DR. PAKORN SIRIJINTAKARN (NPI# 1588643449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588643449 |
| Entity Type | Individual |
| Full Name | DR. PAKORN SIRIJINTAKARN |
| Credential | M.D. |
| Practice Address |
2361 Paysphere Circle Chicago IL 60674 |
| Mailing Address |
2520 Elisha Avenue Zion IL 60099 |
| Practice Telephone | 8477464358 |
| Mailing Telephone | 8478726259 |
| Mailing Fax Number | 8478725716 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2015-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036.047099 | IL | Allopathic & Osteopathic Physicians |
| N | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2361 PAYSPHERE CIRCLE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497744106 | Herbert H Beck IIi | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-10-14 |
| 1649559212 | Shelly Vijay | Internal Medicine | 2361 Paysphere Circle, Chicago, IL 60674 | 2011-08-12 |
| 1790006393 | Syed Zahid Aziz Khalid | Emergency Medicine | 2361 Paysphere Circle, Chicago, IL 60674 | 2010-06-17 |
| 1306818109 | Istvan Redei | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2006-02-06 |
| 1700865656 | Peter T. Senatore | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2006-01-10 |
| 1922085372 | S. Charles Charles Lindsay | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1356328728 | Alfonso V Mellijor | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1245217611 | Rakhshanda Neelam | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1164409447 | Elham Abboud | Pathology | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1518944800 | Dennis L Citrin | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043205107 | Yiping Fu | Internal Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2005-09-14 |
| 1114417615 | Nicole Beltran | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674 | 2018-05-10 |
| 1598207375 | Shency Varughese | Registered Nurse | 2361 Paysphere Cir, Chicago, IL 60674 | 2016-11-10 |
| 1861850331 | Katrina Sue Barger | Physician Assistant | 2361 Paysphere Cir, Chicago, IL 60674 | 2016-01-29 |
| 1013255975 | Ruth M Diamond | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674 | 2013-01-27 |
| 1649590878 | Mehul Arvind Patel | Physician Assistant | 2361 Paysphere Cir, Chicago, IL 60674 | 2010-06-10 |
| 1265668750 | Solomon R Katta | Family Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2009-06-10 |
| 1639314834 | Madhavi Nagilla | Internal Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2008-12-03 |
| 1699943720 | Miral Sapan Amin | Surgery | 2361 Paysphere Cir, Chicago, IL 60674 | 2008-02-12 |
| 1699960088 | Sarah Jean Tuohy | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674 | 2007-09-10 |
| Find all providers in zip 60674 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1790132934 | Peter Barton Moreau | Radiology | 1740 W Taylor St Rm 2483, Chicago, IL 60612-7232 | 2016-05-18 |
| 1043678899 | Burce Ozgen Mocan | Radiology | 1740 W Taylor St Rm 2511, Department of Radiology (mc931), Chicago, IL 60612-7232 | 2016-02-08 |
| 1538552898 | Imo Ime Uko | Radiology | 4646 N Marine Dr Ste 7100, Chicago, IL 60640 | 2015-03-11 |
| 1962891739 | Katherine Conlon | Radiology | 240 E Huron St # 1-203, Chicago, IL 60611 | 2015-01-16 |
| 1861805871 | Arun Nagaraju | Radiology | 5841 S. Maryland Ave. Suite Mc2026, University of Chicago, Chicago, IL 60637-1448 | 2014-06-06 |
| 1568873529 | Emily Ghobadi | Radiology | 250 E Superior St Rm 4-2304, Chicago, IL 60611-2914 | 2014-05-13 |
| 1306266903 | Jessica Kristen Peterson | Radiology | 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 | 2014-04-22 |
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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.