DR. EDITH JACOBSON CHERNOFF (NPI# 1699870477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699870477 |
| Entity Type | Individual |
| Full Name | DR. EDITH JACOBSON CHERNOFF |
| Credential | M.D. |
| Practice Address |
East 65th St At Lake Michigan La Rabida Children's Hospital Chicago IL 60649 |
| Mailing Address |
8951 Lincolnwood Dr Evanston IL 60203-1809 |
| Practice Telephone | 7732565996 |
| Practice Fax Number | 7733637143 |
| Mailing Telephone | 8476775896 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
036-103858 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 036-103858 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
EAST 65TH ST AT LAKE MICHIGAN LA RABIDA CHILDREN'S HOSPITAL |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548272412 | Jenny Ann Marie Analuisa | Physical Therapist | East 65th St At Lake Michigan, Chicago, IL 60649 | 2006-08-12 |
| 1255572483 | Prabha Patel | Occupational Therapist | East 65th St At Lake Michigan, Chicago, IL 60649-1395 | 2009-03-18 |
| 1023160694 | Sandra M. Barlow | Physical Therapist | East 65th St At Lake Michigan, Chicago, IL 60649-1395 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| Find all providers in zip 60649 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164447413 | Lee Shulman | Medical Genetics | 675 N St Clair Street, Galter Suite 14-200, Chicago, IL 60611-5966 | 2006-07-13 |
| 1962466375 | Joel Martin Charrow | Medical Genetics | Ann& Robert H. Lurie Children's Hospital of Chicago #59, 225 E Chicago Ave, Chicago, IL 60611-2991 | 2006-04-13 |
| 1629051289 | Rhonda Spiro | Medical Genetics | 1801 W Taylor St Ste 2e, Chicago, IL 60612-4795 | 2005-11-28 |
| 1134534597 | Joshua Baker | Medical Genetics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2014-06-24 |
| 1972883254 | Gifty Bhat | Medical Genetics | 1801 W Taylor St Ste 2e, Ui Health Occ, Chicago, IL 60612-4795 | 2011-08-18 |
| 1669595872 | Darrel Waggoner | Medical Genetics | 5841 S Maryland Ave, Mc 0077 Room O-500, Chicago, IL 60637-1447 | 2007-04-10 |
| 1538282736 | William Brian Dobyns | Medical Genetics | 5841 S Maryland Ave, Mc 0077, Chicago, IL 60637-1447 | 2007-04-10 |
| 1790795979 | Jeffrey S Dungan | Medical Genetics | 675 N St Clair Street, Galter Suite 14-200, Chicago, IL 60611-5966 | 2006-08-09 |
| 1083639736 | Susan Concepcion Echiverri | Medical Genetics | 1901 W Harrison St, Stroger Hospital of Cook County Ax1159, Chicago, IL 60612-3714 | 2006-07-13 |
| 1699743088 | Barbara Kay Burton | Medical Genetics | 2300 Childrens Plaza, Chicago, IL 60614 | 2006-03-10 |
| 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.