DR. JESSICA J KANDEL (NPI# 1912091182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912091182 |
| Entity Type | Individual |
| Full Name | DR. JESSICA J KANDEL |
| Credential | M.D. |
| Practice Address |
5841 S. Maryland Ave University of Chicago, Section of Pediatric Surgery Chicago IL 60673 |
| Mailing Address |
5841 S. Maryland Ave, Mc 4062 University of Chicago, Section of Pediatric Surgery Chicago IL 60673 |
| Practice Telephone | 2123428585 |
| Practice Fax Number | 6463499685 |
| Mailing Telephone | 7737026175 |
| Mailing Fax Number | 6463499685 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
036.133016 | IL | Allopathic & Osteopathic Physicians |
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
199202 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1583077 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548728108 | Jessica Mary Kandel | Behavior Technician | 707 Lake Cook Rd Ste 314, Deerfield, IL 60015-4933 | 2019-03-03 |
| 1598019523 | Jessica Kandel | Pharmacist | 8999 Balboa Blvd, Northridge, CA 91325-2608 | 2012-10-29 |
| Street Address |
5841 S. MARYLAND AVE UNIVERSITY OF CHICAGO, SECTION OF PEDIATRIC SURGERY |
| City | CHICAGO |
| State | IL |
| Zip Code | 60673 |
| 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 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154602043 | Mvc-chicago, S.c. | Phlebology | 680 N Lake Shore Dr Suite 104, Chicago, IL 60673-1050 | 2011-09-06 |
| 1376933119 | First Script Network Services | Pharmacy | 24160 Network Pl, Chicago, IL 60673-1241 | 2015-02-02 |
| 1982982096 | Kanika Sood | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2011-07-25 |
| 1629494224 | Mount Sinai Community Foundation | Internal Medicine | 26460 Network Pl, Chicago, IL 60673-1264 | 2014-03-07 |
| 1356779532 | Mount Sinai Community Foundation | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2013-10-24 |
| 1255778122 | Smg At Sci -obgyn | Obstetrics & Gynecology | 2653 W Ogden Ave, Chicago, IL 60673-1264 | 2013-05-31 |
| 1558462531 | Kurt P Heinking | Neuromusculoskeletal Medicine & OMM | 26520 Network Pl, Chicago, IL 60673-1265 | 2006-09-25 |
| 1194223099 | Regional Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 29194 Network Pl, Chicago, IL 60673-1291 | 2018-01-25 |
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417141904 | Erik Ryan Barthel | Surgery | 5841 S Maryland Ave # Mc4062, University of Chicago Medicine, Chicago, IL 60637-1447 | 2007-08-28 |
| 1467666081 | Connie Jean Rossini | Surgery | 1725 W Harrison St Ste 708, Chicago, IL 60612-3841 | 2007-05-10 |
| 1356394217 | Childrens Surgical Foundation Inc | Surgery | 225 E Chicago Ave # 114, Chicago, IL 60611-2991 | 2006-05-19 |
| 1356822050 | Lurie Childrens Surgical Foundation Inc | Surgery | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2018-08-22 |
| 1649774803 | Rachael Sundland | Surgery | 5841 S Maryland Ave # Mc4062, Chicago, IL 60637-1443 | 2018-03-22 |
| 1245746213 | Chicagoland University Pediatric Surgery, LLC | Surgery | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2017-12-28 |
| 1043655285 | Frances Chinenye Okolo | Surgery | 5841 S Maryland Ave # Mc4062, Chicago, IL 60637-1443 | 2013-05-01 |
| 1417226952 | Andrea Yan-sin Lo | Surgery | 5839 S Maryland Ave, Wp C-411 / Mc 4062, Chicago, IL 60637-1463 | 2011-12-28 |
| 1235441429 | Jennifer Rose Defazio | Surgery | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2010-07-05 |
| 1417198318 | Mark Slidell | Surgery | 5841 S Maryland Ave, M/c 4062 C411, Chicago, IL 60637-1447 | 2009-03-23 |
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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.