPI# 1447200563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447200563 |
| Entity Type | Individual |
| Full Name | PETRAS V KISIELIUS |
| Credential | MD |
| Practice Address |
1200 S York Rd Elmhurst IL 60126-5626 |
| Mailing Address |
172 Schiller St Elmhurst IL 60126-2885 |
| Practice Telephone | 6309412609 |
| Practice Fax Number | 6307588578 |
| Mailing Telephone | 6309935676 |
| Mailing Fax Number | 6307589940 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036068731 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1200 S YORK RD |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-5626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085384 | Elmhurst Outpatient Surgery Center LLC | Clinic/Center | 1200 S York Rd, Ste 1400, Elmhurst, IL 60126-5633 | 2005-06-28 |
| 1730606583 | Leann R Rushing | Physician Assistant | 1200 S York Rd, Sutie 2000, Elmhurst, IL 60126 | 2017-08-23 |
| 1518211325 | Chicago Neurological Surgery P.C. | Neurological Surgery | 1200 S York Rd, Suite 4280, Elmhurst, IL 60126-5626 | 2012-10-31 |
| 1649522582 | Jennifer L Specht | Physical Therapist | 1200 S York Rd, Elmhurst, IL 60126-5626 | 2012-10-02 |
| 1972855815 | Ilea K Pavel | Physical Therapist | 1200 S York Rd, Elmhurst, IL 60126-5626 | 2012-10-02 |
| 1619260304 | Maribeth Maney | Nurse Practitioner | 1200 S York Rd, Suite 3100, Elmhurst, IL 60126-5626 | 2011-05-27 |
| 1508164898 | Hinsdale Orthopaedic Associates Sc | Specialist | 1200 S York Rd, Suite 4110, Elmhurst, IL 60126-5626 | 2011-03-10 |
| 1619283264 | Midwest Hand Surgery Sc | Clinic/Center | 1200 S York Rd, Suite 3200, Elmhurst, IL 60126-5626 | 2010-08-20 |
| 1194039669 | Michelle Jackowski | Advanced Practice Midwife | 1200 S York Rd, #4120, Elmhurst, IL 60126 | 2010-07-27 |
| 1952632101 | Rama R Dandamudi Md Sc | Surgery | 1200 S York Rd, 4250, Elmhurst, IL 60126-5626 | 2010-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043498678 | Gordon J. Kinzler, M.d.,s.c. | Urology | 1200 S York Rd Ste 4290, Elmhurst, IL 60126-5632 | 2008-02-06 |
| 1851499149 | Krishna Jhaveri | Urology | 6008 Junction Blvd, Elmhurst, NY 11373-5071 | 2006-09-20 |
| 1700806353 | Vedantham - Srinivasan | Urology | 707 N York St Ste 101, Elmhurst, IL 60126-1624 | 2006-07-19 |
| 1679501928 | Roberto E Granato | Urology | 4046 75th St, Elmhurst, NY 11373-1012 | 2006-06-28 |
| 1649254178 | Ihab Rafik Awad | Urology | 88-12 Queens Blvd., Elmhurst, NY 11373 | 2005-11-29 |
| 1023437647 | Krishna K. Jhaveri Physician PC | Urology | 6008 Junction Blvd, Elmhurst, NY 11373-5071 | 2014-04-10 |
| 1487936274 | Krishna K Jhaveri Physician PC | Urology | 6008 Junction Blvd, Suite #a1, Elmhurst, NY 11373-5071 | 2011-09-16 |
| 1194015248 | Zuhair Hussaini | Urology | 1200 S York St, Suite 2000, Elmhurst, IL 60126 | 2011-04-11 |
| 1851521157 | Mount Sinai School of Medicine | Urology | 7901 Broadway, Room A1-9, Elmhurst, NY 11373-1329 | 2009-07-21 |
| 1750577615 | Roberto C. Granato, Mdpc | Urology | 4046 75th St, Elmhurst, NY 11373-1012 | 2007-09-24 |
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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.