DR. EDWIN KENNETH MCDONALD IV (NPI# 1831346774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831346774 |
| Entity Type | Individual |
| Full Name | DR. EDWIN KENNETH MCDONALD IV |
| Credential | MD |
| Practice Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527 |
| Mailing Address |
5841 S Maryland Ave Chicago IL 60637-1447 |
| Practice Telephone | 7737023009 |
| Mailing Telephone | 7737023009 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2015-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036127904 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407971385 | Edwin A Mcdonald IIi | Anesthesiology | Fresno & R Street, Fresno, CA 93721 | 2007-03-20 |
| 1427172022 | Edwin Allen Mcdonald IIi | Dentist | 5800 Coit Rd, Ste 100, Plano, TX 75023-5942 | 2007-03-19 |
| 1528173853 | Edwin Kenneth Mcdonald IIi | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2006-08-19 |
| Street Address |
180 HARVESTER DR STE 110 |
| City | BURR RIDGE |
| State | IL |
| Zip Code | 60527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386611903 | Bryan N Becker | Internal Medicine | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2006-03-02 |
| 1144639527 | Andrew Richardson | Nurse Practitioner | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2014-08-11 |
| 1720403843 | Joyce Eapen | Nurse Practitioner | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2014-02-26 |
| 1902234941 | Brittany Beach | Internal Medicine | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2013-10-30 |
| 1164850244 | Kimberly Salminen | Physician Assistant | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2013-10-28 |
| 1992139281 | Kristine Marie Bowersox | Physician Assistant | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2013-08-22 |
| 1255771093 | Eric Shappell | Emergency Medicine | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527 | 2013-06-25 |
| 1467895805 | Monica Rojas | Dietitian, Registered | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2013-04-16 |
| 1699011189 | Leticia Lemus | Nurse Practitioner | 180 Harvester Dr, Burr Ridge, IL 60527-7594 | 2013-01-02 |
| 1487990156 | University of Chicago Physicians Group | Clinic/Center | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2012-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| 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 |
|---|---|---|---|---|
| 1023264421 | K. Anand, Md, Ltd. | Internal Medicine | 4 Clubside Ct, Burr Ridge, IL 60527-8129 | 2008-08-18 |
| 1225262744 | Neil Sengupta | Internal Medicine | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2009-05-12 |
| 1699838102 | David T Rubin | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-18 |
| 1871656389 | Carol E Semrad | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-18 |
| 1164585683 | Nancy Reau | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-18 |
| 1982767406 | Kapuluru Reddy | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-18 |
| 1487717906 | Irving Waxman | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-18 |
| 1184787608 | Ira M Hanan | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-18 |
| 1033272554 | Helen S Te | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-18 |
| 1740343268 | Charles S Winans | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-18 |
| Find all providers in BURR RIDGE | ||||
| City | BURR RIDGE |
| Zip Code | 60527 |
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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.