ENDOCRINE DIABETES CLINIC LTD (NPI# 1598006546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598006546 |
| Entity Type | Organization |
| Organization Name | ENDOCRINE DIABETES CLINIC LTD |
| Practice Address |
3830 W 95th St Evergreen Park IL 60805-2004 |
| Practice Telephone | 7084796522 |
| Mailing Telephone | 7084796522 |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |
| Authorized Official Name | DR. ABDALLAH ALTARSHAN (PRESIDENT) |
| Authorized Official Telephone | 7084796522 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036093254 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036093254 | 05 |
| Street Address |
3830 W 95TH ST |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447218359 | Dr Bela Pandit PC | Podiatrist | 3830 W 95th St, Evergreen Park, IL 60805-2004 | 2006-05-02 |
| 1568915593 | Health Is Wealth Wellness Center Inc | Chiropractor | 3830 W 95th St, Suite 107, Evergreen Park, IL 60805-2004 | 2016-07-26 |
| 1639424823 | Dr. Bela Pandit, PC | Non-Pharmacy Dispensing Site | 3830 W 95th St, Suite 104, Evergreen Park, IL 60805-2004 | 2012-07-13 |
| 1962638379 | Abc Home Health Services, Inc. | Home Health | 3830 W 95th St, Suite # 3, Evergreen Park, IL 60805-2004 | 2009-06-01 |
| 1437397023 | Jyothsna Palla | Internal Medicine | 3830 W 95th St, Evergreen Park, IL 60805-2004 | 2009-02-04 |
| 1093974800 | Maya Medical Centers Sc | Internal Medicine | 3830 W 95th St, Evergreen Park, IL 60805-2004 | 2008-06-06 |
| 1770601064 | Mario M. Gallo & Linda R. Harper Ptr | Psychologist | 3830 W 95th St, Suite 110, Evergreen Park, IL 60805-2004 | 2007-03-26 |
| 1285781856 | Rochelle Johnson | Social Worker | 3830 W 95th St, Evergreen Park, IL 60805-2004 | 2007-01-04 |
| 1558387621 | Nusrat Musa | Internal Medicine | 3830 W 95th St, Suite 108, Evergreen Park, IL 60805-2004 | 2006-07-14 |
| 1891729992 | Mario M. Gallo | Psychologist | 3830 W 95th St, Suite 110, Evergreen Park, IL 60805-2004 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437397023 | Jyothsna Palla | Internal Medicine | 3830 W 95th St, Evergreen Park, IL 60805-2004 | 2009-02-04 |
| 1447291422 | Jung I Jun | Internal Medicine | 2850 W 95th St, Suite 11, Evergreen Park, IL 60805-2735 | 2006-06-09 |
| 1689627168 | Diabetes & Endocrine Care Ltd | Internal Medicine | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2006-05-18 |
| 1841243334 | Ammar Adnan Bayrakdar | Internal Medicine | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961304 | Wahid Kassar Md Ltd | Internal Medicine | 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 | 2020-04-20 |
| 1245701812 | Chrysalis Health of Il P.C. | Internal Medicine | 402 Gardenia Ln, Buffalo Grove, IL 60089-1661 | 2018-12-07 |
| 1467920124 | Impact Physician Group, Illinois, LLC | Internal Medicine | 115 E South St Ste F, Plano, IL 60545-1595 | 2018-11-10 |
| 1538669510 | Oa Labs Clinic LLC. | Internal Medicine | 6321 Fairview Ave Ste B, Westmont, IL 60559-2886 | 2018-02-16 |
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1356861496 | Javier Alcid Duron Tabora | Internal Medicine | 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 | 2017-06-20 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1780135426 | Endocrine and Metabolic Center Inc | Internal Medicine | 280 Stonegate Rd, Algonquin, IL 60102-5600 | 2016-10-18 |
| 1174975601 | Bilal Shaikh | Internal Medicine | 1750 W Harrison St Ste 250, Chicago, IL 60612 | 2016-07-08 |
| 1316396294 | Melissa Faye Cohen | Internal Medicine | 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 | 2016-06-10 |
| Find all providers with the same taxonomy | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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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.