DR. JILLENE MICHELLE KOGAN (NPI# 1710141551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710141551 |
| Entity Type | Individual |
| Full Name | DR. JILLENE MICHELLE KOGAN |
| Credential | M.D., PH.D. |
| Practice Address |
5400 Pearl St Rosemont IL 60018-5305 |
| Practice Telephone | 8473497300 |
| Mailing Telephone | 8473497300 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2017-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
66311-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
036121874 | IL | Allopathic & Osteopathic Physicians |
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
66311-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
036121874 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
5400 PEARL ST |
| City | ROSEMONT |
| State | IL |
| Zip Code | 60018-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952488066 | A2cl Services, LLC | Clinical Medical Laboratory | 5400 Pearl St, Rosemont, IL 60018-5320 | 2006-11-01 |
| 1932680626 | Carey Sentman | Genetic Counselor, MS | 5400 Pearl St, Rosemont, IL 60018-5305 | 2018-08-22 |
| 1770023202 | Amanda Lea Fortier | Medical Genetics, Ph.D. Medical Genetics | 5400 Pearl St, Rosemont, IL 60018-5305 | 2017-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902463961 | Home Care Angels II, LLC | Homemaker | 2720 S. River Rd., Suite 116, Des Plaines, IL 60018 | 2019-05-24 |
| 1982175691 | Johnny Contreras | Physician Assistant | 1972 Welwyn Ave, Des Plaines, IL 60018 | 2018-12-07 |
| 1336618248 | Better Quality Healthcare LLC | Case Manager/Care Coordinator | 2340 S. River Rd, Des Plaines, IL 60018 | 2018-11-20 |
| 1467942631 | Reanna Peterman | Dietitian, Registered | 1400 E Touhy Ave Ste 300a, Des Plaines, IL 60018 | 2018-05-14 |
| 1902308497 | Gonzalez Clinical Therapy LLC | Clinic/Center | 1400 E Touhy Avenue Suite 240, Des Plaines, IL 60018 | 2018-03-01 |
| 1730689506 | Richard Leon | Specialist/Technologist | 2004 Cedar St, Des Plaines, IL 60018 | 2018-02-17 |
| 1285151449 | Silverado Hospice of Illinois Inc. | Hospice Care, Community Based | 1350 E Touhy Ave Ste 130, Des Plaines, IL 60018 | 2017-08-28 |
| 1588189336 | Sainilkumar Patel | Physical Therapist | 1200 S Leslie Ln, Na, Des Plaines, IL 60018 | 2017-08-12 |
| 1033642251 | Amitaben Patel | Nurse Practitioner | 2250 E Devon Ave Ste 333, Des Plaines, IL 60018 | 2017-04-05 |
| 1487048831 | Tx Enterprises | Acupuncturist | 1784 E. Oakton, #106, Des Plaines, IL 60018 | 2015-03-24 |
| Find all providers in zip 60018 | ||||
| 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 |
|---|---|---|---|---|
| 1043474893 | Serendestiny Enterprise LLC | Medical Genetics | 3555 Vanilla Grass Dr, Naperville, IL 60564-8331 | 2008-07-10 |
| 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 |
| 1427026897 | Brad Angle | Medical Genetics | 1875 Dempster St Ste 285, Park Ridge, IL 60068-1157 | 2006-03-10 |
| 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 |
| 1306108105 | Josue Flores Daboub | Medical Genetics | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2012-06-08 |
| 1972883254 | Gifty Bhat | Medical Genetics | 1801 W Taylor St Ste 2e, Ui Health Occ, Chicago, IL 60612-4795 | 2011-08-18 |
| 1043410772 | Neuromed Clinic LLC | Medical Genetics | 25 N Winfield Rd, Ste 500, Winfield, IL 60190-1222 | 2007-07-20 |
| 1669595872 | Darrel Waggoner | Medical Genetics | 5841 S Maryland Ave, Mc 0077 Room O-500, Chicago, IL 60637-1447 | 2007-04-10 |
| Find all providers with the same taxonomy | ||||
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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.