DR. RUCHI MISHRA FITZGERALD (NPI# 1720060072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720060072 |
| Entity Type | Individual |
| Full Name | DR. RUCHI MISHRA FITZGERALD |
| Credential | M.D. |
| Practice Address |
600 S Paulina St Ste 403 Chicago IL 60612-3806 |
| Practice Telephone | 3129425000 |
| Practice Fax Number | 3129425727 |
| Mailing Telephone | 3129425000 |
| Mailing Fax Number | 3129425727 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 11751 | MT | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
036150211 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | A94124 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
600 S PAULINA ST STE 403 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394524 | Pokhraj Prakashchandra Suthar | Nuclear Medicine | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-10-23 |
| 1497371488 | Paz Abergel | Podiatrist | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-25 |
| 1346866670 | Mira Adly Mahmoud Ayoub | Radiology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-23 |
| 1780200121 | Daniel Francis Roadman | Urology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-22 |
| 1528684982 | Carol Lynn Feng | Urology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-22 |
| 1225654874 | Rahim Shakoor | Psychiatry & Neurology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-19 |
| 1437775327 | Pei-ning Hsu | Psychiatry & Neurology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-17 |
| 1316562200 | Jeanette Marie Lorme | Emergency Medicine | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-16 |
| 1669097812 | Jayne Slocum | Anesthesiology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-13 |
| 1194340315 | Evelyn Kathleen Schraft | Emergency Medicine | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538469739 | John Thomas Johns Jr. | Family Medicine | 210 N. Ashland, Chicago, IL 60607-1402 | 2010-10-22 |
| 1205979028 | Gloria J Mouzon | Family Medicine | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2007-02-14 |
| 1841251378 | Britt Michael Borden | Family Medicine | 180 N Stetson Ave, Chicago, IL 60601-6710 | 2006-04-02 |
| 1992704381 | James Edward Beckett | Family Medicine | 326 W 64th St, St Bernard Hospital Dept Radiology, Chicago, IL 60621-3114 | 2005-07-18 |
| 1558736512 | Hemlata P Vaidya | Family Medicine | 3520 S Ashland Ave, Chicago, IL 60609-1317 | 2015-12-02 |
| 1528384567 | Dr. J. Wesley Cook, D.o., LLC | Family Medicine | 2001 W Addison St, Chicago, IL 60618-6132 | 2010-04-15 |
| 1538379516 | Humberto Vergara Md & Associates Sc | Family Medicine | 1431 N Western Ave, Suite 205, Chicago, IL 60622-1797 | 2007-05-22 |
| 1225092919 | Dora Dean Dixie | Family Medicine | 500 E 51st St, Chicago, IL 60615-2400 | 2006-04-12 |
| 1124004262 | Humberto Vergara | Family Medicine | 1431 N Western Ave, Suite 205, Chicago, IL 60622-1797 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609303320 | Brianne C Brown | Family Medicine | 1111 N Milwaukee Ave Unit 242, Vernon Hills, IL 60061-1658 | 2017-05-11 |
| 1649553892 | Physicians Community Medical Center North, S.c. | Family Medicine | 5320 159th St # 2n, Oak Forest, IL 60452-4705 | 2011-09-23 |
| 1548447956 | Total Care Medical Clinic | Family Medicine | 6929 Ogden Ave, Berwyn, IL 60402-3649 | 2008-01-28 |
| 1760448674 | Richard J Ready | Family Medicine | 999 Oakmont Plaza Dr Ste 100, Westmont, IL 60559-1381 | 2006-04-21 |
| 1912519786 | Shark Addiction Treatment | Family Medicine | 1111 N Milwaukee Ave Unit 242, Vernon Hills, IL 60061-1658 | 2020-08-21 |
| 1831748573 | Recoveruscenters-carbondale LLC | Family Medicine | 2250 Reed Station Pkwy Ste 204, Carbondale, IL 62901-8104 | 2019-09-05 |
| 1609303940 | Great Heights Medical Ltd. | Family Medicine | 315 E Mckinley Rd, Ottawa, IL 61350-4805 | 2017-05-17 |
| 1396173134 | Complete Medical Care, S.c. | Family Medicine | 3315 Algonquin Rd, Suite 100, Rolling Meadows, IL 60008-3257 | 2013-10-14 |
| 1629238746 | Shalu P. Gugnani | Family Medicine | 901 W Kirchhoff Rd, Arlington Heights, IL 60005-2361 | 2008-06-12 |
| 1154539435 | Comprehensive Medical Management Services Ltd | Family Medicine | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2007-05-18 |
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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.