DR. REZA KANANI (NPI# 1609134352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609134352 |
Entity Type | Individual |
Full Name | DR. REZA KANANI |
Credential | M.D. |
Practice Address |
5721 S Maryland Ave Mc8000, Suite K160 Chicago IL 60637-1425 |
Mailing Address |
24645 Royale Rdg Laguna Niguel CA 92677-7458 |
Practice Telephone | 7737020420 |
Mailing Telephone | 6163132382 |
Enumeration Date | 2012-05-01 |
Last Update Date | 2018-07-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
036133804 | IL | Allopathic & Osteopathic Physicians |
Street Address |
5721 S MARYLAND AVE MC8000, SUITE K160 |
City | CHICAGO |
State | IL |
Zip Code | 60637-1425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942277322 | Jill Louise Olson De Jong | Pediatrics | 5721 S Maryland Ave, Comer Children's Hospital, Chicago, IL 60637-1425 | 2006-03-03 |
1245852730 | Stefanie Hayes | Registered Nurse | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2020-05-07 |
1598392169 | Ashley Mackey | Pediatrics | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2020-03-24 |
1205499423 | Margaret Elizabeth Mcguire | Nurse Practitioner | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2019-04-15 |
1134635147 | Margaret Connors | Nurse Practitioner | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2017-12-28 |
1164871844 | Emily Batton | Pediatrics | 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637-1425 | 2016-06-03 |
1043668098 | Ysabella Esteban | Pediatrics | 5721 S Maryland Ave, Mc 8016, K 155, Chicago, IL 60637-1425 | 2016-06-01 |
1801242367 | Elizabeth Watts Freeman | Pediatrics | 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637-1425 | 2016-05-13 |
1619358868 | Catherine Berger | Pediatrics | 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637 | 2015-06-13 |
1124409743 | Juan Ricardo Barron Alemany | Pediatrics | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2015-06-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
Find all providers in zip 60637 |
Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851558001 | Lubov Romantseva | Psychiatry & Neurology | 1725 W Harrison St Ste 718, Department of Pediatrics, Section of Child Neurology, Chicago, IL 60612-3863 | 2008-05-16 |
1356446306 | Leonard D Elkun Md Sc | Psychiatry & Neurology | 411 W Ontario St, Suite 402, Chicago, IL 60610-6945 | 2006-09-14 |
1023129145 | Leonard David Elkun | Psychiatry & Neurology | 411 W. Ontario St, Suite 402, Chicago, IL 60610-6945 | 2006-08-31 |
1811929003 | Charles Nash Swisher | Psychiatry & Neurology | 2515 N Clark Street, Suite, Chicago, IL 60614 | 2006-07-07 |
1578531950 | David G Ritacco | Psychiatry & Neurology | 225 E Chicago Ave # 51, Chicago, IL 60611-2991 | 2006-03-10 |
1386639342 | Audrius V Plioplys | Psychiatry & Neurology | 8844 S Pleasant Ave, Chicago, IL 60620-5441 | 2005-09-15 |
1720532773 | Adult and Pediatric Neurology | Psychiatry & Neurology | 5318 W Devon Ave, Chicago, IL 60646-4108 | 2016-08-08 |
1851785547 | Henry David | Psychiatry & Neurology | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2015-03-20 |
1972910404 | David Andrew Bieber | Psychiatry & Neurology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2014-07-16 |
1992122410 | Divakar Mithal | Psychiatry & Neurology | 225 E Chicago Ave Dept Of, Chicago, IL 60611-2991 | 2014-03-21 |
Find all providers in CHICAGO |
Please comment or provide details below to improve the information on DR. REZA KANANI.
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.