DR. MARC W GERDISCH (NPI# 1508822255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508822255 |
| Entity Type | Individual |
| Full Name | DR. MARC W GERDISCH |
| Credential | MD |
| Practice Address |
2650 Warrenville Rd Suite 280 Downers Grove IL 60515 |
| Practice Telephone | 6303247900 |
| Practice Fax Number | 6303247942 |
| Mailing Telephone | 6303247900 |
| Mailing Fax Number | 6303247942 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 01048049A | IN | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036079121 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36079121 | 05 | |
| COOK GROUP | S26620 | 01 | |
| DUPAGE GROUP | 344390 | 01 | |
| URBANA/ROCKFORD/MOLINE | 202172 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1205 S Main St Ste 101, Crown Point, IN 463073677 | 2196620077 |
| Street Address |
2650 WARRENVILLE RD SUITE 280 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235100397 | Srinivas Kolla | Surgery | 2650 Warrenville Rd, Suite 280, Downers Grove, IL 60515-1748 | 2006-01-27 |
| 1831719723 | Linda Yin | Pharmacist | 2650 Warrenville Rd, Downers Grove, IL 60515-1748 | 2020-04-20 |
| 1487027983 | Cardiac Surgery Associates, Sc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2650 Warrenville Rd, Suite 280, Downers Grove, IL 60515-1748 | 2015-11-05 |
| 1669860292 | Maura Jarka | Nurse Practitioner | 2650 Warrenville Rd, Suite 280, Downers Grove, IL 60515-1748 | 2015-01-06 |
| 1689918336 | Rebecca Plutz | Physician Assistant | 2650 Warrenville Rd, Ste. 280, Downers Grove, IL 60515-1748 | 2012-11-19 |
| 1205194875 | Elizabeth Black | Nurse Practitioner | 2650 Warrenville Rd, 280, Downers Grove, IL 60515-1748 | 2012-05-02 |
| 1942573001 | Mackenzie Shallenberger | Physician Assistant | 2650 Warrenville Rd, Ste. 280, Downers Grove, IL 60515-1748 | 2012-02-20 |
| 1558643999 | Scott Cavinder | Nurse Practitioner | 2650 Warrenville Rd, Ste. 280, Downers Grove, IL 60515-1748 | 2011-09-12 |
| 1629089495 | Edgar G. Chedrawy | Surgery | 2650 Warrenville Rd, Suite 280, Downers Grove, IL 60515-1748 | 2006-08-10 |
| 1861409393 | Maureen E Moran | Physician Assistant | 2650 Warrenville Rd, Ste 280, Downers Grove, IL 60515 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184874620 | Alyas P Chaudhry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2650 Warrenville Rd., Ste. 280, Downers Grove, IL 60575 | 2008-09-21 |
| 1487027983 | Cardiac Surgery Associates, Sc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2650 Warrenville Rd, Suite 280, Downers Grove, IL 60515-1748 | 2015-11-05 |
| 1043269160 | Cardiac Surgery Associates Sc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2650 Warrenville Rd, Suite 280, Downers Grove, IL 60515 | 2006-05-08 |
| 1023074770 | John G Grieco | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2650 Warrenville Rd, Suite 280, Downers Grove, IL 60515 | 2006-04-21 |
| 1972569754 | Bryan K Foy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2650 Warrenville Rd, Ste 280, Downers Grove, IL 60515 | 2006-04-21 |
| 1558338723 | Elizabeth Ann Colaiuta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2650 Warrenville Rd, Ste. 280, Downers Grove, IL 60515-1748 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205363041 | Sachowdhry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 S Summit Ave, Oakbrook Terrace, IL 60181-2212 | 2017-05-11 |
| 1760930028 | Hiroto Kitahara | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5841 S. Maryland Avenue M/c6040, Chicago, IL 60637 | 2016-09-15 |
| 1720440282 | Azad Karim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 441 E Erie St Apt 1803441, Chicago, IL 60611-4446 | 2016-03-24 |
| 1982002838 | Milton Weinberg Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 983 Kirkhill Ln, Lake Forest, IL 60045-4209 | 2014-12-09 |
| 1235557190 | Bartlomiej Imielski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 E. Huron St., Galter 11-140, Chicago, IL 60611 | 2014-03-28 |
| 1841635869 | Aaron Maxwell Kime | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 133 E Brush Hill Rd Ste 200, Elmhurst, IL 60126-5661 | 2013-05-03 |
| 1952744823 | Walter Lee Barker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2912 N. Commonwealth Ave., #11c, Chicago, IL 60657-6235 | 2013-04-10 |
| 1952641649 | Willard A Fry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1500 Sheridan Rd, #10e, Wilmette, IL 60091-1873 | 2013-02-18 |
| 1487903092 | Horizons In Healthcare LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 372 Red Bud Ct., Frankfort, IL 60423-2128 | 2012-08-29 |
| 1518215284 | Paul Naffah | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6161 So County Line Rd, Burr Ridge, IL 60527 | 2012-08-28 |
| Find all providers with the same taxonomy | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
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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.