ANGELA I RISSER (NPI# 1821052101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821052101 |
| Entity Type | Individual |
| Full Name | ANGELA I RISSER |
| Other Name | ANGELA I CHAN |
| Credential | MD |
| Practice Address |
2320 High St Blue Island IL 60406-2426 |
| Mailing Address |
1860 Payshere Circle Chicago IL 60674-0001 |
| Practice Telephone | 7083885500 |
| Practice Fax Number | 7083885672 |
| Mailing Telephone | 6304699200 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2018-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036099900 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | P00129068 | 01 |
| IL | 036099900 | 05 |
| Street Address |
2320 HIGH ST |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823093 | Holly A Clark | Nurse Practitioner | 2320 High St, Blue Island, IL 60406-2426 | 2005-10-05 |
| 1801273362 | Jaydeep Khudai | Family Medicine | 2320 High St, Blue Island, IL 60406-2426 | 2015-05-04 |
| 1902249105 | Syed A Ahmed | Podiatrist | 2320 High St, Blue Island, IL 60406-2426 | 2013-04-08 |
| 1073899548 | Jaclyn L Mis | Physician Assistant | 2320 High St, Blue Island, IL 60406-2426 | 2011-10-28 |
| 1215240981 | Stefanie A Drozd | Nurse Practitioner | 2320 High St, Blue Island, IL 60406-2426 | 2010-07-22 |
| 1003132549 | Vikas Desai | Urology | 2320 High St, Blue Island, IL 60406-2426 | 2010-04-08 |
| 1497983928 | Noreen B Keleher | Physician Assistant | 2320 High St, Blue Island, IL 60406-2426 | 2009-06-23 |
| 1558502245 | Alfonso Mejia-zelaya | Obstetrics & Gynecology | 2320 High St, Blue Island, IL 60406-2426 | 2009-03-10 |
| 1932349040 | Francisco Pereiro | Family Medicine | 2320 High St, Blue Island, IL 60406-2426 | 2009-03-02 |
| 1740438050 | Sophia A Macarol | Physician Assistant | 2320 High St, Blue Island, IL 60406-2426 | 2008-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
| 1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
| 1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
| 1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
| 1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
| 1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
| 1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
| Find all providers in zip 60406 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 |
|---|---|---|---|---|
| 1699085381 | David Vallejo Jr. | Obstetrics & Gynecology | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2010-10-14 |
| 1558502245 | Alfonso Mejia-zelaya | Obstetrics & Gynecology | 2320 High St, Blue Island, IL 60406-2426 | 2009-03-10 |
| 1932364551 | Erica E Taylor | Obstetrics & Gynecology | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2008-07-23 |
| 1114009891 | Mahmoud Halloway | Obstetrics & Gynecology | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2006-10-20 |
| 1023072378 | Miyoung Won | Obstetrics & Gynecology | 2320 High St, Blue Island, IL 60406-2426 | 2006-04-13 |
| 1174512925 | Randall Jay Gordon | Obstetrics & Gynecology | 2320 High St, Blue Island, IL 60406-2426 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162210 | Clair L Casagrande | Obstetrics & Gynecology | 1300 Franklin Ave Ste 330, Normal, IL 61761-4204 | 2020-10-23 |
| 1699382531 | Contemporary Ob/gyn Chicago, Pllc | Obstetrics & Gynecology | 2007 S State St, Chicago, IL 60616-2173 | 2020-09-24 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1851910210 | Wayne Richard Burrows | Obstetrics & Gynecology | 1412 S Diamond St, South Jacksonville, IL 62650-3143 | 2020-04-15 |
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1962050971 | Jessica Erin Buesing | Obstetrics & Gynecology | 27790 W Highway 22 Ste 37, Barrington, IL 60010-2396 | 2019-09-03 |
| 1235784760 | Gynecologic Surgery & Menopause Solutions PC | Obstetrics & Gynecology | 1890 Silver Cross Blvd Ste 445, New Lenox, IL 60451-9622 | 2019-08-01 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1164980769 | Hanna Legator | Obstetrics & Gynecology | 1875 Dempster St Ste 300, Park Ridge, IL 60068-1186 | 2019-03-04 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| Find all providers with the same taxonomy | ||||
| City | BLUE ISLAND |
| Zip Code | 60406 |
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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.