DR. SURESH BHALLA (NPI# 1811995426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811995426 |
| Entity Type | Individual |
| Full Name | DR. SURESH BHALLA |
| Credential | MD |
| Practice Address |
210 N Hammes Ave Suite 112 Joliet IL 60435-6680 |
| Practice Telephone | 8157442054 |
| Practice Fax Number | 8157445823 |
| Mailing Telephone | 8157442054 |
| Mailing Fax Number | 8157445823 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2016-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 036062964 | IL | Other Service Providers |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036062964 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036062964 | 05 |
| Street Address |
210 N HAMMES AVE SUITE 112 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-6680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285260075 | Rodolfo Mireles | Counselor | 210 N Hammes Ave, Joliet, IL 60435-6680 | 2020-03-12 |
| 1265076426 | Magaly Passos-hoke | Marriage & Family Therapist | 210 N Hammes Ave, Joliet, IL 60435-6680 | 2019-10-31 |
| 1912445909 | Joliet Behavioral Center, Inc | Psychiatry & Neurology | 210 N Hammes Ave, Suite 205, Joliet, IL 60435-6680 | 2017-02-09 |
| 1356888184 | Lauren Elizabeth Mahaffey | Social Worker | 210 N Hammes Ave, Suite 205, Joliet, IL 60435-6680 | 2017-01-31 |
| 1184021461 | Kathleen Ryan Linehan | Nurse Practitioner | 210 N Hammes Ave, Suite 205, Joliet, IL 60435-6680 | 2014-12-02 |
| 1558775031 | Amanda Katherine Harwood | Podiatrist | 210 N Hammes Ave, Ste 103, Joliet, IL 60435-6688 | 2014-06-12 |
| 1831517630 | Michael Wathen | Counselor | 210 N Hammes Ave, Joliet, IL 60435-6680 | 2014-03-31 |
| 1174955710 | Allison Marie Castello | Counselor | 210 N Hammes Ave, Suite 205, Joliet, IL 60435-6680 | 2013-08-06 |
| 1356789754 | Allison Renae Giacomi | Counselor | 210 N Hammes Ave, 205, Joliet, IL 60435-6680 | 2013-06-06 |
| 1316269475 | Mark B Fletcher | Counselor | 210 N Hammes Ave, Suite 103, Joliet, IL 60435-6680 | 2010-02-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1780690040 | Bachar Hamad | Internal Medicine | 330 Madison St Ste 200, Joliet, IL 60435-6569 | 2006-07-31 |
| 1427062850 | Richard Rotnicki | Internal Medicine | 1100 Houbolt Rd, Joliet, IL 60431-9063 | 2006-07-29 |
| 1205878048 | Basant K Jhawar | Internal Medicine | 1423 Essington Rd, Joliet, IL 60435-2873 | 2006-06-12 |
| 1861902991 | Digestive Health Partners LLC | Internal Medicine | 1100 Houbolt Rd, Joliet, IL 60431-9063 | 2017-10-03 |
| 1578664728 | Riten Harshad Sheth | Internal Medicine | 3077 W Jefferson St, Suite 104, Joliet, IL 60435-5262 | 2006-09-26 |
| 1548276819 | Tamer Atassi | Internal Medicine | 2121 Oneida St, Suite 302, Joliet, IL 60435-6544 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487388 | Endoscopy Center of The North Shore, LLC | Internal Medicine | 1100 Central Ave Ste H, Wilmette, IL 60091-2666 | 2018-11-29 |
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1861999559 | Kiba, Inc. | Internal Medicine | 3845 Mccoy Dr Ste 101, Aurora, IL 60504-4429 | 2018-04-09 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1699186890 | Laura Hamad | Internal Medicine | 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 | 2014-05-11 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1841533254 | Danish Shahab | Internal Medicine | 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 | 2013-04-03 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
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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.