DR. MARY BETH JOST (NPI# 1831287515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831287515 |
| Entity Type | Individual |
| Full Name | DR. MARY BETH JOST |
| Credential | M.D. |
| Practice Address |
5th & Roosevelt Dept of Neurology #127 Hines IL 60141 |
| Mailing Address |
5th Avenue & Roosevelt Road Dept of Neurology #127 Hines IL 60141 |
| Practice Telephone | 7082028387 |
| Practice Fax Number | 7082027936 |
| Mailing Telephone | 7082028387 |
| Mailing Fax Number | 7082027936 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
IL | Allopathic & Osteopathic Physicians | |
| X | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
5TH & ROOSEVELT DEPT OF NEUROLOGY #127 |
| City | HINES |
| State | IL |
| Zip Code | 60141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083693162 | Nicholas Emanuele | Internal Medicine | 5th & Roosevelt, Building 200, Hines, IL 60141 | 2006-01-17 |
| 1770753451 | Robert Urnikis | Pharmacist | 5th & Roosevelt, Bldg# 37, Hines, IL 60491-5221 | 2008-03-10 |
| 1669679437 | Venkatesan Ram Krishnamoorthi | Internal Medicine | 5th & Roosevelt, Hines, IL 60141 | 2007-06-27 |
| 1508060716 | Sharla Janeen Parker | Spec/Tech, Pathology | 5th & Roosevelt, Hines, IL 60141 | 2007-06-12 |
| 1407937923 | Jamesetta Edwards | Counselor | 5th & Roosevelt, Hines, IL 60141 | 2006-10-18 |
| 1225119316 | Linda R Price | Counselor | 5th & Roosevelt, Hines, IL 60141-5000 | 2006-10-17 |
| 1528149614 | Robert Henry Campbell Sr. | Counselor | 5th & Roosevelt, Hines, IL 60141-5000 | 2006-10-17 |
| 1528156452 | Jeanette Chang | Pharmacist | 5th & Roosevelt, Hines, IL 60141 | 2006-10-10 |
| 1184715237 | Julie Ann Horn | Psychologist | 5th & Roosevelt, Psychology Service (116b), Hines, IL 60141-5000 | 2006-09-27 |
| 1487755286 | William Boyden Van De Graaff | Internal Medicine | 5th & Roosevelt, Bldg 1, Rm E438 (111n), Hines, IL 60141-2000 | 2006-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467636571 | Joshua Gordon | Psychiatry & Neurology | Dept of Neurology 127, Hines Va Hospital, Hines, IL 60141 | 2007-12-26 |
| 1437252921 | Gwendolyn Louise Kartje | Psychiatry & Neurology | Hines Va Hospital, Roosevelt Rd and 5th Ave, Building One, Room F201, Routing Number 127, Hines, IL 60141 | 2006-09-07 |
| 1457304669 | Robert John O'hara | Psychiatry & Neurology | Po Box 57, Hines, IL 60141-0057 | 2006-05-18 |
| 1093978694 | Sudha R Gupta | Psychiatry & Neurology | 5000 S 5th Ave, Hines, IL 60141-3030 | 2008-07-03 |
| 1518161066 | Elena Crisan | Psychiatry & Neurology | 5000 S 5th Ave, Department of Neurology, Bld 1, Rm F201, Hines, IL 60141-3030 | 2007-06-11 |
| 1295816916 | Meenal B Mamdani | Psychiatry & Neurology | 5th & Roosevelt Rd, Va Hospital, Hines, IL 60141 | 2006-10-18 |
| 1205943545 | Morris Alan Fisher | Psychiatry & Neurology | 5th & Roosevelt, Hines, IL 60141 | 2006-08-24 |
| 1659367365 | David Edward Kvarnberg | Psychiatry & Neurology | 5000 S 5th Ave, Deptartment of Neurology, Edward Hines, Jr. Va Hospital, Hines, IL 60141-3030 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
| 1811546484 | Glencor Neuromonitoring LLC | Psychiatry & Neurology | 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 | 2019-09-06 |
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1972167906 | Kazkaz Southwest Neurology S.c. | Psychiatry & Neurology | 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 | 2019-04-25 |
| 1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
| 1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
| 1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
| 1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
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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.