CHICAGO ELECTRICAL TRAUMA RESEARCH INSTITUTE (NPI# 1780908434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780908434 |
| Entity Type | Organization |
| Organization Name | CHICAGO ELECTRICAL TRAUMA RESEARCH INSTITUTE |
| Practice Address |
4047 W. 40th Street Chicago IL 60632 |
| Practice Telephone | 8005168709 |
| Practice Fax Number | 8882213183 |
| Mailing Telephone | 8005168709 |
| Mailing Fax Number | 8882213183 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2013-08-06 |
| Authorized Official Name | FARNAZ ABDOLLAHI (ASSISTANT DIRECTOR) |
| Authorized Official Telephone | 7739040347 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 1744R1102X |
Specialist Specialization: Research Study |
IL | Other Service Providers |
| Street Address |
4047 W. 40TH STREET |
| City | CHICAGO |
| State | IL |
| Zip Code | 60632 |
| 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 |
| 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 |
| 1578791158 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 4313 S. Pulaski, Chicago, IL 60632 | 2009-06-23 |
| Find all providers in zip 60632 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336657899 | Khurram Janjua | Specialist | 1150 W 15th St Unit 237, Chicago, IL 60608-3688 | 2018-01-18 |
| 1700395084 | Liang Hong | Specialist | 840 S Wood St Ste 1133, Chicago, IL 60612-4325 | 2017-09-29 |
| 1720352511 | Eugene J Koprowski | Specialist | 1415 North Dearborn St, 3c, Chicago, IL 60610-1507 | 2012-02-27 |
| 1023624764 | Dilip K Pandey | Specialist | 912 S Wood St, Chicago, IL 60612-4300 | 2020-09-18 |
| 1356859250 | Esther Kim | Specialist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-01-14 |
| 1770902041 | Robert William Termanini | Specialist | 655 W Irving Park Rd, Chicago, IL 60613-3123 | 2014-04-15 |
| 1053734830 | Glen Sussman | Specialist | 233 E Erie St, Suite 203, Chicago, IL 60611-2926 | 2014-01-29 |
| 1023442811 | Spring Holland | Specialist | 5758 S Maryland Ave, Dcam 5824, Chicago, IL 60637-1426 | 2013-08-28 |
| 1083048136 | Margaret Holly | Specialist | 5758 S Maryland Ave, Dcam 5824, Chicago, IL 60637-1426 | 2013-08-26 |
| 1710322516 | Robert Paul Schleimer | Specialist | 240 E Huron St, Mcgaw, M327, Chicago, IL 60611-2909 | 2013-05-07 |
| 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.