MICHAEL R FIORUCCI


Address: 2850 W 95th St, Suite 306, Evergreen Park, IL 60805-2735
Phone: 7084228500

MICHAEL R FIORUCCI (NPI# 1598760480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598760480
Entity Type Individual
Full Name MICHAEL R FIORUCCI
Credential MD
Practice Address 2850 W 95th St
Suite 306
Evergreen Park
IL 60805-2735
Practice Telephone 7084228500
Practice Fax Number 7082296081
Mailing Telephone 7084228500
Mailing Fax Number 7082296081
Enumeration Date 2005-06-16
Last Update Date 2014-06-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 036108602 IL Allopathic & Osteopathic Physicians
N 208600000X Surgery 47268 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 34584700 05

Office Location

Street Address 2850 W 95TH ST
SUITE 306
City EVERGREEN PARK
State IL
Zip Code 60805-2735

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295197697 Shina Keaonis Gordon Nurse Practitioner 2850 W 95th St, Evergreen Park, IL 60805-2735 2016-03-24
1659757888 Yvonne Oldaker Advanced Practice Midwife 2850 W 95th St, Evergreen Park, IL 60805-2735 2015-08-11
1386037984 Leslie Kelly Nurse Practitioner 2850 W 95th St, Evergreen Park, IL 60805-2735 2015-03-06
1558754291 Gina Marie Chigaros Counselor 2850 W 95th St, Mary Potter Pavilion Suite 403, Evergreen Park, IL 60805-2735 2015-03-05
1629487806 Deon Shere Cooper Registered Nurse 2850 W 95th St, Suite 301, Evergreen Park, IL 60805-2735 2014-08-12
1750621884 Cynthia M Hayes Clinical Nurse Specialist 2850 W 95th St, Evergreen Park, IL 60805-2735 2013-02-27
1336488212 The Cardiology Group Clinical Nurse Specialist 2850 W 95th St, Suite 305, Evergreen Park, IL 60805-2735 2013-02-12
1255608808 Kunhunn Vellody Md Clinic/Center 2850 W 95th St, Suite 201, Evergreen Park, IL 60805-2735 2011-11-28
1457649121 Ryan Kukor Internal Medicine 2850 W 95th St, Suite 102, Evergreen Park, IL 60805-2735 2011-07-15
1740588854 Jung Il Jun Md Sc Specialist 2850 W 95th St, Suite 11, Evergreen Park, IL 60805-2735 2011-03-14
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669623575 Wellcare Physician Services, Inc. Surgery 8905 S Francisco Ave, Evergreen Park, IL 60805-1251 2008-10-09
1184619900 Monica L Lorimer Surgery 2850 W. 95th St, Suite 306, Evergreen Park, IL 60805 2005-09-19
1164678793 Michael Gregory Hurtuk Surgery 2850 W 95th St, Suite 306, Evergreen Park, IL 60805-2735 2008-08-14
1053509448 Ahk Surgical S.c. Surgery 2850 W 95th St, Evergreen Park, IL 60805-2735 2007-10-10
1083816565 Odonoghue & Rosenow, Mdsc Surgery 2850 W 95th St, Suite 306, Evergreen Park, IL 60805-2741 2007-06-05
1275687071 Abdul Haye Khan Surgery 2850 W 95th St, Suite 102, Evergreen Park, IL 60805-2735 2007-01-22
1831274489 Gerald A Cahill Md Sc Surgery 2850 W 95th St, Suite 300, Evergreen Park, IL 60805-2735 2006-10-25
1194742924 Farhad Vossoughi Surgery 2800 W 95th St, Evergreen Park, IL 60805-2701 2006-07-17
1528084696 David Shapiro Surgery 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 2006-07-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003430166 Conlan Joseph Pierce Surgery 601 W Park St, Urbana, IL 61801 2020-06-04
1376167809 Francesco Bajani Surgery 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 2020-06-01
1972123099 Andrea Liu Surgery 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 2020-04-18
1750917183 Alberto Maria Fratti Surgery 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 2020-03-17
1841845047 Barijuve Surgical LLC Surgery 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 2019-08-05
1164081782 Sean Park Surgery 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 2019-06-07
1376014175 Edwardsville Physicians Group LLC Surgery 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 2018-12-06
1316421324 Erica Lester Surgery John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 2018-09-17
1023513389 Crystal Siyu Zhang Surgery 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 2018-03-28
1376047381 Richard Lawrence Nelson Surgery 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 2018-03-23
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Competitor

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City EVERGREEN PARK
Zip Code 60805

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Dataset Information

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.

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