DR. REZA KANANI


Address: 5721 S Maryland Ave, Mc8000, Suite K160, Chicago, IL 60637-1425
Phone: 7737020420

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 5721 S MARYLAND AVE
MC8000, SUITE K160
City CHICAGO
State IL
Zip Code 60637-1425

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City CHICAGO
Zip Code 60637

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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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