CDN SURGICAL ASSOC., LTD. (NPI# 1528114501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528114501 |
| Entity Type | Organization |
| Organization Name | CDN SURGICAL ASSOC., LTD. |
| Practice Address |
2913 N Commonwealth Ave Chicago IL 60657-6211 |
| Mailing Address |
Po Box 597995 Chicago IL 60695-0001 |
| Practice Telephone | 7734723427 |
| Practice Fax Number | 7734728561 |
| Mailing Telephone | 7734723427 |
| Mailing Fax Number | 7734728561 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-12-21 |
| Authorized Official Name | MRS. KAREN URSO (MEDICAL BILLING MANAGER) |
| Authorized Official Telephone | 7737633445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
IL | Allopathic & Osteopathic Physicians | |
| N | 208C00000X | Colon & Rectal Surgery | IL | Allopathic & Osteopathic Physicians | |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC BS OF IL GROUP NUMBER | 0001618161 | 01 |
| IL | MEDICARE RAILROAD PART B | CA6608 | 01 |
| Street Address |
2913 N COMMONWEALTH AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033162839 | Mark M. Connolly | Surgery | 2913 N Commonwealth Ave, 5th Floor, Chicago, IL 60657-6211 | 2006-05-19 |
| 1235650805 | Sumathi Vijaya Rangan | Internal Medicine | 2913 N Commonwealth Ave, Chicago, IL 60657-6211 | 2017-07-04 |
| 1861912297 | Luis Jose Galindez Lopez | Internal Medicine | 2913 N Commonwealth Ave, Chicago, IL 60657-6211 | 2017-06-27 |
| 1760915375 | Ruchie Bhattarai | Internal Medicine | 2913 N Commonwealth Ave, Chicago, IL 60657-6211 | 2017-04-10 |
| 1821462268 | Presence Chicago Hospitals Network | Internal Medicine | 2913 N Commonwealth Ave, Chicago, IL 60657-6211 | 2015-11-23 |
| 1841662988 | Nicholas Hoffman Anderson | Counselor | 2913 N Commonwealth Ave, 6th Floor, Chicago, IL 60657-6211 | 2015-10-28 |
| 1124402383 | Willard Palustre | Internal Medicine | 2913 N Commonwealth Ave, Suite 204, Chicago, IL 60657-6211 | 2015-07-16 |
| 1134516784 | Divya Sreeramoju | Student in an Organized Health Care Education/Training Program | 2913 N Commonwealth Ave, Suite 204, Chicago, IL 60657-6211 | 2015-04-22 |
| 1588072540 | Chukwuka Godwin Okolo | Internal Medicine | 2913 N Commonwealth Ave, Suite 204, Chicago, IL 60657-6211 | 2014-07-22 |
| 1578974333 | Dominika Schnabel | Student in an Organized Health Care Education/Training Program | 2913 N Commonwealth Ave, Suite 204, Chicago, IL 60657-6211 | 2014-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396267324 | Congress Vascular Center LLC | Surgery | 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 | 2017-07-11 |
| 1235454968 | Margaret Claire Rigamer | Surgery | 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 | 2010-04-06 |
| 1255536355 | Omar Morcos | Surgery | 840 S Wood St # 958, Chicago, IL 60612-4325 | 2007-06-19 |
| 1497890750 | Balasubramaniam S Iyer | Surgery | 1945 W Wilson Avenue, Suite #2115, Chicago, IL 60640-5255 | 2007-02-21 |
| 1013079367 | Karen J. Ho | Surgery | 676 N Saint Clair St Ste 650, Chicago, IL 60611-2929 | 2006-12-14 |
| 1225075104 | Daniel Katz, M.d., L.L.C. | Surgery | 4696 N Marine Dr, Suite 5b, Chicago, IL 60640-5714 | 2006-06-01 |
| 1285602805 | Amy Reed | Surgery | 4700 N Marine Dr Ste 315, Chicago, IL 60640-7976 | 2006-03-09 |
| 1821098542 | Shelly Lynne Bledsoe | Surgery | 2306 E 75th St, Chicago, IL 60649-3306 | 2005-07-22 |
| 1760019905 | Margaret Ann Reilly | Surgery | 251 E Huron St, Chicago, IL 60611-3055 | 2020-03-26 |
| 1124588264 | Calvin Chao | Surgery | 251 E Huron St, Chicago, IL 60611-2908 | 2019-03-24 |
| Find all providers in CHICAGO | ||||
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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.