MADHURI V KONANAHALLI (NPI# 1568656130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568656130 |
| Entity Type | Individual |
| Full Name | MADHURI V KONANAHALLI |
| Credential | M.D. |
| Practice Address |
1000 Central St Ste 800 Evanston IL 60201 |
| Mailing Address |
1000 Central St Ste 800 Evanston IL 60201-1780 |
| Practice Telephone | 8476638060 |
| Practice Fax Number | 8476631027 |
| Mailing Telephone | 8476638060 |
| Mailing Fax Number | 8476631027 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 036118314 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 707 Lake Cook Rd, Suite #280, Deerfield, IL 600155613 | 8474800004 | 8474808707 |
| Street Address |
1000 CENTRAL ST STE 800 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811948243 | Vincent F Biank | Pediatrics | 1000 Central St Ste 800, Evanston, IL 60201-1780 | 2006-05-12 |
| 1477186203 | Jin Hee Kim | Nurse Practitioner | 1000 Central St Ste 800, Evanston, IL 60201-1780 | 2020-02-20 |
| 1720498660 | Katherine Jane Kaplar | Internal Medicine | 1000 Central St Ste 800, Evanston, IL 60201-1780 | 2014-04-30 |
| 1952667982 | Rebecca Anne Casini | Pediatrics | 1000 Central St Ste 800, Evanston, IL 60201 | 2012-04-03 |
| 1255643987 | Liliana Osadchuk | Internal Medicine | 1000 Central St Ste 800, Evanston, IL 60201 | 2010-07-10 |
| 1396078176 | Jennifer L. Grant | Internal Medicine | 1000 Central St Ste 800, Evanston, IL 60201-1780 | 2009-09-11 |
| 1336378348 | Mary Ellen Acree | Internal Medicine | 1000 Central St Ste 800, Evanston, IL 60201-1780 | 2009-07-11 |
| 1952560492 | Takijah T. Heard | Psychiatry & Neurology | 1000 Central St Ste 800, Evanston, IL 60201 | 2008-06-09 |
| 1801950852 | Aarti Malik | Internal Medicine | 1000 Central St Ste 800, Evanston, IL 60201 | 2006-12-21 |
| 1679657944 | Bob Sun | Internal Medicine | 1000 Central St Ste 800, Evanston, IL 60201-1780 | 2006-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942832159 | Draper Dermatology, P.C. | Dermatology | 196 Arrowhead Dr Ste 7, Evanston, WY 82930-8752 | 2020-02-05 |
| 1578721353 | Lynne R. Eramo | Dermatology | 414 Church St, Evanston, IL 60201-4514 | 2008-05-28 |
| 1538225560 | Lawrence E Levine | Dermatology | 800 Austin East Tower #460, Evanston, IL 60202 | 2006-12-27 |
| 1043383524 | Tony S. Fu | Dermatology | 636 Church St Ste 222, Evanston, IL 60201-4578 | 2006-11-15 |
| 1447248752 | Leonard Levitt | Dermatology | 1101 Howard St, Ste 204, Evanston, IL 60202-3878 | 2005-10-11 |
| 1093246621 | Arjun Dayal | Dermatology | 2650 Ridge Ave, Evanston, IL 60201 | 2017-03-24 |
| 1205063781 | Jill Christina Anderson | Dermatology | 1704 Maple Ave, Suite 200, Evanston, IL 60201-3134 | 2009-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1063030252 | Vitalskin Medical Group Il Pllc | Dermatology | 1111 W Kenyon Rd, Urbana, IL 61801-1010 | 2020-07-14 |
| 1447873831 | Derick Dermatology, LLC | Dermatology | 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 | 2020-05-20 |
| 1346869393 | Julia Katsnelson Md Sc | Dermatology | 231 Olde Half Day Rd, Lincolnshire, IL 60069-2906 | 2020-04-10 |
| 1114551983 | Katherine Janezic | Dermatology | 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 | 2020-03-02 |
| 1013559400 | Orsini Surgical Dermatology Sc | Dermatology | 1519 Legacy Cir, Naperville, IL 60563-3161 | 2019-10-17 |
| 1124675244 | Kiracofe Md Medical, LLC | Dermatology | 719 South Blvd # 2903, Oak Park, IL 60302-2903 | 2019-08-22 |
| 1366009664 | Derick Dermatology | Dermatology | 1900 Spring Rd Ste 210, Oak Brook, IL 60523-9063 | 2019-05-22 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1891257853 | Maria Estela Martinez Escala | Dermatology | 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 | 2019-04-01 |
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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.