THEA PRISCILLA PRICE (NPI# 1609018969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609018969 |
| Entity Type | Individual |
| Full Name | THEA PRISCILLA PRICE |
| Credential | M.D. |
| Practice Address |
1725 West Harrison St. Suite 810/818 Chicago IL 60612 |
| Practice Telephone | 3129425500 |
| Practice Fax Number | 3125632080 |
| Mailing Telephone | 3129425500 |
| Mailing Fax Number | 3125632080 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2016-02388 | NC | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
2016-02388 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13001 E 17th Pl, Aurora, CO 800452559 | 3037246031 |
| Street Address |
1725 WEST HARRISON ST. SUITE 810/818 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467986901 | Congress Vein Clinic LLC | Surgery | 41 W Congress Pkwy, 1st Floor, Chicago, IL 60605-1531 | 2017-04-11 |
| 1124029095 | Gary J Merlotti | Surgery | 840 S Wood Street, Csb - Mc 958 - Ste 616, Chicago, IL 60612 | 2005-08-02 |
| 1467067942 | Francesca Bryan | Surgery | 1950 W Polk St Ste 5210, Chicago, IL 60612-3723 | 2020-09-11 |
| 1831210814 | Marella L. Hanumadass | Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2007-04-03 |
| 1578681821 | Kimberly K Nagy | Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2007-03-26 |
| 1497873970 | Roxanne R Roberts | Surgery | 1900 W Polk St, Trauma Office 1300, Chicago, IL 60612-3723 | 2007-03-26 |
| 1437264181 | Rebeca M Rico | Surgery | 836 W Wellington Ave, Trauma Dept, Chicago, IL 60657-5147 | 2006-08-21 |
| 1952333957 | Marc Homer Dahman | Surgery | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2006-07-07 |
| 1750383485 | Michael T Kronon | Surgery | 1501 S California Ave, Chicago, IL 60608-1732 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357592 | Michael J Kikta | Surgery | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2005-06-23 |
| 1528486032 | Jacqueline Ann Kalmoe | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2014-04-01 |
| 1467713248 | Jacob Baruch Avraham | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2012-06-07 |
| 1053677047 | Antonio Desean Lozada | Surgery | 305 W Jackson St Ste 302, Carbondale, IL 62901 | 2012-04-04 |
| 1548579576 | West Suburban Surgical, S.c. | Surgery | 1315 N Highland Ave, Suite 203, Aurora, IL 60506-1400 | 2010-09-24 |
| 1740514140 | Emergency Surgical Services of Lake County LLC | Surgery | 1870 W Winchester Rd, Suite 112, Libertyville, IL 60048-5358 | 2009-10-01 |
| 1124255856 | Michael James Anstadt | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2009-06-21 |
| 1730341553 | Yuk Ming Liu | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2008-07-02 |
| 1437333747 | Scheer Surgical Sc | Surgery | 20 Tower Ct, Suite A, Gurnee, IL 60031-5711 | 2007-12-21 |
| 1164562633 | Steven Lance Salzman | Surgery | 4440 W 95th St, Dept. of Trauma 183s, Oak Lawn, IL 60453-2600 | 2007-02-07 |
| Find all providers with the same taxonomy | ||||
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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.