DR. PEDRAM YAZDAN (NPI# 1982820148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982820148 |
| Entity Type | Individual |
| Full Name | DR. PEDRAM YAZDAN |
| Credential | M.D. |
| Practice Address |
676 N Saint Clair St Ste 1600 Chicago IL 60611-2997 |
| Mailing Address |
680 N Lake Shore Dr Ste 1000 Chicago IL 60611-8709 |
| Practice Telephone | 3126953721 |
| Practice Fax Number | 3126950007 |
| Mailing Telephone | 3126953988 |
| Mailing Fax Number | 3126950364 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 036120261 | IL | Allopathic & Osteopathic Physicians |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
036120261 | IL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
036120261 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
676 N SAINT CLAIR ST STE 1600 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487217642 | Tara E Dordek | Physician Assistant | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2019-04-15 |
| 1043715006 | Laura Walsh | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2018-03-29 |
| 1073023016 | Krystal Simpraphone | Physician Assistant | 676 N Saint Clair St Ste 1600, Chicago, IL 60611 | 2017-10-04 |
| 1073041455 | Sepideh Asadbeigi | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2017-05-30 |
| 1346772472 | Jessica Gandy Labadie | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611 | 2017-03-29 |
| 1497286033 | Emily Anne Merkel | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611 | 2017-03-24 |
| 1194174110 | Emily Milford Stevenson | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2016-06-09 |
| 1982051165 | Julia Mhlaba | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2016-05-18 |
| 1487001822 | Raj Jitendra Chovatiya | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2016-05-16 |
| 1275995888 | Shadi Damanpour | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2016-03-23 |
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| 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 |
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| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| 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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861404279 | Nathaniel Morgan | Dermatology | 11157 S Halsted St, Chicago, IL 60628-3910 | 2006-08-13 |
| 1023040573 | Thomas L. Fisher, M.d., S.c. | Dermatology | 47 W Polk St Lbby G1, Chicago, IL 60605-2087 | 2006-07-07 |
| 1073041455 | Sepideh Asadbeigi | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2017-05-30 |
| 1548517949 | Michael Sidiropoulos | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2012-08-06 |
| 1225074727 | Joan Guitart | Dermatology | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376866897 | Physicians Dermpath Laboratory | Dermatology | 1420 N. Renaissance Dr., Suite 204, Park Ridge, IL 60068-1330 | 2010-03-11 |
| 1417075961 | Asanee Lertsburapa | Dermatology | 708 Midwest Club Park Parkway, Oak Brook, IL 60523 | 2007-03-26 |
| 1467476457 | Jeffrey Berti | Dermatology | 6825 Kingery Hwy, Willowbrook, IL 60527-5154 | 2006-07-26 |
| 1215902986 | George T Nahass | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2006-02-17 |
| 1467955179 | United Skin Specialists Illinois Ltd, PC | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2018-03-09 |
| 1194225268 | United Skin Specialists Illinois Ltd, PC | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2018-02-15 |
| 1437404951 | Christina G Steil Dermatology Ltd | Dermatology | 40 S Clay St, #210e, Hinsdale, IL 60521-3257 | 2012-07-20 |
| 1245490382 | Tesfu Hailu | Dermatology | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2008-06-12 |
| 1528235371 | Ana M Eng Md Sc | Dermatology | 103 N Haven Rd, Ste 7, Elmhurst, IL 60126-2923 | 2008-05-12 |
| 1871768846 | Dermatology and Dermatologic Surgery Ltd | Dermatology | 6825 Kingery Hwy, Willowbrook, IL 60527-5154 | 2008-04-29 |
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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.