DR. PERRY RUDICH (NPI# 1699721829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699721829 |
| Entity Type | Individual |
| Full Name | DR. PERRY RUDICH |
| Credential | MD |
| Practice Address |
5906 N Milwaukee Ave Chicago IL 60646-5420 |
| Mailing Address |
2600 Bob-o-link Ln Northbrook IL 60062 |
| Practice Telephone | 7747737300 |
| Practice Fax Number | 7737747313 |
| Mailing Telephone | 8474981780 |
| Mailing Fax Number | 8479973273 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
5906 N MILWAUKEE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60646-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366490047 | Jefferson Park Medical Group, P.C. | Family Medicine | 5906 N Milwaukee Ave, Chicago, IL 60646-5420 | 2006-05-04 |
| 1225498710 | Lisa Ataee | Nurse Practitioner | 5906 N Milwaukee Ave, Chicago, IL 60646-5420 | 2016-02-26 |
| 1407223258 | Latoya Robinson | Nurse Practitioner | 5906 N Milwaukee Ave, Chicago, IL 60646-5420 | 2015-08-27 |
| 1801262522 | Total Healthcare/america's Disabled-physician Home Visits | Custodial Care Facility | 5906 N Milwaukee Ave, Chicago, IL 60646-5420 | 2015-08-17 |
| 1326420530 | Nathasa Wallace | Nurse Practitioner | 5906 N Milwaukee Ave, Chicago, IL 60646-5420 | 2015-06-24 |
| 1538564067 | Kristen Hasbargen | Physician Assistant | 5906 N Milwaukee Ave, Chicago, IL 60646-5420 | 2014-10-27 |
| 1174875967 | Lisa Tutaj | Physician Assistant | 5906 N Milwaukee Ave, Chicago, IL 60646-5420 | 2012-10-04 |
| 1255514303 | America's Disabled Inc | Family Medicine | 5906 N Milwaukee Ave, Chicago, IL 60646-5420 | 2007-12-12 |
| 1053503268 | Fitsjoy Therapy, LLC | Clinic/Center | 5906 N Milwaukee Ave, Chicago, IL 60646-5420 | 2007-08-11 |
| 1720038474 | Jordan Trafimow | Orthopaedic Surgery | 5906 N Milwaukee Ave, Chicago, IL 60646-5420 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801312087 | Manal Ibrahim | Dentist | 6228 N Keystone Ave, Chicago, IL 60646 | 2017-08-18 |
| 1750820742 | Kaitlin O'brien | Student in an Organized Health Care Education/Training Program | 5801 N Pulaski, Chicago, IL 60646 | 2017-02-23 |
| 1659810646 | Sofia Trani | Student in an Organized Health Care Education/Training Program | 5801 N. Pulaski Rd, Chicago, IL 60646 | 2017-02-23 |
| 1487191151 | Ronald E. Rysztogi | Naprapath | 5704 N. Austin, Chicago, IL 60646 | 2017-01-19 |
| 1417403148 | Joyful Dental Care | Clinic/Center | 6314 N. Cicero Avenue, Chicago, IL 60646 | 2016-09-01 |
| 1164889754 | Physicians At Call | Family Medicine | 5901 N. Cicero Ave, Ste 207, Chicago, IL 60646 | 2016-01-27 |
| 1245610617 | Arlett Payne | Physician Assistant | 5906 N Milwaukee, Chicago, IL 60646 | 2015-06-01 |
| 1811375843 | North River Mental Health Center | Community/Behavioral Health | 5801 North Pulaski Road, Chicago, IL 60646 | 2015-05-11 |
| 1003157298 | Family Choice Home Health | Homemaker | 5933 N Milwaukee Avenue, Chicago, IL 60646 | 2013-03-13 |
| 1235479593 | Antonina Skapars Trinkuns | Psychiatry & Neurology | 6404 N. Tahoma Ave., Chicago, IL 60646 | 2013-02-25 |
| Find all providers in zip 60646 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1790132934 | Peter Barton Moreau | Radiology | 1740 W Taylor St Rm 2483, Chicago, IL 60612-7232 | 2016-05-18 |
| 1043678899 | Burce Ozgen Mocan | Radiology | 1740 W Taylor St Rm 2511, Department of Radiology (mc931), Chicago, IL 60612-7232 | 2016-02-08 |
| 1538552898 | Imo Ime Uko | Radiology | 4646 N Marine Dr Ste 7100, Chicago, IL 60640 | 2015-03-11 |
| 1962891739 | Katherine Conlon | Radiology | 240 E Huron St # 1-203, Chicago, IL 60611 | 2015-01-16 |
| 1861805871 | Arun Nagaraju | Radiology | 5841 S. Maryland Ave. Suite Mc2026, University of Chicago, Chicago, IL 60637-1448 | 2014-06-06 |
| 1568873529 | Emily Ghobadi | Radiology | 250 E Superior St Rm 4-2304, Chicago, IL 60611-2914 | 2014-05-13 |
| 1306266903 | Jessica Kristen Peterson | Radiology | 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 | 2014-04-22 |
| 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.