DR. LILLY MATHEW (NPI# 1790804110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790804110 |
| Entity Type | Individual |
| Full Name | DR. LILLY MATHEW |
| Credential | M.D |
| Practice Address |
1901 W Harrison St Chicago IL 60612-3714 |
| Mailing Address |
121 Covington Ct Oak Brook IL 60523-2575 |
| Practice Telephone | 3128644166 |
| Practice Fax Number | 3128649844 |
| Mailing Telephone | 6304555867 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
036061668 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1901 W HARRISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586174 | Pete Antonopoulos | Pharmacist | 1901 W Harrison St, Ll 170, Chicago, IL 60612 | 2005-05-31 |
| 1164038428 | Yaqi Zhang | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-09-21 |
| 1659986719 | Ibrahim Maghari | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-09-14 |
| 1629683784 | Ziad Sad Aldeen | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-09-14 |
| 1003420977 | Marie Anjeliese Rodriguez | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-09-08 |
| 1407460595 | Nita Shrestha | Pediatrics | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-09-04 |
| 1871104927 | Bharosa Sharma | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-08-12 |
| 1023626611 | Muhammad Sheharyar Warraich | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-07-20 |
| 1073130233 | Carlos Gabriel De Guzman Corpuz | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-07-02 |
| 1952928319 | Alonso Jose Marquez Fuenmayor | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2020-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700948643 | Astrid K. Mack | Pediatrics | 2300 N Childrens Plz # 30, Chicago, IL 60614-3363 | 2006-12-15 |
| 1699724385 | Joanna Lynn Weinstein | Pediatrics | 2300 Childrens Plaza Box 30, Childrens Memorial Hospital Hem Onc, Chicago, IL 60614 | 2006-05-09 |
| 1427051622 | John M Cunningham | Pediatrics | 5841 South Maryland Ave, University of Chicago Rm N-112 Mc 4060, Chicago, IL 60637 | 2005-05-23 |
| 1053958173 | Anna Kathryn Person | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2019-12-09 |
| 1891189221 | Lindsay Schwartz | Pediatrics | 5841 S Maryland Ave # Mc4060, Chicago, IL 60637-1443 | 2015-03-24 |
| 1639599475 | Katherine Marie Harris | Pediatrics | 5841 S Maryland Ave # Mc4060, Chicago, IL 60637-1443 | 2014-04-20 |
| 1053739250 | Andrew Sy | Pediatrics | 251 E Huron St, Chicago, IL 60611-2908 | 2014-04-03 |
| 1053738518 | Chelsea Self | Pediatrics | 240 E Huron St, Suite 1-200, Chicago, IL 60611-2909 | 2014-03-23 |
| 1003233552 | Kyle L Macquarrie | Pediatrics | 225 E Chicago Ave # 30, Chicago, IL 60611-2991 | 2014-03-22 |
| 1659719813 | Nicole Sunseri | Pediatrics | 5841 S Maryland Ave # Mc4060, Chicago, IL 60637-1443 | 2013-06-10 |
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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.