ROBERT T. EGEL, M. D., S. C. (NPI# 1992995625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992995625 |
| Entity Type | Organization |
| Organization Name | ROBERT T. EGEL, M. D., S. C. |
| Practice Address |
4440 W 95th St Oak Lawn IL 60453-2699 |
| Mailing Address |
4440 W 95th St Oak Lawn IL 60453-2600 |
| Practice Telephone | 7086845445 |
| Practice Fax Number | 7086843112 |
| Mailing Telephone | 7086845445 |
| Mailing Fax Number | 7086843112 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |
| Authorized Official Name | DR. ROBERT TERRELL EGEL (PRESIDENT) |
| Authorized Official Telephone | 7086845445 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
4440 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805666 | Kenneth S. Toth | Anesthesiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2005-07-15 |
| 1821697392 | Marissa Vavra | Occupational Therapist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-25 |
| 1215535638 | Jarrod Siek Georgacakis | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-16 |
| 1396350708 | Crystal Oehmen | Radiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-09-11 |
| 1255943999 | Kristen Michele Hill | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-08-22 |
| 1033735295 | Thomas Panicucci | Registered Nurse | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-23 |
| 1538785407 | Amanda Thompson | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-17 |
| 1508481250 | Amy Marie Fader | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-09 |
| 1528680139 | Nader Hamzeh Darwish | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-18 |
| 1003438920 | Anna Manilla | Speech-Language Pathologist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
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| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700226206 | Aliesje Sorgeloos | Psychiatry & Neurology | 4220 W 95th St Ste 210, Oak Lawn, IL 60453 | 2013-06-28 |
| 1205831393 | Priti Singh | Psychiatry & Neurology | Christ Hosp., Dept. of Neurology, 4440 W 95th Street, Oak Lawn, IL 60453 | 2005-06-16 |
| 1639111248 | Robert Terrell Egel | Psychiatry & Neurology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851558001 | Lubov Romantseva | Psychiatry & Neurology | 1725 W Harrison St Ste 718, Department of Pediatrics, Section of Child Neurology, Chicago, IL 60612-3863 | 2008-05-16 |
| 1154597029 | Children's Physician Group | Psychiatry & Neurology | 1473 Commerce Dr, Algonquin, IL 60102-5916 | 2008-05-01 |
| 1457484669 | Michelle Annette Melyn | Psychiatry & Neurology | 7777 West Lake St, River Forest, IL 60305 | 2007-03-14 |
| 1992856678 | Shakuntala Chhabria | Psychiatry & Neurology | 222s Greenleaf St 111, Gurnee, IL 60031-5705 | 2007-01-16 |
| 1053481929 | Rita Yadava M.d.s.c. | Psychiatry & Neurology | 1200 South York Rd, 4150, Elmhurst, IL 60126 | 2006-11-08 |
| 1356446306 | Leonard D Elkun Md Sc | Psychiatry & Neurology | 411 W Ontario St, Suite 402, Chicago, IL 60610-6945 | 2006-09-14 |
| 1023129145 | Leonard David Elkun | Psychiatry & Neurology | 411 W. Ontario St, Suite 402, Chicago, IL 60610-6945 | 2006-08-31 |
| 1184636805 | Shaku Chhabria Neurological Services Sc | Psychiatry & Neurology | 222 S Greenleaf St Ste 111, Gurnee, IL 60031-5705 | 2006-08-12 |
| 1811929003 | Charles Nash Swisher | Psychiatry & Neurology | 2515 N Clark Street, Suite, Chicago, IL 60614 | 2006-07-07 |
| 1972543080 | Hossam Hamdi Abdelsalam | Psychiatry & Neurology | 3040 W Salt Creek Ln, Arlington Heights, IL 60005-1069 | 2006-06-07 |
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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.