MARINOS KONTZIALIS (NPI# 1528214855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528214855 |
| Entity Type | Individual |
| Full Name | MARINOS KONTZIALIS |
| Practice Address |
676 N Saint Clair St Ste 1400 Chicago IL 60611-2951 |
| Practice Telephone | 3126951292 |
| Practice Fax Number | 3126953999 |
| Mailing Telephone | 3126951292 |
| Mailing Fax Number | 3126953999 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
036-138788 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036-138788 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
036138788 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1653 W Congress Pkwy, Chicago, IL 606123833 | 3125633064 |
| Street Address |
676 N SAINT CLAIR ST STE 1400 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548204035 | David M. Shapiro | Internal Medicine | 676 N Saint Clair St Ste 1400, Chicago, IL 60611-2951 | 2006-06-15 |
| 1275169732 | Maciej Jakub Bielaczyc | Social Worker | 676 N Saint Clair St Ste 1400, Chicago, IL 60611-2951 | 2020-03-17 |
| 1558742072 | Joy Liu | Internal Medicine | 676 N Saint Clair St Ste 1400, Chicago, IL 60611 | 2015-06-10 |
| 1780022897 | Ronak Vashi Patel | Internal Medicine | 676 N Saint Clair St Ste 1400, Chicago, IL 60611-2951 | 2013-06-11 |
| 1497014294 | Justin Richard Boike | Internal Medicine | 676 N Saint Clair St Ste 1400, Chicago, IL 60611-2951 | 2012-05-14 |
| 1548528847 | Chase Krumpelman | Radiology | 676 N Saint Clair St Ste 1400, Chicago, IL 60611-2951 | 2012-04-25 |
| 1013274729 | Jacob Wade Ormsby | Radiology | 676 N Saint Clair St Ste 1400, Chicago, IL 60611-2951 | 2012-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 2085D0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Neuroimaging |
| A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. |
| Notes: Source: American Academy of Neurology, www.aan.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336701770 | Sreeshma Tellapuri | Radiology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2019-07-06 |
| 1295213874 | Elie Barakat | Radiology | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-08-05 |
| 1134643364 | Mustafa Anwer Jasim Mafraji | Radiology | 1653 W Congress Pkwy Dept Of, Chicago, IL 60612-3833 | 2017-07-30 |
| 1962924902 | Nisa Cem Oren | Radiology | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2017-07-12 |
| 1609216399 | Ramya Santhosh Gaddikeri | Radiology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2013-06-27 |
| 1578772570 | Milroy S Emmanuel | Radiology | 4955 N Milwaukee Ave, Suite 1, Chicago, IL 60630-2286 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104476670 | Nyssa Perkins | Radiology | 4717 N Knoxville Ave, Peoria, IL 61614-6111 | 2019-09-17 |
| 1578956579 | Kwang Soo Kim | Radiology | 6475 N Tower Ct, Lincolnwood, IL 60712-4207 | 2015-03-15 |
| 1134770258 | Conventions Rx, Ltd | Radiology | 1560 Wall St Ste 304, Naperville, IL 60563-1262 | 2019-09-20 |
| 1568604726 | Mariah Haider Bashir | Radiology | 2160 S 1st Ave, Dept of Radiology, Maywood, IL 60153-3328 | 2009-04-01 |
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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.