DR. PHARI KRISHNA (NPI# 1750448072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750448072 |
| Entity Type | Individual |
| Full Name | DR. PHARI KRISHNA |
| Credential | M.D |
| Practice Address |
1401 S California Ave Chicago IL 60608 |
| Mailing Address |
1401 S California Ave Chicago IL 60608-1858 |
| Practice Telephone | 7735653200 |
| Practice Fax Number | 7735226490 |
| Mailing Telephone | 7735653200 |
| Mailing Fax Number | 7735226490 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 036127424 | IL | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 31366 | OK | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | FE00047329 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 036127 | OH | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PHYCIAN LIMITED LICENSE | FE00047329 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2821 N Van Buren St, Suite A, Enid, OK 737031729 | 5802139799 | 5802342474 |
| Street Address |
1401 S CALIFORNIA AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757759 | Lisa S Thornton | Physical Medicine & Rehabilitation | 1401 S California Ave, Chicago, IL 60608-1858 | 2005-08-15 |
| 1205434958 | Leanna Blair | Physical Therapist | 1401 S California Ave, Chicago, IL 60608-1858 | 2020-10-14 |
| 1184249518 | Caitlyn M Slawny | Speech-Language Pathologist | 1401 S California Ave, Chicago, IL 60608-1858 | 2020-06-11 |
| 1740816073 | Erika Renee Gentry | Physical Therapist | 1401 S California Ave, Chicago, IL 60608 | 2020-03-18 |
| 1679109904 | Erin Elizabeth Geraghty | Physical Therapist | 1401 S California Ave, Chicago, IL 60608-1858 | 2020-03-18 |
| 1154969418 | Diep Tran | Nurse Practitioner | 1401 S California Ave, Chicago, IL 60608-1858 | 2019-12-18 |
| 1548829153 | Mitchell Burke | Physical Medicine & Rehabilitation | 1401 S California Ave, Chicago, IL 60608-1858 | 2019-06-07 |
| 1700347945 | Henry Shun Guan | Physical Medicine & Rehabilitation | 1401 S California Ave, Chicago, IL 60608-1858 | 2019-03-29 |
| 1396206801 | Roman Magid | Physical Medicine & Rehabilitation | 1401 S California Ave, Chicago, IL 60608-1858 | 2019-03-27 |
| 1184115214 | Mitchell O'neill | Internal Medicine | 1401 S California Ave, Chicago, IL 60608-1858 | 2018-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881124030 | Denise Brunozzi | Neurological Surgery | 912 South Wood Street, 451 N - Hc 739, Chicago, IL 60612 | 2017-06-19 |
| 1225455181 | Jehad Algharabli | Neurological Surgery | 2218 S Leavitt St, Chicago, IL 60608-4008 | 2014-03-27 |
| 1992041461 | Gursant Atwal | Neurological Surgery | University of Il Hospital & Health Science System, 1740 W Taylor St, Chicago, IL 60612 | 2013-01-02 |
| 1639445877 | Joseph R Rivas | Neurological Surgery | 511 W Belmont Ave, #32, Chicago, IL 60657-4663 | 2012-03-30 |
| 1801102322 | Karissa Marie Dunkleyshurts | Neurological Surgery | 2865 N Clybourn Ave, Number 3, Chicago, IL 60618-8269 | 2010-08-21 |
| 1326377896 | Mobile Doctors,inc | Neurological Surgery | 131 E 47th St, Chicago, IL 60653-3806 | 2009-12-13 |
| 1275762262 | Paul David Ackerman | Neurological Surgery | 7447 W Talcott Ave Ste 340, Chicago, IL 60631-3714 | 2009-07-10 |
| 1093962813 | Hideki Ogiwara | Neurological Surgery | 2300 N Childrens Plz # 28, Chicago, IL 60614-3363 | 2008-08-22 |
| 1447473426 | Richard Glenn Fessler | Neurological Surgery | 1725 W. Harrison Ave, Suite 855, Chicago, IL 60612 | 2007-04-10 |
| 1174688907 | Richard D Penn | Neurological Surgery | 4950 S Chicago Beach Dr, Chicago, IL 60615-3204 | 2006-12-22 |
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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.