MOBVILVAX, LLC (NPI# 1124610704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124610704 |
| Entity Type | Organization |
| Organization Name | MOBVILVAX, LLC |
| Practice Address | 520 W Erie St Ste 100 Chicago IL 60654-5700 |
| Practice Telephone | 8884167686 |
| Practice Fax Number | 8884167686 |
| Mailing Address | 520 W Erie St Ste 100 Chicago IL 60654-5700 |
| Mailing Telephone | 8884167686 |
| Mailing Fax Number | 8884167686 |
| Certification Date | 2021-02-03 |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |
| Authorized Official Telephone | 8884167686 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 207LP2900X | Anesthesiology Specialization: Pain Medicine | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians |
| Street Address | 520 W ERIE ST STE 100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60654-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134759426 | Jamie Landau | Physician Assistant | 520 W Erie St Ste 110, Chicago, IL 60654-5700 | 2020-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523564 | Male-Order Men's Health LLC | Pharmacy · Mail Order Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
| 1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
| 1144873886 | Fraeda Friedman | Social Worker · Clinical | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
| 1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center · Ambulatory Surgical | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1134697683 | Ghazal Kermani | Dentist · General Practice | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology · Diagnostic Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
| 1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
| 1407367568 | Amy Mcnicholas | Counselor · Mental Health | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
| Find all providers in zip 60654 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775770 | Regenerative Pain & Spine LLC | 2122 W Devon Ave, Chicago, IL 60659-3581 | 2020-09-22 | |
| 1720627862 | Mm Infusions LLC | 1605 S Michigan Ave Unit 1, Chicago, IL 60616-1209 | 2020-01-06 | |
| 1306386644 | Advanced Pain and Anesthesia Consultants,Pc | 5215 N California Ave Ste F715, Chicago, IL 60625-7014 | 2017-03-06 | |
| 1487035408 | Emilio A. Valdes | 1969 W. Ogden Ave., John H. Stroger, Jr. Hospital of Cook County, Chicago, IL 60612 | 2015-06-16 | |
| 1144609181 | Ebm Consulting LLC · Affordable Pain Management | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 | |
| 1407291867 | Andrew Donguk Nam · Donguk Nam | 1969 W Ogden Ave Fl 5, Chicago, IL 60612-3765 | 2013-04-29 | |
| 1326380072 | Integrated Pain Management Sc | 736 W. 35th St., Chicago, IL 60616-3438 | 2013-03-20 | |
| 1467742577 | William Richard Landphair | 1725 W Harrison St Ste 550, Chicago, IL 60612-3846 | 2011-04-10 | |
| 1851547616 | Dalia H Elmofty | 5841 S Maryland Ave Mc 4028, University of Chicago, Department of Anesthesia, Chicago, IL 60637 | 2008-08-13 | |
| 1588827646 | Intesar Hussain | 830 N. Ashland Avenue, Chicago, IL 60622-5684 | 2008-07-08 | |
| 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.