DR. TONY VARGHESE PALLAN (NPI# 1942512827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942512827 |
| Entity Type | Individual |
| Full Name | DR. TONY VARGHESE PALLAN |
| Credential | M.D |
| Practice Address |
2425 W 22nd St Suite 211 Oak Brook IL 60523-1245 |
| Mailing Address |
Po Box 428 Downers Grove IL 60515-0428 |
| Practice Telephone | 6303683909 |
| Mailing Telephone | 6303683909 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2017-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2010015021 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036137215 | 05 | |
| IL | DEA | FP3634866 | 01 |
| IL | AETNA BETTER HEALTH | QZZ000000044776 | 01 |
| IL | CAQH | 12569529 | 01 |
| Street Address |
2425 W 22ND ST SUITE 211 |
| City | OAK BROOK |
| State | IL |
| Zip Code | 60523-1245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768640 | Nasirrudin Rana | Specialist | 2425 W 22nd St, Ste 102, Oak Brook, IL 60523-4643 | 2005-05-23 |
| 1255850533 | Loretta Kulczycki | Registered Nurse | 2425 W 22nd St, Oak Brook, IL 60523-1245 | 2017-09-18 |
| 1164894127 | Sabah Burki | Specialist/Technologist, Other | 2425 W 22nd St, Suite 200, Oak Brook, IL 60523-1245 | 2015-10-29 |
| 1235537952 | Foot First Podiatry Centers Vpc | Podiatrist | 2425 W 22nd St, Suite201, Oak Brook, IL 60523-1245 | 2014-12-11 |
| 1316242928 | Synchrony Chicago Weight Loss | Surgery | 2425 W 22nd St, Suite 201, Oak Brook, IL 60523-1245 | 2011-01-13 |
| 1407170350 | Diane M. Drugas, M.d., P.C. | Surgery | 2425 W 22nd St, Suite 211, Oak Brook, IL 60523-1247 | 2010-03-22 |
| 1174847032 | Richard R. Keen, M.d., P.C. | Surgery | 2425 W 22nd St, Suite 211, Oak Brook, IL 60523-1247 | 2010-03-22 |
| 1700019437 | Ricardo Izquierdo,m.d., P.C. | Specialist | 2425 W 22nd St, Suite 213, Oak Brook, IL 60523-1245 | 2009-08-28 |
| 1184855595 | Face and Body Plastic Surgery, PC | Plastic Surgery | 2425 W 22nd St, Suite 213, Oak Brook, IL 60523-1245 | 2009-08-03 |
| 1821227588 | Elena Valery Trukhacheva | Specialist | 2425 W 22nd St, Suite 102, Oak Brook, IL 60523-1245 | 2009-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358630 | Jennifer Renee Earnest | Counselor | 2526 Butterfield Road, Suite 138s, Oakbrook, IL 60523 | 2020-02-12 |
| 1881244614 | Meredith Elise Osborne | Pain Medicine | Joint Relief Institute, 600 22nd Street, Oak Brook, IL 60523 | 2019-09-13 |
| 1811450349 | Jessica A Kras | Physical Therapist | 2011 York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1356804876 | Derek M Jones | Physical Therapist | 2011 N. York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
| 1821537358 | The Anxiety Treatment Center - Western Suburbs, LLC | Counselor | 1100 Jorie Blvd, 227, Oak Brook, IL 60523 | 2017-02-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1154877850 | Sandhya Jayaram Shetty | Specialist/Technologist, Other | 1420 Kensington Rd., 201, Oak Brook, IL 60523 | 2016-09-01 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
| Find all providers in zip 60523 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174092993 | Bushra Haider Md LLC | Family Medicine | 2001 Midwest Rd Ste 110, Oak Brook, IL 60523-4300 | 2018-11-21 |
| 1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
| 1104171149 | Omar Saeed | Family Medicine | 221 Forest Trl, Oak Brook, IL 60523-1412 | 2012-07-16 |
| 1790044477 | Nayan V Gandhi | Family Medicine | 213 Indian Trail Rd, Oak Brook, IL 60523-2797 | 2012-05-15 |
| 1689941650 | Leo James Roberts | Family Medicine | 55 Devonshire Dr, Oak Brook, IL 60523-1712 | 2011-11-18 |
| 1801037627 | Walter John Miller Jr. | Family Medicine | 13 Forest Gate Cir, Oak Brook, IL 60523-2129 | 2009-03-09 |
| 1073630240 | Alberto Saltiel | Family Medicine | 6 Charleton Pl, Oak Brook, IL 60523-1710 | 2007-03-23 |
| 1740315746 | Amir M Saed | Family Medicine | 12 Sheffield Lane, Oak Brook, IL 60523 | 2007-02-22 |
| 1144384165 | Ashok M Lakhani | Family Medicine | 816 Coventry Ln, Oak Brook, IL 60523-1444 | 2006-12-21 |
| 1942378047 | Lee Bernard Sacks | Family Medicine | 2025 Windsor Dr, Oak Brook, IL 60523-1586 | 2006-11-30 |
| Find all providers in OAK BROOK | ||||
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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.