RUSH OAK PARK NOCTURNIST (NPI# 1518260165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518260165 |
| Entity Type | Organization |
| Organization Name | RUSH OAK PARK NOCTURNIST |
| Practice Address |
520 S Maple Ave Oak Park IL 60304-1022 |
| Practice Telephone | 7083939300 |
| Mailing Telephone | 7083939300 |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |
| Authorized Official Name | MICHAEL R SILVER (MD/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7083839300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | RUSH OAK PARK HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
520 S MAPLE AVE |
| City | OAK PARK |
| State | IL |
| Zip Code | 60304-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538126396 | Daniel M. Kruss | Internal Medicine | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2006-04-27 |
| 1306453527 | Ranya Elkhatib | Nurse Anesthetist, Certified Registered | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-10-01 |
| 1033721873 | Monica Huback | Registered Nurse | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-08-22 |
| 1295344091 | Samantha Gianakas | Dietitian, Registered | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-07-28 |
| 1104435908 | Molly Hodul | Dietitian, Registered | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-07-28 |
| 1942838594 | Alison Jordan | Nurse Practitioner | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-03-30 |
| 1265066518 | Caroline J Salozzo | Dietitian, Registered | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-02-26 |
| 1093348385 | Joyce Heather Brunner | Physical Therapist | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-02-15 |
| 1417410077 | Alexander Michael Lawson | Student in an Organized Health Care Education/Training Program | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2019-04-10 |
| 1578026662 | Ryan Alexander Haaksma | Student in an Organized Health Care Education/Training Program | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2019-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288532 | Kane Physiotherapy, LLC | Physical Therapist | 617 S. Harvey Ave., Oak Park, IL 60304 | 2020-09-08 |
| 1982221909 | Rachel Hunter | Marriage & Family Therapist | 283 Fillmore Street, Oak Park, IL 60304 | 2020-06-26 |
| 1073086211 | Miguel N Reyes Jr. | Behavioral Analyst | 6930 Roosevelt Rd., Oak Park, IL 60304 | 2019-01-10 |
| 1144722687 | Jesus Torres | Behavior Technician | 6930 W Roosevelt Rd, Oak Park, IL 60304 | 2018-03-01 |
| 1184143190 | Ruth Sharel Babcock | Social Worker | 927 S. Kenilworth Ave., Oak Park, IL 60304 | 2017-09-12 |
| 1053832774 | Anna M Bonick | Doula | 528 S. Taylor Ave., Oak Park, IL 60304 | 2017-07-03 |
| 1982968806 | Monica Singhvi | Family Medicine | 610 S Maple Ave Ste 4600, Oak Park, IL 60304 | 2012-06-25 |
| 1588954135 | Rachana Parag Shah | Physical Medicine & Rehabilitation | 610 S. Maple #3420, Oak Park, IL 60304 | 2011-04-17 |
| 1972825818 | Meghan Mcintyre | Counselor | 610 South Maple Avenue, Suite 3400, Oak Park, IL 60304 | 2010-02-19 |
| 1992953954 | Beverly Harrison Dale | Speech-Language Pathologist | 520 S. Maple Ave, Roph, Oak Park, IL 60304 | 2008-09-03 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225665789 | Tyler Luu | Internal Medicine | 420 Home Ave Apt 207n, Oak Park, IL 60302-3715 | 2020-03-25 |
| 1720551096 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 1 Erie Ct Ste 7000, Oak Park, IL 60302-2567 | 2019-01-09 |
| 1699102632 | I Priority Pt LLC | Internal Medicine | 21700 Greenfield Rd Ste 215, Oak Park, MI 48237-2532 | 2013-10-05 |
| 1104115468 | Lisa Davidoff | Internal Medicine | 7005 North Ave, Oak Park, IL 60302-1001 | 2011-04-06 |
| 1215248984 | Angela Aboutalib | Internal Medicine | 3 Erie Ct Ste L-700, Oak Park, IL 60302-2519 | 2010-06-28 |
| 1750617916 | Venkata Sai Srikanth Moningi | Internal Medicine | 516 Harrison St, Apt Bc, Oak Park, IL 60304-1446 | 2009-10-22 |
| 1063651305 | Anarkali Internists Sc | Internal Medicine | 1035 N Marion St, Oak Park, IL 60302-1374 | 2009-02-10 |
| 1952577819 | Izuchukwu Nwafo | Internal Medicine | 1170 S East Ave, Oak Park, IL 60304-2143 | 2008-05-01 |
| 1053584227 | Jyotsna Bhatt | Internal Medicine | 101 Madidon Street, Suite 204, Oak Park, IL 60302-4210 | 2008-04-09 |
| 1255502464 | Emelita C. Co, M.d. S.c. | Internal Medicine | 610 S Maple Ave Ste 3300, Oak Park, IL 60304-2803 | 2008-03-14 |
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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.