LAND MEDICAL ASSOCIATES SC (NPI# 1588947014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588947014 |
Entity Type | Organization |
Organization Name | LAND MEDICAL ASSOCIATES SC |
Practice Address |
2875 W 19th St Chicago IL 60623-3501 |
Practice Telephone | 7734844425 |
Practice Fax Number | 7735210223 |
Mailing Telephone | 7734844425 |
Mailing Fax Number | 7735210223 |
Enumeration Date | 2011-09-21 |
Last Update Date | 2011-09-21 |
Authorized Official Name | DR. SPENCER A LAND (MD) |
Authorized Official Telephone | 8476926218 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 0361047611 | IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548687643 | Land Medical Associates Sc | Specialist | 2875 W 19th St, Chicago, IL 60623-3501 | 2014-03-26 |
Street Address |
2875 W 19TH ST |
City | CHICAGO |
State | IL |
Zip Code | 60623-3501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194723999 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2005-07-14 |
1922658772 | James Yuanxin Huang | Physical Therapist | 2875 W 19th St, Rehab Department, Chicago, IL 60623 | 2019-09-13 |
1033768726 | Christine Leung | Occupational Therapist | 2875 W 19th St, Chicago, IL 60623-3501 | 2019-09-05 |
1477102101 | Anna Ruth Alexander | Physical Therapist | 2875 W 19th St, Chicago, IL 60623-3501 | 2019-09-05 |
1154893063 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-12-18 |
1225509763 | Rashawn Alisia Sims | Physician Assistant | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-12-10 |
1619459302 | Saint Anthony Hospital | Clinical Medical Laboratory | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-30 |
1619456423 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-13 |
1245719327 | Bruni Hirsch | Advanced Practice Midwife | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-09 |
1972006229 | Katherine De Los Trinos-ocampo | Nurse Practitioner | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-03-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
Find all providers in zip 60623 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
1467878314 | Oluwarotimi Sewedo Nettey | Urology | 1524 S. Sangamon Street, Unit 403, Chicago, IL 60608 | 2014-03-14 |
1881957405 | Ricardo R Rios | Urology | 5600 W Addison St Ste 305, Chicago, IL 60634-4468 | 2012-06-19 |
1972863124 | James Wren | Urology | 675 N Saint Clair St Fl 20, Chicago, IL 60611 | 2012-05-22 |
1780940023 | Ryan Patrick Werntz | Urology | 5841 S Maryland Ave # 6038, Chicago, IL 60637-1447 | 2012-04-11 |
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.