VIN MATHUR (NPI# 1871694810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871694810 |
| Entity Type | Individual |
| Full Name | VIN MATHUR |
| Credential | MD |
| Practice Address |
5841 S. Maryland Ave Mail Code 2026 Chicago IL 60637-1443 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-4503 |
| Practice Telephone | 7738349980 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
036148391 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | T2006029715 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1402 S Grand Blvd Rm M260, Saint Louis, MO 631041004 | 3149779853 | 3149771011 |
| Street Address |
5841 S. MARYLAND AVE MAIL CODE 2026 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184658478 | Christopher Manuel Gomez | Psychiatry & Neurology | 5841 S. Maryland Ave, Mc 2030, Chicago, IL 60637-1470 | 2006-07-10 |
| 1598385601 | Matthew Nathan | Pediatrics | 5841 S. Maryland Ave, Mc1052, Chicago, IL 60637 | 2020-04-18 |
| 1073154829 | Ewelina Orozco | Nurse Practitioner | 5841 S. Maryland Ave, Chicago, IL 60637 | 2019-10-02 |
| 1114489192 | Juan Pablo Alban | Internal Medicine | 5841 S. Maryland Ave, Mc 7082, Chicago, IL 60637-1443 | 2019-04-01 |
| 1144781717 | Michael Larsen | Anesthesiology | 5841 S. Maryland Ave, M/c 4028, Chicago, IL 60637-1443 | 2019-03-27 |
| 1144728783 | Jacqueline Lippe | Nurse Practitioner | 5841 S. Maryland Ave, Mc 2115, Chicago, IL 60637-1470 | 2018-01-29 |
| 1780035337 | Miriam Robinovitz | Psychiatry & Neurology | 5841 S. Maryland Ave, M/c 3077, Chicago, IL 60637-1443 | 2016-06-24 |
| 1821444837 | Jovian Yu | Internal Medicine | 5841 S. Maryland Ave, M/c 2115, Chicago, IL 60637-1443 | 2016-05-09 |
| 1932561156 | Kimberly Joy Beiting | Family Medicine | 5841 S. Maryland Ave, Mc 6098, Chicago, IL 60637-1443 | 2016-03-26 |
| 1316329774 | Lee Michael Stratton | Surgery | 5841 S. Maryland Ave, Rm. G-201, Mc4052, Chicago, IL 60637-1443 | 2015-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736463 | Melih Akyuz | Radiology | 1653 W Congress Pkwy Ste 181, Chicago, IL 60612-3833 | 2020-10-01 |
| 1891225256 | Anoop Chacko Achanaril | Radiology | 1653 W. Congress Parkway, Jelke 181, Chicago, IL 60612 | 2017-06-18 |
| 1528224045 | Corey Steven Bregman | Radiology | 2300 Childrens's Plaza, No. 9, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2008-08-04 |
| 1780861807 | Qasim Bashir | Radiology | 912 S. Wood St. M/c 799, Chicago, IL 60612 | 2008-01-31 |
| 1184771073 | Tamara Jackson | Radiology | 469 W Huron St, Apt 810, Chicago, IL 60654-3467 | 2007-01-04 |
| 1285740043 | Benjamin P Liu | Radiology | 676 N Saint Clair St Fl 14, Dept Neuroradiology, Chicago, IL 60611-2951 | 2006-08-22 |
| 1790726495 | Hamid Mohazab | Radiology | 1122 N Dearborn St, Chicago, IL 60610-5057 | 2006-06-10 |
| 1457349979 | Prashant K Chawla | Radiology | 30 W Erie St, #701, Chicago, IL 60654-2827 | 2005-10-10 |
| 1346242088 | Eugene W Brown | Radiology | 773 W Melrose St, Chicago, IL 60657-3417 | 2005-08-12 |
| 1265432322 | Eugene C Anandappa | Radiology | 225 E Chicago Ave # 9, Chicago, IL 60611-2991 | 2005-07-29 |
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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.