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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 36.148412 | IL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1500 Lansdowne Ave, Darby, PA 190231200 | 6102374000 |
Street Address |
4700 S CALIFORNIA AVE |
City | CHICAGO |
State | IL |
Zip Code | 60632 |
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 |
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 |
Find all providers in zip 60632 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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 |
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.