MR. RICHARD ALEXANDER MATIASZ (NPI# 1760833636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760833636 |
| Entity Type | Individual |
| Full Name | MR. RICHARD ALEXANDER MATIASZ |
| Credential | M.D. |
| Practice Address |
251 East Huron Street Chicago IL 60611 |
| Mailing Address |
676 N St Clair Street Suite 600 Chicago IL 60611 |
| Practice Telephone | 3126950070 |
| Practice Fax Number | 3126950063 |
| Mailing Telephone | 3126950700 |
| Mailing Fax Number | 3126950063 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2017-03-09 |
| NPI Deactivation Date | 02/02/2017 |
| NPI Reactivation Date | 2017-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
125069614 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
251 EAST HURON STREET |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639155328 | Michael Robert Pins | Specialist | 251 East Huron Street, Northwestern Memorial Hospital - Feinberg 7-325, Chicago, IL 60611 | 2005-12-15 |
| 1104448398 | Brian Kenneth Vadasz | Student in an Organized Health Care Education/Training Program | 251 East Huron Street, Chicago, IL 60611 | 2020-05-11 |
| 1730716028 | Priya Muktesh Mehta | Internal Medicine | 251 East Huron Street, Chicago, IL 60611 | 2020-03-25 |
| 1619503604 | Joshua Caleb Prenner | Dermatology | 251 East Huron Street, Chicago, IL 60611 | 2020-03-21 |
| 1700445046 | Kamal Subedi | Radiology | 251 East Huron Street, Chicago, IL 60611 | 2019-06-11 |
| 1700348851 | Daniel Lawrence Underberg | Internal Medicine | 251 East Huron Street, Chicago, IL 60611 | 2019-04-05 |
| 1194298810 | Benjamin Skrap | Student in an Organized Health Care Education/Training Program | 251 East Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 | 2019-01-04 |
| 1346747185 | Ujash Sheth | Student in an Organized Health Care Education/Training Program | 251 East Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 | 2018-04-09 |
| 1750885067 | Kristen Jean Carroll | Internal Medicine | 251 East Huron Street, Chicago, IL 60611 | 2018-03-21 |
| 1932603461 | Luis Guillermo Fernandez IIi | Neurological Surgery | 251 East Huron Street, Chicago, IL 60611 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| 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.