MARY ANN EMANUELE


Address: 2160 S First Ave, Fahey Center Room 137, Maywood, IL 60153
Phone: 7082168367

MARY ANN EMANUELE (NPI# 1902885080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902885080
Entity Type Individual
Full Name MARY ANN EMANUELE
Credential MD
Practice Address 2160 S First Ave
Fahey Center Room 137
Maywood
IL 60153
Practice Telephone 7082168367
Practice Fax Number 7082165936
Mailing Telephone 7082168367
Mailing Fax Number 7082165936
Enumeration Date 2006-01-17
Last Update Date 2012-06-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
36054550 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 36054550 05

Office Location

Street Address 2160 S FIRST AVE
FAHEY CENTER ROOM 137
City MAYWOOD
State IL
Zip Code 60153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497732747 Rodney Tehrani Internal Medicine 2160 S First Ave, (luh-north Ent., Rm. 7604), Maywood, IL 60153 2005-12-28
1013448901 Erin Rebecca Fiedler Psychiatry & Neurology 2160 S First Ave, Loyola University Medical Gme Office 105/2840, Maywood, IL 60153 2017-03-23
1477917698 Judy A Trieu Internal Medicine 2160 S First Ave, Building 54- Suite 167, Maywood, IL 60153 2016-04-13
1285977348 Mackenzie Marie Sward Ophthalmology 2160 S First Ave, Loyola University Medical Center Dept of Ophthalmology, Maywood, IL 60153-6809 2013-03-27
1689822231 Sean O'donnell Surgery 2160 S First Ave, Loyola Medical Center Department of Surgery, Maywood, IL 60153 2008-09-08
1730336652 Lara Bakhos Internal Medicine 2160 S First Ave, Maywood, IL 60153 2008-08-21
1831353788 Justin Spackey Radiology 2160 S First Ave, Maywood, IL 60153 2008-07-10
1821257833 Neha Sheth Dasmunshi Anesthesiology 2160 S First Ave, Maywood, IL 60153-3328 2008-06-04
1629290655 Mark E Cichon Emergency Medicine 2160 S First Ave, Ems Bldg. Rm. 2700, Maywood, IL 60153 2007-05-02
1396878682 Donna Mccormack Nurse Practitioner 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, IL 60153 2007-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053933077 Judie Noemie Hoilat Internal Medicine 2160 S 1st Avenue, Maywood, IL 60153 2020-05-13
1457972457 Yuchen Zheng Student in an Organized Health Care Education/Training Program Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 2020-04-30
1437779519 Amna Amad Siddiqui Student in an Organized Health Care Education/Training Program 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 2020-04-20
1982232211 Brian Kurtz Student in an Organized Health Care Education/Training Program 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 2020-03-31
1902434947 Saadiya Jabbar Psychiatry & Neurology Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 2020-03-27
1558919472 Linda Sue Moton Technician 10 South 15 Apt. 1, Maywood, IL 60153 2019-09-04
1760047518 Braden Robert Dasovic Student in an Organized Health Care Education/Training Program 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 2019-05-07
1134680713 Madeline Shaoyun Tiee Orthopaedic Surgery Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 2019-03-27
1538629746 Michael Murphy Orthopaedic Surgery 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 2019-03-22
1053871681 Michael V Padua Psychiatry & Neurology 2160 S 1st Ave Bldg, Maywood, IL 60153 2019-03-20
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023559242 Comprehensive Endocrinology PC Internal Medicine 240 W Passaic St Ste 14, Maywood, NJ 07607-1264 2017-03-20
1629330303 Sobia Sadiq Internal Medicine 2160 S 1st Ave, Maywood, IL 60153 2012-06-08
1154641876 Rod Marianne Cominguez Arceo-mendoza Internal Medicine 2160 S 1st Ave, Room 106, Maywood, IL 60153-3328 2010-06-04
1548385511 Shanika P. Samarasinghe Internal Medicine 2160 S 1st Ave, Fahey Bldg 137, Maywood, IL 60153-3328 2007-03-20
1508905928 Robert F. Dons Internal Medicine 2160 S 1st Ave, Maywood, IL 60153-3328 2007-02-05
1447220488 Zarina Muzaffar Internal Medicine 2160 S First Ave, (17w740 22nd St., Oakbrook Terrace, Il. 60181), Maywood, IL 60153 2006-01-24
1831179480 Anthony Barbato Internal Medicine 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, IL 60153 2006-01-19
1023097102 Gerald Charnogursky Internal Medicine 2160 S 1st Ave, (9608 Roberts Road, Hickory Hills, Il. 60457), Maywood, IL 60153 2006-01-17
1730168816 Pauline Camacho Internal Medicine 2160 S 1st Ave, (mcgaw Ent., Rm. 47), Maywood, IL 60153 2006-01-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356961304 Wahid Kassar Md Ltd Internal Medicine 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 2020-04-20
1245701812 Chrysalis Health of Il P.C. Internal Medicine 402 Gardenia Ln, Buffalo Grove, IL 60089-1661 2018-12-07
1467920124 Impact Physician Group, Illinois, LLC Internal Medicine 115 E South St Ste F, Plano, IL 60545-1595 2018-11-10
1538669510 Oa Labs Clinic LLC. Internal Medicine 6321 Fairview Ave Ste B, Westmont, IL 60559-2886 2018-02-16
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1356861496 Javier Alcid Duron Tabora Internal Medicine 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 2017-06-20
1336676923 Villagemd Indiana, PC Internal Medicine 1 N Franklin St Ste 1205, Chicago, IL 60606 2017-05-15
1780135426 Endocrine and Metabolic Center Inc Internal Medicine 280 Stonegate Rd, Algonquin, IL 60102-5600 2016-10-18
1174975601 Bilal Shaikh Internal Medicine 1750 W Harrison St Ste 250, Chicago, IL 60612 2016-07-08
1316396294 Melissa Faye Cohen Internal Medicine 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 2016-06-10
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Competitor

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City MAYWOOD
Zip Code 60153

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Dataset Information

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.

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