GREG D EWERT MD SC (NPI# 1679969182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679969182 |
| Entity Type | Organization |
| Organization Name | GREG D EWERT MD SC |
| Practice Address |
200 S Michigan Ave Suite 805 Chicago IL 60604-2402 |
| Practice Telephone | 3129223815 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |
| Authorized Official Name | GREG EWERT (OWNER) |
| Authorized Official Telephone | 3129224734 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
200 S MICHIGAN AVE SUITE 805 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60604-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083608343 | Cynthia Ann Levin | Psychologist | 200 S Michigan Ave, #710, Chicago, IL 60604-2402 | 2005-09-01 |
| 1912310319 | Angelo A Costas Md Sc | Internal Medicine | 200 S Michigan Ave, Suite 805, Chicago, IL 60604-2402 | 2014-06-04 |
| 1750724464 | David K. Zich, Md, Sc | Emergency Medicine | 200 S Michigan Ave, Suite 830, Chicago, IL 60604-2402 | 2013-04-11 |
| 1467794859 | Sheila Downey Ballintine | Internal Medicine | 200 S Michigan Ave, Suite 805, Chicago, IL 60604-2402 | 2013-03-23 |
| 1932444312 | Joy Georgiana Economos | Physician Assistant | 200 S Michigan Ave, Suite 805, Chicago, IL 60604-2402 | 2012-12-11 |
| 1427304724 | Theresa Wang | Dentist | 200 S Michigan Ave, Suite 1400, Chicago, IL 60604-2402 | 2012-07-24 |
| 1467773986 | David Alan Vermylen | Internal Medicine | 200 S Michigan Ave, Suite 805, Chicago, IL 60604-2402 | 2010-06-18 |
| 1114186038 | Wendy Carolyn Goodall Mcdonald | Obstetrics & Gynecology | 200 S Michigan Ave, Suite 1550, Chicago, IL 60604-2402 | 2008-06-05 |
| 1790944064 | Women's Health Consulting Il, LLC | Obstetrics & Gynecology | 200 S Michigan Ave, Suite 1550, Chicago, IL 60604-2402 | 2008-06-03 |
| 1518141720 | Evan H Ng | Internal Medicine | 200 S Michigan Ave, Suite 805, Chicago, IL 60604-2402 | 2007-12-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750853719 | Michael Cramer | Nurse Practitioner | 322 S. Michigan Ave, Suite 1100, Chicago, IL 60604 | 2018-12-31 |
| 1174079883 | Cardinal Technical Sc | Specialist | 208 Lasalle Street, Suite 214, Chicago, IL 60604 | 2016-09-01 |
| 1427412436 | Your Choice Homecare, Inc. | Home Health | 332 S. Michigan Ave., Suite 1032-y43, Chicago, IL 60604 | 2016-04-06 |
| 1548634843 | Catherine Ranieri | Counselor | 53 W Jackson Blvd Ste 1625, Chicago, IL 60604 | 2015-11-24 |
| 1356710701 | Otis Peeples | Counselor | 134 N Lasalle Suite 400, Chicago, IL 60604 | 2015-09-16 |
| 1124495916 | Te You Moore | Counselor | 53 W Jackson Blvd Ste 1360, Chicago, IL 60604 | 2015-08-27 |
| 1992187686 | Kathryn Weaver | Psychiatry & Neurology | 343 South Dearborn Street Apt # 304, Chicago, IL 60604 | 2015-06-18 |
| 1700162583 | Tracy Bisterfeldt | Psychologist | 53 W. Jackson Blvd., Unit 635, Chicago, IL 60604 | 2011-10-25 |
| 1619201084 | Jennifer Gurski | Social Worker | 53 W. Jackson Blvd, Chicago, IL 60604 | 2009-10-01 |
| 1578736252 | Richard A Reschke | Naprapath | 141 W. Jackson Boulevard, Suite 2170, Chicago, IL 60604 | 2008-04-02 |
| Find all providers in zip 60604 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194248914 | Mohamed Ihtesham Shaji | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2017-07-24 |
| 1487993911 | Eilis Ryan | Internal Medicine | 6500 W 65th St, Chicago, IL 60638-4962 | 2013-02-04 |
| 1831496322 | Capital Health Inc | Internal Medicine | 7107 W Belmont Ave, Suite 8, Chicago, IL 60634-4688 | 2011-02-17 |
| 1790809804 | Lakeside Medical Group Ltd | Internal Medicine | 1945 W Wilson Ave, Suite 6119, Chicago, IL 60640-5255 | 2007-03-16 |
| 1447297890 | Surabhi Mehrotra | Internal Medicine | 1645 W Jackson Blvd, Suite 215, Chicago, IL 60612-3276 | 2006-06-01 |
| 1255304382 | Win Care Medical Consultants Ltd | Internal Medicine | 4646 N Marine Dr Ste A6100, Chicago, IL 60640-5759 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447446257 | Farah Tazeen | Internal Medicine | 1 S 161 Summit Ave., Oak Brook Terrace, IL 60181-3904 | 2007-09-15 |
| 1114142643 | Christina B Nulty | Internal Medicine | 912 N Elmwood Ave, Peoria, IL 61625-0001 | 2007-04-17 |
| 1679665020 | Lynessa A Alonso | Internal Medicine | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2006-09-29 |
| 1447273859 | Samir Shah M.d.s.c | Internal Medicine | 3560 W 95th St, Evergreen Park, IL 60805-2107 | 2006-07-26 |
| 1437599867 | Shakuntala Sachin Patil | Internal Medicine | 611 W Park St, Carle Forum Ll, Urbana, IL 61801-2500 | 2013-06-29 |
| 1356507834 | Woodridgeclinic S.c | Internal Medicine | 805 S Main St, Lombard, IL 60148-3300 | 2008-08-04 |
| 1043338189 | Sarah Bush Lincoln Health Center | Internal Medicine | 200 Richmond Ave E, Mattoon, IL 61938-4652 | 2007-03-27 |
| 1922140300 | Elizabeth Carazo | Internal Medicine | 500 W Central Rd, Suite 106, Mt Prospect, IL 60056-2347 | 2007-02-13 |
| 1366544249 | Joanne Frances Connolly | Internal Medicine | 633 Emerson St, Evanston, IL 60208-4000 | 2006-09-02 |
| 1427072768 | Samir K Shah | Internal Medicine | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2006-07-27 |
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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.