BLANCA EDITH IRIARTE OPORTO


Address: 4700 S California Ave, Chicago, IL 60632
Phone: 7735846200

BLANCA EDITH IRIARTE OPORTO (NPI# 1932559143) 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) 1932559143
Entity Type Individual
Full Name BLANCA EDITH IRIARTE OPORTO
Credential M.D.
Practice Address 4700 S California Ave
Chicago
IL 60632
Mailing Address 2001 S California Ave Ste 100
Chicago
IL 60608-2486
Practice Telephone 7735846200
Mailing Telephone 7735846200
Enumeration Date 2016-06-18
Last Update Date 2019-07-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 36.148412 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1500 Lansdowne Ave, Darby, PA 190231200 6102374000

Office Location

Street Address 4700 S CALIFORNIA AVE
City CHICAGO
State IL
Zip Code 60632

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780905869 Sylvia Adenike Shokunbi Family Medicine 4700 S California Ave, Chicago, IL 60632-2016 2010-06-12
1881250355 Laboratory Corporation of America Clinical Medical Laboratory 4700 S California Ave, Chicago, IL 60632-2016 2019-05-10
1003387226 Surecare Pharmacy 2 Inc Pharmacy 4700 S California Ave, Chicago, IL 60632 2018-12-16
1487124707 Esperanza Health Centers Clinic/Center 4700 S California Ave, Chicago, IL 60632 2018-11-29
1013425040 Maria Luisa Patino Counselor 4700 S California Ave, Chicago, IL 60632-2016 2018-01-11
1871940585 Dhara Sheth Bhakta Obstetrics & Gynecology 4700 S California Ave, Chicago, IL 60632-2016 2016-05-23
1144684598 Karen Johanna Escobar Psychiatry & Neurology 4700 S California Ave, Chicago, IL 60632-2016 2016-04-12
1467847384 Jasmine Saavedra Pediatrics 4700 S California Ave, Chicago, IL 60632-2016 2015-03-30
1932518750 Axa Maria Yosmar Anaya Noubleau Internal Medicine 4700 S California Ave, Chicago, IL 60632 2014-08-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104474790 Amanda Rose Dirnberger Nurse Practitioner 3229-43 W. 47th Pl., Chicago, IL 60632 2019-08-28
1982121042 Brown Archer Dental PC Dentist 4893 S Archer Ave, Chicago, IL 60632 2017-08-29
1538577085 Metrosmiles - Archer Heights Dental Dentist 5141 S Cicero Ave, Chicago, IL 60632 2014-07-29
1174955173 Thresholds Community/Behavioral Health 718-24 West 47th St, Chicago, IL 60632 2013-08-01
1659612570 Sapex Home Healthcare, Inc. In Home Supportive Care 4107 West 47th Street, Chicago, IL 60632 2013-03-04
1912275462 Dawn Marie Mackessy Pharmacist 5435 S. Kedzie Ave, Chicago, IL 60632 2011-12-12
1033494752 Molly Elizabeth Mcdermott Pharmacist District 222-walgreens, Chicago, IL 60632 2011-10-13
1780908434 Chicago Electrical Trauma Research Institute Specialist/Technologist, Other 4047 W. 40th Street, Chicago, IL 60632 2010-03-24
1265765218 4365 Archer Mri, LLC Clinic/Center 4365 South Archer Avenue, Chicago, IL 60632 2009-09-09
1295968121 Smile Lee Faces Dentist 4197 S Archer Ave, Chicago, IL 60632 2009-08-26
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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
1922606193 Thatiana Carolina Schulze Goni Internal Medicine 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 2020-10-11
1750995742 Eva Bartaula Internal Medicine 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 2020-09-07
1750994513 Ranjit Babu Jasaraj Internal Medicine 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 2020-08-30
1871106005 Vijay Ketan Reddy Internal Medicine 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 2020-08-27
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1871119172 Irina Komissarova Internal Medicine 916 S Oakley Blvd, Chicago, IL 60612-4230 2020-06-22
1336760719 Arslan Zahid Internal Medicine 5847 S Maryland Ave, Chicago, IL 60637-1463 2020-04-27
1104447572 Nirmal Desai Internal Medicine 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 2020-04-27
1467072447 Justin Edmond Sipiora Internal Medicine 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 2020-04-20
1003449612 Eoht LLC Internal Medicine 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 2020-02-21
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Competitor

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City CHICAGO
Zip Code 60632

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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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