PATHOLOGY ASSOCIATES OF CHICAGO LTD (NPI# 1861573727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861573727 |
| Entity Type | Organization |
| Organization Name | PATHOLOGY ASSOCIATES OF CHICAGO LTD |
| Practice Address |
12935 Gregory St Metrosouth Medical Center Blue Island IL 60406-2428 |
| Mailing Address |
Po Box 88487 Chicago IL 60680-1487 |
| Practice Telephone | 7085972000 |
| Practice Fax Number | 7085974275 |
| Mailing Telephone | 7085972000 |
| Mailing Fax Number | 7085974275 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-11-08 |
| Authorized Official Name | ENRIQUE BECKMANN (PRESIDENT) |
| Authorized Official Telephone | 7085972000 |
| Authorized Official Credential | MD PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
12935 GREGORY ST METROSOUTH MEDICAL CENTER |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076831 | Ssm Regional Health Services Owning and Operating St Francis Hospital | General Acute Care Hospital | 12935 Gregory St, Administration, Blue Island, IL 60406-2428 | 2005-07-12 |
| 1114400868 | Jasmine Johnson | Dietitian, Registered | 12935 Gregory St, Blue Island, IL 60406-2428 | 2018-09-10 |
| 1841705001 | Kathleen J Korman | Clinical Nurse Specialist | 12935 Gregory St, Blue Island, IL 60406-2428 | 2017-12-11 |
| 1063922854 | Anthony Edward Falcon | Physician Assistant | 12935 Gregory St, Blue Island, IL 60406-2428 | 2017-10-05 |
| 1235654757 | Usacs Integrated Acute Care Services of Illinois, LLC | Internal Medicine | 12935 Gregory St, Blue Island, IL 60406-2428 | 2017-08-05 |
| 1083064299 | Steven Kluck | Physician Assistant | 12935 Gregory St, Blue Island, IL 60406-2428 | 2016-06-18 |
| 1376906164 | Whitney Michelle Dawson | Emergency Medicine | 12935 Gregory St, Blue Island, IL 60406 | 2016-03-30 |
| 1992166953 | Walgreen Co | Pharmacy | 12935 Gregory St, Ste A, Blue Island, IL 60406-2428 | 2016-03-17 |
| 1104285196 | Stevie Funk | Physician Assistant | 12935 Gregory St, Blue Island, IL 60406-2428 | 2016-02-18 |
| 1003280835 | Mildred Guillermo Franco | Nurse Anesthetist, Certified Registered | 12935 Gregory St, Blue Island, IL 60406-2428 | 2015-11-17 |
| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063445286 | Stephanie Harris Applebaum | Pathology | 12935 Gregory St, Blue Island, IL 60406-2428 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930145 | Uttamjot Kaur | Pathology | 2650 Ridege Avenue, Evanston Hospital, Chicago, IL 60613-6061 | 2020-10-21 |
| 1770131831 | Reditus Laboratories | Pathology | 1805 Riverway Dr, Pekin, IL 61554-9309 | 2019-08-30 |
| 1679137756 | Hans-magne Hansen Hamnvag | Pathology | 2460 S 1st Avenue Loyola University Medical Center, Maywood, IL 60153-3328 | 2019-04-24 |
| 1497229157 | Almasri Medical LLC | Pathology | 8150 185th St Ste A, Tinley Park, IL 60487-9319 | 2019-01-16 |
| 1689188062 | Karina Colossi Furlan | Pathology | 1750 W Harrison St Fl 5, Chicago, IL 60612-3825 | 2017-11-21 |
| 1245753961 | Ayse Irem Kilic | Pathology | 2160 South First Ave., Maywood, IL 60153-3328 | 2017-07-25 |
| 1073967162 | Lucy Fu | Pathology | 303 East Chicago Avenue Ward 3-140 W127, Chicago, IL 60611-1059 | 2016-04-14 |
| 1679930457 | Lindsay Alpert | Pathology | 150 Harvester Drive, Suite 300, Burr Ridge, IL 60527-6686 | 2016-01-25 |
| 1831573898 | Indu Agarwal | Pathology | 2100 Valencia Dr, #314b, Northbrook, IL 60062-7063 | 2015-07-18 |
| 1053790113 | Lisa Han | Pathology | 5841 S. Maryland Ave., Rm. S323, Mc 3083, Chicago, IL 60637-1470 | 2015-05-22 |
| 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.