ASHISH MUKHERJEE (NPI# 1710997259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710997259 |
Entity Type | Individual |
Full Name | ASHISH MUKHERJEE |
Credential | M.D., F.A.C.C. |
Practice Address |
4900 S Archer Ave Suite 1 Chicago IL 60632-3663 |
Practice Telephone | 7737678375 |
Practice Fax Number | 7737678532 |
Mailing Telephone | 7737678375 |
Mailing Fax Number | 7737678532 |
Enumeration Date | 2006-08-08 |
Last Update Date | 2019-01-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036063329 | IL | Allopathic & Osteopathic Physicians |
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036063329 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036063329 | 05 | |
IL | DEA | AM1432676 | 01 |
Street Address |
4900 S ARCHER AVE SUITE 1 |
City | CHICAGO |
State | IL |
Zip Code | 60632-3663 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467833350 | Mount Sinai Community Foundation | Internal Medicine | 4900 S Archer Ave, Ste 1, Chicago, IL 60632-3663 | 2015-06-16 |
1568883908 | Mount Sinai Community Foundation | Internal Medicine | 4900 S Archer Ave, Chicago, IL 60632-3663 | 2014-01-03 |
1871765743 | Gabriela Baltierres | Dentist | 4900 S Archer Ave, Chicago, IL 60632-3663 | 2008-03-31 |
1033304571 | Heart Specialist, Ltd | Internal Medicine | 4900 S Archer Ave, Chicago, IL 60632-3663 | 2007-09-07 |
1730210154 | Baltierres Dental P.C. | Clinic/Center | 4900 S Archer Ave, Chicago, IL 60632-3663 | 2007-03-08 |
1205931243 | John R Bylewski | Internal Medicine | 4900 S Archer Ave, Suite 5, Chicago, IL 60632 | 2006-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104474790 | Amanda Rose Dirnberger | Nurse Practitioner | 3229-43 W. 47th Pl., Chicago, IL 60632 | 2019-08-28 |
1982121042 | Brown Archer Dental PC | Dentist | 4893 S Archer Ave, Chicago, IL 60632 | 2017-08-29 |
1538577085 | Metrosmiles - Archer Heights Dental | Dentist | 5141 S Cicero Ave, Chicago, IL 60632 | 2014-07-29 |
1174955173 | Thresholds | Community/Behavioral Health | 718-24 West 47th St, Chicago, IL 60632 | 2013-08-01 |
1659612570 | Sapex Home Healthcare, Inc. | In Home Supportive Care | 4107 West 47th Street, Chicago, IL 60632 | 2013-03-04 |
1912275462 | Dawn Marie Mackessy | Pharmacist | 5435 S. Kedzie Ave, Chicago, IL 60632 | 2011-12-12 |
1033494752 | Molly Elizabeth Mcdermott | Pharmacist | District 222-walgreens, Chicago, IL 60632 | 2011-10-13 |
1780908434 | Chicago Electrical Trauma Research Institute | Specialist/Technologist, Other | 4047 W. 40th Street, Chicago, IL 60632 | 2010-03-24 |
1265765218 | 4365 Archer Mri, LLC | Clinic/Center | 4365 South Archer Avenue, Chicago, IL 60632 | 2009-09-09 |
1295968121 | Smile Lee Faces | Dentist | 4197 S Archer Ave, Chicago, IL 60632 | 2009-08-26 |
Find all providers in zip 60632 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
1588097596 | Atif Khawaja Hassan | Internal Medicine | 5140 N California Ave Ste 740, Chicago, IL 60625-7066 | 2013-08-13 |
1952651382 | Rajeev Ruben Fernando | Internal Medicine | 365 N Jefferson St, 2712, Chicago, IL 60661-1226 | 2012-09-13 |
1174888945 | Mohammad Tarek Kabbany | Internal Medicine | 676 N Saint Clair St Ste 7-730, Chicago, IL 60611-2927 | 2012-07-09 |
1740589175 | United Diagnostic Services, LLC | Internal Medicine | 6124 N Milwaukee Ave Ste 2, Chicago, IL 60646-3820 | 2011-03-24 |
1932361433 | Sanjay S Gill | Internal Medicine | 2266 N. Lincoln Ave., 3, Chicago, IL 60614 | 2008-06-26 |
1053571208 | Curewell Diagnostic Services LLC | Internal Medicine | 6124 N Milwaukee Ave Ste 1, Chicago, IL 60646-3820 | 2008-06-11 |
1972760718 | Steve Attanasio | Internal Medicine | 1725 W Harrison St Ste 1159, Chicago, IL 60612 | 2008-05-20 |
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.