BASSAM KAWADRY (NPI# 1790717502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790717502 |
| Entity Type | Individual |
| Full Name | BASSAM KAWADRY |
| Credential | MD |
| Practice Address |
1314 Green Trails Dr Naperville IL 60540-7029 |
| Practice Telephone | 6307127763 |
| Practice Fax Number | 6307177765 |
| Mailing Telephone | 6307127763 |
| Mailing Fax Number | 6307177765 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | IL | Allopathic & Osteopathic Physicians | |
| X | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1314 GREEN TRAILS DR |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-7029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184146110 | Medexpress Urgent Care Illinois, P.C. | Emergency Medicine | 804 S Route 59 Ste 110, Naperville, IL 60540-9112 | 2017-07-12 |
| 1982818571 | Richard A Joseph | Emergency Medicine | 828 Morven Court, Naperville, IL 60563 | 2007-05-10 |
| 1932279965 | John Lee | Emergency Medicine | 801 S. Washington St., Emergency Department, Naperville, IL 60540 | 2006-11-08 |
| 1013026004 | Mohamed I Jabri | Emergency Medicine | 1149 Dickens Ave, Naperville, IL 60563-4303 | 2006-08-30 |
| 1992775803 | Linda E Mueller | Emergency Medicine | 801 S. Washington, Naperville, IL 60540-7060 | 2006-01-24 |
| 1154685089 | Mohd Noman Mohiuddin | Emergency Medicine | 1804 N Naper Blvd, Naperville, IL 60563-8830 | 2012-06-26 |
| 1447464292 | Rajeev S Kalsi | Emergency Medicine | 636 Raymond Dr, Suite 106, Naperville, IL 60563-7978 | 2007-05-10 |
| 1235281924 | George Paul | Emergency Medicine | 801 S Washington St, Naperville, IL 60540-7430 | 2007-01-16 |
| 1386796035 | Jeffrey A Zeitler | Emergency Medicine | 801 S Washington St, Naperville, IL 60540-7430 | 2007-01-16 |
| 1821147125 | Sunil G Mathews | Emergency Medicine | 801 S Washington St, Naperville, IL 60540-7430 | 2007-01-09 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
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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.