DR. JACOB BARUCH AVRAHAM (NPI# 1467713248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467713248 |
| Entity Type | Individual |
| Full Name | DR. JACOB BARUCH AVRAHAM |
| Credential | M.D. |
| Practice Address |
9650 Gross Point Rd Ste 3900 Skokie IL 60076-5085 |
| Practice Telephone | 8475701700 |
| Practice Fax Number | 8479821098 |
| Mailing Telephone | 8475701700 |
| Mailing Fax Number | 8479821098 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
036.149606 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 1st Ave, Nyu Medical Center, New York, NY 100166402 | 2122635506 |
| Street Address |
9650 GROSS POINT RD STE 3900 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-5085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366408957 | Margaret Anne Salamon | Obstetrics & Gynecology | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076 | 2006-04-24 |
| 1265994693 | Marilyn Rosenberg | Nurse Practitioner | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-1214 | 2019-04-04 |
| 1508398397 | Michelle Buscemi | Registered Nurse | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-1214 | 2017-03-30 |
| 1801248422 | Kristhine Fidel Nague | Clinical Nurse Specialist | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-1214 | 2016-07-07 |
| 1528486032 | Jacqueline Ann Kalmoe | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2014-04-01 |
| 1710304670 | Michael Sean Mccormack | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2014-03-27 |
| 1841599255 | Sonia Dutta | Obstetrics & Gynecology | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-1214 | 2011-03-24 |
| 1891015079 | Justin Daniel Sobinsky | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-1214 | 2010-06-10 |
| 1750537817 | Chethra Kala Muthiah | Internal Medicine | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076 | 2008-08-08 |
| 1275704256 | Adam Gafni-kane | Obstetrics & Gynecology | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076 | 2008-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528486032 | Jacqueline Ann Kalmoe | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2014-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467986901 | Congress Vein Clinic LLC | Surgery | 41 W Congress Pkwy, 1st Floor, Chicago, IL 60605-1531 | 2017-04-11 |
| 1124029095 | Gary J Merlotti | Surgery | 840 S Wood Street, Csb - Mc 958 - Ste 616, Chicago, IL 60612 | 2005-08-02 |
| 1457357592 | Michael J Kikta | Surgery | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2005-06-23 |
| 1467067942 | Francesca Bryan | Surgery | 1950 W Polk St Ste 5210, Chicago, IL 60612-3723 | 2020-09-11 |
| 1053677047 | Antonio Desean Lozada | Surgery | 305 W Jackson St Ste 302, Carbondale, IL 62901 | 2012-04-04 |
| 1548579576 | West Suburban Surgical, S.c. | Surgery | 1315 N Highland Ave, Suite 203, Aurora, IL 60506-1400 | 2010-09-24 |
| 1740514140 | Emergency Surgical Services of Lake County LLC | Surgery | 1870 W Winchester Rd, Suite 112, Libertyville, IL 60048-5358 | 2009-10-01 |
| 1124255856 | Michael James Anstadt | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2009-06-21 |
| 1730341553 | Yuk Ming Liu | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2008-07-02 |
| 1437333747 | Scheer Surgical Sc | Surgery | 20 Tower Ct, Suite A, Gurnee, IL 60031-5711 | 2007-12-21 |
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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.