GLADELL PANER (NPI# 1942366893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942366893 |
Entity Type | Individual |
Full Name | GLADELL PANER |
Credential | MD |
Practice Address |
2160 S First Ave (ems Bldg., Rm. 2209) Maywood IL 60153 |
Practice Telephone | 7082163250 |
Practice Fax Number | 7082162620 |
Mailing Telephone | 7082163250 |
Mailing Fax Number | 7082162620 |
Enumeration Date | 2006-12-28 |
Last Update Date | 2010-03-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZH0000X |
Pathology Specialization: Hematology |
036109370 | IL | Allopathic & Osteopathic Physicians |
Street Address |
2160 S FIRST AVE (EMS BLDG., RM. 2209) |
City | MAYWOOD |
State | IL |
Zip Code | 60153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497732747 | Rodney Tehrani | Internal Medicine | 2160 S First Ave, (luh-north Ent., Rm. 7604), Maywood, IL 60153 | 2005-12-28 |
1013448901 | Erin Rebecca Fiedler | Psychiatry & Neurology | 2160 S First Ave, Loyola University Medical Gme Office 105/2840, Maywood, IL 60153 | 2017-03-23 |
1477917698 | Judy A Trieu | Internal Medicine | 2160 S First Ave, Building 54- Suite 167, Maywood, IL 60153 | 2016-04-13 |
1285977348 | Mackenzie Marie Sward | Ophthalmology | 2160 S First Ave, Loyola University Medical Center Dept of Ophthalmology, Maywood, IL 60153-6809 | 2013-03-27 |
1689822231 | Sean O'donnell | Surgery | 2160 S First Ave, Loyola Medical Center Department of Surgery, Maywood, IL 60153 | 2008-09-08 |
1730336652 | Lara Bakhos | Internal Medicine | 2160 S First Ave, Maywood, IL 60153 | 2008-08-21 |
1831353788 | Justin Spackey | Radiology | 2160 S First Ave, Maywood, IL 60153 | 2008-07-10 |
1821257833 | Neha Sheth Dasmunshi | Anesthesiology | 2160 S First Ave, Maywood, IL 60153-3328 | 2008-06-04 |
1629290655 | Mark E Cichon | Emergency Medicine | 2160 S First Ave, Ems Bldg. Rm. 2700, Maywood, IL 60153 | 2007-05-02 |
1396878682 | Donna Mccormack | Nurse Practitioner | 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, IL 60153 | 2007-03-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
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Taxonomy Code | 207ZH0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Hematology |
A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023453362 | Silver Daniel | Pathology | 2160 S 1st Ave, Building 101, Room 1739, Maywood, IL 60153-3328 | 2013-04-30 |
1649241944 | Ameet Kini | Pathology | 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, IL 60153 | 2006-01-27 |
1720067812 | Milind Velankar | Pathology | 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, IL 60153 | 2006-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164802443 | Areta Kowal-vern | Pathology | 1700 Riverwoods Dr Apt 312, Melrose Park, IL 60160-1613 | 2015-06-02 |
1336554799 | Shiraz Fidai | Pathology | 5841 S Maryland Ave Rm S-323, Chicago, IL 60637-1447 | 2014-06-24 |
1891075925 | Barina Aqil | Pathology | 251 E Huron St Ste 220, Chicago, IL 60611-2908 | 2011-08-21 |
1275748147 | Victoria Missak Alagiozian-angelova | Pathology | 5004 Elm St, Skokie, IL 60077-2552 | 2007-05-13 |
1497978902 | Amir Behdad | Pathology | 680 N Lake Shore Dr Ste 1000, Department of Pathology and Laboratory Medicine, Chicago, IL 60611 | 2007-04-11 |
1548327091 | Milton Edward Skelly | Pathology | 4221 Fox Creek Rd, Mount Vernon, IL 62864-2155 | 2007-01-03 |
1639271802 | James William Veenstra | Pathology | 1383 Mcglasson Rd, Jacksonville, IL 62650-6726 | 2006-09-01 |
1801312129 | Nicholas David Hunter | Pathology | 1005 Broadway St, Quincy, IL 62301 | 2017-08-17 |
1982068789 | Moe Takeda | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2016-04-07 |
1053738195 | Nicolas Manuel Lopez-hisijos | Pathology | 1750 W Harrison St, Chicago, IL 60612-3825 | 2014-03-26 |
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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.