DR. MORTEZA M DINI (NPI# 1770501694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770501694 |
| Entity Type | Individual |
| Full Name | DR. MORTEZA M DINI |
| Credential | MD |
| Practice Address |
2740 W Foster Ave Suite 207 Chicago IL 60625-3500 |
| Mailing Address |
2095 Churchill Ln Highland Park IL 60035-1646 |
| Practice Telephone | 7737841200 |
| Practice Fax Number | 7737841201 |
| Mailing Telephone | 8476926218 |
| Mailing Fax Number | 8476925609 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
036051925 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036051925 | 05 | |
| BLUE CROSS BLUE SHIELD | 21609404 | 01 |
| Street Address |
2740 W FOSTER AVE SUITE 207 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926573 | Ashwin M Shah, Md, Sc | Surgery | 2740 W Foster Ave, Chicago, IL 60625-3500 | 2005-07-19 |
| 1194279463 | Kirschenbaum Dermatology LLC | Dermatology | 2740 W Foster Ave, Suite# 305, Chicago, IL 60625-3510 | 2016-08-04 |
| 1831544378 | Lutheran Social Services of Il | Counselor | 2740 W Foster Ave, Ste 103, Chicago, IL 60625-3500 | 2016-05-03 |
| 1427422625 | Sahned Jaafar | Surgery | 2740 W Foster Ave, Ll7, Chicago, IL 60625 | 2015-11-25 |
| 1003289356 | Sofia Carleen Jimenez | Psychologist | 2740 W Foster Ave, Suite 412, Chicago, IL 60625-3500 | 2015-11-09 |
| 1174903512 | Independent Physicians' Aco of Chicago, LLC | Internal Medicine | 2740 W Foster Ave, Suite 116, Chicago, IL 60625-3500 | 2015-06-01 |
| 1205273190 | Hilary Bayley Brown | Social Worker | 2740 W Foster Ave, Ste 412, Chicago, IL 60625-3500 | 2013-05-31 |
| 1891067666 | Resurrection Services | General Practice | 2740 W Foster Ave, Suite 113, Chicago, IL 60625-3500 | 2012-02-08 |
| 1215223581 | Nina Patel | Internal Medicine | 2740 W Foster Ave, Ste 401, Chicago, IL 60625-3591 | 2011-06-24 |
| 1073819165 | Federer Surgical Services Ltd | Surgery | 2740 W Foster Ave, Suite 213, Chicago, IL 60625-3500 | 2011-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
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| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910657 | Allison Margaret Saiz | Obstetrics & Gynecology | 250 E Superior St Ste 5-2175, Chicago, IL 60611-2914 | 2015-04-22 |
| 1124126040 | Arthur Herbst | Obstetrics & Gynecology | 5841 South Maryland Mc 2050, Chicago, IL 60657 | 2006-09-21 |
| 1902194269 | Katherine Kurnit | Obstetrics & Gynecology | 5841 S Maryland Ave # Mc2050, Chicago, IL 60637-1443 | 2011-07-20 |
| 1497042147 | Anna E Strohl | Obstetrics & Gynecology | 250 E Superior St, Chicago, IL 60611 | 2011-07-01 |
| 1275829616 | Jerlinda Gladys Camille Ross | Obstetrics & Gynecology | 5841 S Maryland Ave, Mc 2050, Chicago, IL 60637-1447 | 2011-06-23 |
| 1699086173 | Josephine Soohee Kim | Obstetrics & Gynecology | 5841 S Maryland Ave # Mc2050, Chicago, IL 60637-1447 | 2010-06-29 |
| 1467682690 | Dario Roque | Obstetrics & Gynecology | 250 E Superior St Ste 4-420, Chicago, IL 60611-2914 | 2009-07-22 |
| 1255568333 | Kenny Bozorgi | Obstetrics & Gynecology | 409 W Huron St, Suite 301, Chicago, IL 60654-3431 | 2009-06-16 |
| 1922243211 | Summer Dewdney | Obstetrics & Gynecology | 1725 W Harrison St, Suite 842, Chicago, IL 60612-3841 | 2008-12-16 |
| 1336395888 | Tanya M. Pulver | Obstetrics & Gynecology | 900 W Nelson St, Chicago, IL 60657-6704 | 2008-08-15 |
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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.