JEFF CHARLES RASTATTER (NPI# 1932326451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932326451 |
| Entity Type | Individual |
| Full Name | JEFF CHARLES RASTATTER |
| Credential | M.D. |
| Practice Address |
225 E. Chicago Ave., #25 Ann & Robert H. Lurie Children's Hospital of Chicago Chicago IL 60611-2605 |
| Practice Telephone | 3122276230 |
| Practice Fax Number | 3122279414 |
| Mailing Telephone | 3122276230 |
| Mailing Fax Number | 3122279414 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
036118993 | IL | Allopathic & Osteopathic Physicians |
| N | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
35.088062 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE GROUP PTAN | 760060 | 01 |
| IL | MEDICARE INDIVIDUAL PTAN | 760060002 | 01 |
| IL | LICENSE NUMBER | 036-118993 | 01 |
| Street Address |
225 E. CHICAGO AVE., #25 ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487649315 | Lauren Holinger | Otolaryngology | 225 E. Chicago Ave., #25, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605 | 2005-09-16 |
| 1134147382 | James W Schroeder II | Otolaryngology | 225 E. Chicago Ave., #25, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605 | 2006-07-17 |
| 1609862267 | John Maddalozzo | Otolaryngology | 225 E. Chicago Ave., #25, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605 | 2005-09-20 |
| 1952397473 | Kathleen Billings | Otolaryngology | 225 E. Chicago Ave., #25, Ann Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487649315 | Lauren Holinger | Otolaryngology | 225 E. Chicago Ave., #25, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605 | 2005-09-16 |
| 1235556192 | Saied Ghadersohi | Otolaryngology | 225 E Chicago Ave # 25, Chicago, IL 60611-2991 | 2014-03-27 |
| 1366741548 | Taher Valika | Otolaryngology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2011-03-27 |
| 1306096300 | Stephen R Hoff | Otolaryngology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2008-09-25 |
| 1659581262 | Douglas R. Johnston | Otolaryngology | 225 E Chicago Ave, Chicago, IL 60611 | 2007-05-23 |
| 1548480957 | The Board of Trustees of The University of Illinois | Otolaryngology | 1855 W Taylor St, Chicago, IL 60612-7243 | 2007-04-26 |
| 1134147382 | James W Schroeder II | Otolaryngology | 225 E. Chicago Ave., #25, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605 | 2006-07-17 |
| 1942296504 | Nancy Young | Otolaryngology | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2005-09-20 |
| 1609862267 | John Maddalozzo | Otolaryngology | 225 E. Chicago Ave., #25, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605 | 2005-09-20 |
| 1952397473 | Kathleen Billings | Otolaryngology | 225 E. Chicago Ave., #25, Ann Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605 | 2005-09-20 |
| 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.