MARK E CICHON (NPI# 1629290655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629290655 |
| Entity Type | Individual |
| Full Name | MARK E CICHON |
| Credential | DO |
| Practice Address |
2160 S First Ave Ems Bldg. Rm. 2700 Maywood IL 60153 |
| Practice Telephone | 7083272700 |
| Practice Fax Number | 7083273474 |
| Mailing Telephone | 7083272700 |
| Mailing Fax Number | 7083273474 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2009-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036073801 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 036073801 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2160 S FIRST AVE EMS BLDG. RM. 2700 |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497732747 | Rodney Tehrani | Internal Medicine | 2160 S First Ave, (luh-north Ent., Rm. 7604), Maywood, IL 60153 | 2005-12-28 |
| 1013448901 | Erin Rebecca Fiedler | Psychiatry & Neurology | 2160 S First Ave, Loyola University Medical Gme Office 105/2840, Maywood, IL 60153 | 2017-03-23 |
| 1477917698 | Judy A Trieu | Internal Medicine | 2160 S First Ave, Building 54- Suite 167, Maywood, IL 60153 | 2016-04-13 |
| 1285977348 | Mackenzie Marie Sward | Ophthalmology | 2160 S First Ave, Loyola University Medical Center Dept of Ophthalmology, Maywood, IL 60153-6809 | 2013-03-27 |
| 1689822231 | Sean O'donnell | Surgery | 2160 S First Ave, Loyola Medical Center Department of Surgery, Maywood, IL 60153 | 2008-09-08 |
| 1730336652 | Lara Bakhos | Internal Medicine | 2160 S First Ave, Maywood, IL 60153 | 2008-08-21 |
| 1831353788 | Justin Spackey | Radiology | 2160 S First Ave, Maywood, IL 60153 | 2008-07-10 |
| 1821257833 | Neha Sheth Dasmunshi | Anesthesiology | 2160 S First Ave, Maywood, IL 60153-3328 | 2008-06-04 |
| 1396878682 | Donna Mccormack | Nurse Practitioner | 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, IL 60153 | 2007-03-14 |
| 1700912409 | John M Santaniello | Surgery | 2160 S First Ave, Ems Bldg., Maywood, IL 60153 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699304485 | Yana Klein | Emergency Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-04-03 |
| 1508494618 | Tallib Adam Karaze | Emergency Medicine | 2160 S 1st Ave, Emergency Department, Maywood, IL 60153-3328 | 2020-04-01 |
| 1679101448 | Andrew Thomas Reiter | Emergency Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-29 |
| 1356978316 | Cassandra Nichole Ward | Emergency Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-26 |
| 1518428994 | Travis Wassermann | Emergency Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-27 |
| 1972064855 | Andrea Anchen Yun | Emergency Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-25 |
| 1881154755 | Bailee Jacobsen | Emergency Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-25 |
| 1912467119 | Josue Portillo | Emergency Medicine | 2160 S 1st Ave Bldg 110, Maywood, IL 60153-3328 | 2019-03-22 |
| 1437617966 | Jeffrey Heiferman | Emergency Medicine | 2160 S 1st Ave Bldg 110, Maywood, IL 60153-3328 | 2019-03-04 |
| 1790280436 | Shannon Kathleen Sparrow | Emergency Medicine | 2160 S 1st Ave Bldg 110, Maywood, IL 60153-3328 | 2018-03-26 |
| Find all providers in MAYWOOD | ||||
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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.