MEHDAT GABRIEL (NPI# 1497824908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497824908 |
| Entity Type | Individual |
| Full Name | MEHDAT GABRIEL |
| Credential | MD |
| Practice Address |
Loyola University Medical Center Mcgaw Ent., Rm. 47 Maywood IL 60153 |
| Practice Telephone | 7082165221 |
| Practice Fax Number | 7082160899 |
| Mailing Telephone | 7082165221 |
| Mailing Fax Number | 7082160899 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2009-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine | 036-105453 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036-105453 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE | K24227 | 01 |
| Street Address |
LOYOLA UNIVERSITY MEDICAL CENTER MCGAW ENT., RM. 47 |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679654040 | Guliz Barkan | Pathology | Loyola University Medical Center, 2160 S First Ave 101 1740, Maywood, IL 60153 | 2006-10-18 |
| 1528520442 | Jenna Berndt | Pediatrics | Loyola University Medical Center, 2160 S. First Ave. Maguire 3rd Floor, Maywood, IL 60153 | 2019-04-01 |
| 1124598909 | Stela Lapic | Nurse Practitioner | Loyola University Medical Center, 2160 South 1st Avenue, Maywood, IL 60153-3328 | 2018-12-05 |
| 1801389515 | Nicole Mary Raucci | Nurse Practitioner | Loyola University Medical Center, 2160 S. First Avenue, Maywood, IL 60153 | 2018-06-08 |
| 1558867556 | Gregory Joseph Klazura | Surgery | Loyola University Medical Center, 2160 S. First Avenue, Ems Bld. 3210, Maywood, IL 60153 | 2018-03-30 |
| 1700388014 | Luke David Vickers | Dentist | Loyola University Medical Center, 2160 S. First Avenue, Maywood, IL 60153 | 2018-03-02 |
| 1346506839 | Gregory Aubert | Internal Medicine | Loyola University Medical Center, 2160 S 1st Avenue, Maywood, IL 60153 | 2012-04-09 |
| 1366648081 | Lukas M Nystrom | Orthopaedic Surgery | Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153-3328 | 2007-06-21 |
| 1326106865 | John F Moran | Internal Medicine | Loyola University Medical Center, (luh - North Ent., Rm7604), Maywood, IL 60153 | 2006-12-05 |
| 1386713725 | Louis G Mercuri | Dentist | Loyola University Medical Center, 2160 S First Ave 101 1740, Maywood, IL 60153 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447419056 | Marielia Gerena | Radiology | 2160 S 1st Ave Dept Of, Maywood, IL 60153-3328 | 2008-06-09 |
| 1053385898 | Scott Alan Mirowitz | Radiology | 2160 So First Avenue, Radiology, Maywood, IL 60153-3328 | 2006-02-16 |
| 1154981645 | Rishabh Gopal Choudhari | Radiology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-06-17 |
| 1497312664 | Hamza Chaudhry | Radiology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-05-23 |
| 1619430675 | John Fredrick Olivieri Jr. | Radiology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-04-08 |
| 1619439361 | Albert Gjeluci | Radiology | 2160 S. First Ave, Maywood, IL 60153 | 2019-04-02 |
| 1598226847 | Joseph Michael Kus | Radiology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-28 |
| 1477044394 | Garrett Michael Carpenter | Radiology | 2160 S 1st Ave, Maywood, IL 60153 | 2018-05-26 |
| 1437647096 | Emma Mz Sechrist | Radiology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2018-04-28 |
| 1417454141 | Alaa Adel Elmaoued | Radiology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2018-04-09 |
| Find all providers in MAYWOOD | ||||
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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.