JEREMY LAI (NPI# 1639568447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639568447 |
| Entity Type | Individual |
| Full Name | JEREMY LAI |
| Credential | MD |
| Practice Address |
420 E Superior St Ste 9-900 Chicago IL 60611-4494 |
| Mailing Address |
160 E Illinois St Apt 2001 Chicago IL 60611-5409 |
| Practice Telephone | 3125037975 |
| Practice Fax Number | 3126957030 |
| Mailing Telephone | 6266794064 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 125069916 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144434903 | Jeremy D. Lai | Pharmacist | 1569 Lexann Avenue, Suite 104, San Jose, CA 95121 | 2007-05-10 |
| 1588223564 | Jeremy Lai | Pharmacist | 1430 Eastlake Pkwy, Chula Vista, CA 91915-1926 | 2019-06-12 |
| Street Address |
420 E SUPERIOR ST STE 9-900 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-4494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997593 | Cyril Poku Appiagyei | Psychiatry & Neurology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2020-03-22 |
| 1033773635 | Ana Hilda Martinez | Pediatrics | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2019-04-29 |
| 1568923399 | Amanda Mcdonald | Obstetrics & Gynecology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2019-03-26 |
| 1699271726 | Amanda Lynn Johnson | Anesthesiology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2018-04-05 |
| 1801318365 | Zoe Listernick | Pediatrics | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2017-07-16 |
| 1861925653 | Vidushani Sriyanka Perera | Student in an Organized Health Care Education/Training Program | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2017-04-07 |
| 1003347071 | John Bowers | Internal Medicine | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2017-03-22 |
| 1700278819 | Tessa Churchill | Anesthesiology | 420 E Superior St Ste 9-900, Chicago, IL 60611 | 2015-02-26 |
| 1992196661 | Kelly Wun | Orthopaedic Surgery | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
| 1467878314 | Oluwarotimi Sewedo Nettey | Urology | 1524 S. Sangamon Street, Unit 403, Chicago, IL 60608 | 2014-03-14 |
| 1881957405 | Ricardo R Rios | Urology | 5600 W Addison St Ste 305, Chicago, IL 60634-4468 | 2012-06-19 |
| 1972863124 | James Wren | Urology | 675 N Saint Clair St Fl 20, Chicago, IL 60611 | 2012-05-22 |
| 1780940023 | Ryan Patrick Werntz | Urology | 5841 S Maryland Ave # 6038, Chicago, IL 60637-1447 | 2012-04-11 |
| 1487944849 | Charles Tanner Hughes | Urology | 1011 W Wellington Ave Ste 200, Chicago, IL 60657-7187 | 2011-04-19 |
| Find all providers in CHICAGO | ||||
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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.