JUAN PABLO OSPINA BOTERO


Address: 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443
Phone: 7737020151

JUAN PABLO OSPINA BOTERO (NPI# 1497216865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497216865
Entity Type Individual
Full Name JUAN PABLO OSPINA BOTERO
Credential MD
Practice Address 5841 S Maryland Ave # 2030s231
Chicago
IL 60637-1443
Mailing Address 180 Harvester Dr Ste 110
Burr Ridge
IL 60527-6686
Practice Telephone 7737020151
Mailing Telephone 7737021150
Enumeration Date 2019-03-28
Last Update Date 2020-06-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
125.073600 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 125.073600 IL Student, Health Care

Office Location

Street Address 5841 S MARYLAND AVE # 2030S231
City CHICAGO
State IL
Zip Code 60637-1443

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831714294 Kaitlin E Keenan Psychiatry & Neurology 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 2020-06-11
1285195594 Niccolo Emanuele Mencacci Psychiatry & Neurology 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 2019-03-28
1780164574 Danielle Trokey Psychiatry & Neurology 2515 N Clark St Ste 801, Chicago, IL 60614 2018-08-21
1124526272 Neurology Clinic of Chicago, LLC Psychiatry & Neurology 4909 W Division St Ste 302, Chicago, IL 60651-3161 2018-01-23
1538514120 Kathleen Mary Gorman Psychiatry & Neurology 225 E Chicago Avenue, Chicago, IL 60611 2016-05-02
1396190203 Lauren Brandes Psychiatry & Neurology 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 2016-04-28
1366838708 Tresa Elizabeth Zacharias Psychiatry & Neurology Northwestern University, 710 N. Lake Shore Drive, Chicago, IL 60611 2015-04-13
1588059570 Neena R Cherayil Psychiatry & Neurology 259 E Erie St Fl 19, Chicago, IL 60611-2987 2015-04-06
1851782783 Jennifer Ann Smith Psychiatry & Neurology 240 East Huron Street, Mcgaw Pavilion, Suite 1-203, Office of Graduate Medical Education, Chicago, IL 60611 2015-02-13
1245633742 Anna Serafini Psychiatry & Neurology 912 S Wood St # Mc796, Chicago, IL 60612-4300 2014-09-29
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60637

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Dataset Information

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.

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