DR. KENJI OYASU (NPI# 1487768552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487768552 |
| Entity Type | Individual |
| Full Name | DR. KENJI OYASU |
| Credential | M.D. |
| Practice Address |
1324 N Sheridan Rd Dept Of Waukegan IL 60085 |
| Mailing Address |
1324 N Sheridan Rd Dept Of Waukegan IL 60085-2161 |
| Practice Telephone | 8473603000 |
| Mailing Telephone | 8473603000 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146D00000X | Personal Emergency Response Attendant | 036092087 | IL | Emergency Medical Service Providers |
| Y | 207P00000X | Emergency Medicine | 01066275A | IN | Allopathic & Osteopathic Physicians |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
XO9045027 | IL | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 S Washington Ave Ste 202, Park Ridge, IL 600684293 | 8474236800 | 8479726533 |
| Street Address |
1324 N SHERIDAN RD DEPT OF |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043642085 | Patricia Ann Schultz | Emergency Medicine | 1507 Waukegan Road, Robert Morris University, Waukegan, IL 60085-6727 | 2013-08-01 |
| 1225163207 | May Hassib | Emergency Medicine | 2816 Washington St, Waukegan, IL 60085-4840 | 2007-02-22 |
| 1861941809 | App of Illinois Hm Pllc | Emergency Medicine | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2016-10-03 |
| 1699176503 | Emergency Department Associates PC | Emergency Medicine | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2014-09-10 |
| 1932508173 | Vireo Emergency Physicians LLC | Emergency Medicine | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2014-08-13 |
| 1891052239 | Nicholas Ryan Sherman | Emergency Medicine | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2012-04-23 |
| 1588989107 | Shannon Marie Brumund | Emergency Medicine | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2010-04-07 |
| 1356510788 | Sara Michele Ferrera | Emergency Medicine | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2008-02-29 |
| 1073737318 | Christina Bianca Dorow | Emergency Medicine | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2007-04-11 |
| 1972637973 | Todd W Ellingson | Emergency Medicine | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2007-03-14 |
| Find all providers in WAUKEGAN | ||||
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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.