DR. JACQUELINE MARIE MORANO (NPI# 1679834535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679834535 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE MARIE MORANO |
| Credential | M.D. |
| Practice Address |
5841 S Maryland Ave Chicago IL 60637-1443 |
| Mailing Address |
150 Harvester Dr Ste 300 Burr Ridge IL 60527-5965 |
| Practice Telephone | 5169675001 |
| Mailing Telephone | 5169675001 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
036142737 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 222 Station Plaza North, Suite 510 Winthrop University Hospital, Mineola, NY 11501 | 5166632521 | 5166639665 |
| Street Address |
5841 S MARYLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887296 | Rita Lynn Mcgill | Internal Medicine | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2005-08-09 |
| 1447851472 | Basirat Sulaiman | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-11-05 |
| 1982204061 | Martha Daniela Gorski | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-10-28 |
| 1841807179 | Jason Bugno | Pharmacist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-30 |
| 1942816798 | Emily Mancewicz | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-17 |
| 1841805546 | Anayeli Locascio | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-10 |
| 1336752856 | Rachel Barsella | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-25 |
| 1982215620 | Jennifer Risner | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-16 |
| 1134739857 | Moshe Bedziner | Physician Assistant | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-06 |
| 1427676899 | Brittney Blackwell | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-07-11 |
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| 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 |
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| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831552454 | Justin Alexander | Anesthesiology | 5841 S Maryland Ave # 4028, Chicago, IL 60637-1443 | 2016-03-31 |
| 1861773079 | Aalok Kacha | Anesthesiology | 5840 S. Maryland Ave., Mc4028, Univ. of Chicago, Dept of Anesthesia & Critical Care, Chicago, IL 60637 | 2011-09-01 |
| 1952854119 | Rajvir Kaur Chahal | Anesthesiology | 5841 S Maryland Ave # Mc4028, Chicago, IL 60637-1443 | 2016-07-24 |
| 1255758363 | David Bissing | Anesthesiology | 5841 S Maryland Ave # Mc-4028, Chicago, IL 60637-1443 | 2014-03-26 |
| 1851720304 | Tiffany Bohling | Anesthesiology | 251 E Huron St, Chicago, IL 60611-2908 | 2013-11-05 |
| 1750727541 | Joshua Isaac Garza | Anesthesiology | 5841 S Maryland Ave # Mc4028, Chicago, IL 60637-1443 | 2013-05-20 |
| 1326481912 | Nathan Minsoo Lee | Anesthesiology | 5841 S Maryland Ave # Mc4028, Chicago, IL 60637-1443 | 2013-04-12 |
| 1811222102 | Brian William Harr | Anesthesiology | 251 E Huron St, Chicago, IL 60611-2908 | 2009-10-05 |
| 1730318593 | Allison Dalton | Anesthesiology | 5841 S Maryland Ave # Mc4028, University of Chicago, Dept of Anesthesia & Crit Care, Chicago, IL 60637-1447 | 2009-07-14 |
| 1255569133 | Alexandra Anatolievna Armstrong | Anesthesiology | 1969 W Ogden Ave, 5th Floor Anesthesiology Department, Chicago, IL 60612-3765 | 2009-06-30 |
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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.