EMERGENCY ROOM PROVIDERS, S.C. (NPI# 1912200536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912200536 |
| Entity Type | Organization |
| Organization Name | EMERGENCY ROOM PROVIDERS, S.C. |
| Practice Address |
2320 E 93rd St Chicago IL 60617-3983 |
| Mailing Address |
2000 Spring Rd Suite 200 Oak Brook IL 60523-1804 |
| Practice Telephone | 7739672000 |
| Mailing Telephone | 6304728800 |
| Mailing Fax Number | 6304729502 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |
| Authorized Official Name | DR. PIERRE E. WAKIM (PRESIDENT) |
| Authorized Official Telephone | 6304728800 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Street Address |
2320 E 93RD ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-3983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545937 | Ken R Richards | Specialist | 2320 E 93rd St, Trinity Hospital, Chicago, IL 60617-3983 | 2005-08-19 |
| 1972151512 | Lauren Jennifer Wishne | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-08-27 |
| 1932755105 | Erin Hill | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-08-14 |
| 1154980001 | Nathan Duane Warner | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-06-12 |
| 1740749779 | Alec Saadi Colson | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-03-19 |
| 1710452065 | Sherryl Felice Smith-colbert | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-10-12 |
| 1497220743 | Kenisha Daniels | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-10-12 |
| 1396229019 | Amy Elizabeth Spreitzer | Registered Nurse | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-09-18 |
| 1770072340 | Shawndra L Ferrell | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-05-08 |
| 1396258513 | Rosie L. Bernard | Registered Nurse | 2320 E 93rd St, Chicago, IL 60617-3909 | 2017-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760715 | Michael James Doolin | Emergency Medicine | 1338 S Clinton St, Chicago, IL 60607-5037 | 2019-09-24 |
| 1578091971 | The Board of Trustee for The University of Illinois | Emergency Medicine | 10000 West O'hare, Terminal 2, Chicago, IL 60660-0508 | 2017-05-30 |
| 1669712808 | Kathryn Theresa Pajak | Emergency Medicine | 5659 S Oak Park Ave, Chicago, IL 60638-3227 | 2013-02-26 |
| 1174832976 | Craig William Dean | Emergency Medicine | 155 N Harbor Dr Apt 309, Chicago, IL 60601-7386 | 2010-09-28 |
| 1770809881 | King, Ltd | Emergency Medicine | 9332 S Vanderpoel Ave, Chicago, IL 60643-5852 | 2010-04-14 |
| 1528099876 | Robert Newell Miller Iv | Emergency Medicine | 4349 N Campbell Ave, Unit A, Chicago, IL 60618-1664 | 2006-07-05 |
| 1164462248 | Joseph Stock | Emergency Medicine | 119 W Chestnut St, Chicago, IL 60610-3288 | 2006-06-07 |
| 1093761363 | Erica Salaman | Emergency Medicine | 1841 W 19th St, 2r, Chicago, IL 60608-2713 | 2006-05-26 |
| 1649245564 | Christopher Beach | Emergency Medicine | 211 East Ontario, Suite 200, Chicago, IL 60611-3284 | 2006-02-22 |
| 1093792806 | Steve R Edelstein | Emergency Medicine | 73 Remittance Dr, Suite 1951, Chicago, IL 60675-1000 | 2005-12-22 |
| Find all providers in CHICAGO | ||||
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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.