CEP AMERICA ILLINOIS INTENSIVISTS (NPI# 1871071837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871071837 |
| Entity Type | Organization |
| Organization Name | CEP AMERICA ILLINOIS INTENSIVISTS |
| Practice Address |
2233 W Division St Chicago IL 60622-8151 |
| Mailing Address |
1601 Cummins Dr Ste D Modesto CA 95358-6411 |
| Practice Telephone | 3127702000 |
| Mailing Telephone | 5103502680 |
| Mailing Fax Number | 5108799074 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | DAVID BIRDSALL (ADMINISTRATION VP OF OPERATIONS) |
| Authorized Official Telephone | 5103502600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538661475 | Cep America Illinois Intensivists | Internal Medicine | 503 N Maple St, Effingham, IL 62401-2006 | 2018-03-07 |
| 1528560463 | Cep America Illinois Intensivists | Internal Medicine | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-03-07 |
| 1972005817 | Cep America Illinois Intensivists | Internal Medicine | 12866 Troxler Ave, Highland, IL 62249-2806 | 2018-03-07 |
| 1962904805 | Cep America Illinois Intensivists | Internal Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2018-03-07 |
| 1992204184 | Cep America Illinois Intensivists | Internal Medicine | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2018-02-02 |
| 1386002368 | Cep America Illinois Intensivists | Internal Medicine | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2016-02-04 |
| Street Address |
2233 W DIVISION ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-8151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895263 | Maruti Bhorade, M.d. | Internal Medicine | 2233 W Division St, Chicago, IL 60622-3043 | 2005-07-19 |
| 1750909396 | Savannah Leigh Paul | Registered Nurse | 2233 W Division St, Chicago, IL 60622-8151 | 2020-07-09 |
| 1700413648 | Julian Carr Aliber | Physical Therapist | 2233 W Division St, Chicago, IL 60622-8151 | 2020-03-23 |
| 1598391674 | Vanessa Patkowski | Occupational Therapist | 2233 W Division St, Chicago, IL 60622-8151 | 2020-03-20 |
| 1013551472 | Work & Pillay Sc | Psychiatry & Neurology | 2233 W Division St, Chicago, IL 60622-8151 | 2019-10-29 |
| 1861043085 | Andrea Beshalske | Pharmacist | 2233 W Division St, Chicago, IL 60622-8151 | 2019-09-28 |
| 1982269379 | Jessica M Kunkel | Nurse Anesthetist, Certified Registered | 2233 W Division St, Chicago, IL 60622-8151 | 2019-05-01 |
| 1427514280 | Megan Hynes | Registered Nurse | 2233 W Division St, Chicago, IL 60622-8151 | 2019-02-18 |
| 1548724982 | Joel Manalo Ocampo | Nurse Practitioner | 2233 W Division St, Chicago, IL 60622-8151 | 2019-01-30 |
| 1104390301 | Adriel Geoff Cansino | Registered Nurse | 2233 W Division St, Chicago, IL 60622-8151 | 2019-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1588970933 | Farbod Ghods | Internal Medicine | 5841 S Maryland Ave # Mc6026, Chicago, IL 60637-1447 | 2010-08-24 |
| 1588984454 | James M Walter | Internal Medicine | 240 East Huron, Mcgaw M-300, Chicago, IL 60611 | 2010-06-02 |
| 1972829240 | Devon Wayne Paul | Internal Medicine | 1414 S Fairfield Ave, Chicago, IL 60608 | 2010-04-12 |
| 1538346200 | Irtaza Iqbal Khan | Internal Medicine | 2626 N Lakeview Ave Apt 1003, Chicago, IL 60614-1811 | 2008-01-24 |
| 1528242682 | Sherene Sami Fakhran | Internal Medicine | 240 E. Huron, Mcgaw Pavillion, Suite M-360, Chicago, IL 60611 | 2007-12-26 |
| 1255483897 | Jason Thomas Poston | Internal Medicine | 5841 S Maryland Ave Ste Mc6076, Chicago, IL 60637-1626 | 2007-01-16 |
| 1609937432 | Jeffrey Randall Jacobson | Internal Medicine | 909 South Wolcott Avenue, 3141 Comrb, Chicago, IL 60612-3725 | 2006-12-13 |
| 1396839973 | Yaakov Friedman | Internal Medicine | Provident Hospital, 500 . 51 Street, Chicago, IL 60615-2400 | 2006-10-03 |
| 1669574299 | Jyothi Jolepalem | Internal Medicine | 1500 South California Ave, Sinai Medical Group Dept. of Pulmonary & Critical Care, Chicago, IL 60608-1797 | 2006-09-03 |
| 1265451397 | Babak Mokhlesi | Internal Medicine | University of Chicago Hospitals, 5841 S. Maryland Ave, Mc 6026, Chicago, IL 60637 | 2006-07-19 |
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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.