ANTWANIQUA WHITE (NPI# 1023621364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023621364 |
| Entity Type | Individual |
| Full Name | ANTWANIQUA WHITE |
| Practice Address |
3500 S Lake Park Ave Apt 405 Chicago IL 60653-1561 |
| Practice Telephone | 7733972555 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
3500 S LAKE PARK AVE APT 405 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-1561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201778 | Brandi Holmes | Homemaker | 8339 S Phillips Ave, Chicago, IL 60617-1931 | 2020-10-05 |
| 1346865730 | Denise Serna | Homemaker | 3805 W 75th Pl, Chicago, IL 60652-1303 | 2020-06-11 |
| 1548803109 | Filipina Laurel Sabay | Homemaker | 2515 W Winona St, Chicago, IL 60625-2504 | 2019-10-25 |
| 1679124895 | Shanta Shacole White | Homemaker | 7308 S Constance Ave, Chicago, IL 60649-3120 | 2019-09-28 |
| 1669943288 | Belinda Ware | Homemaker | 1722 N Laramie Ave, Chicago, IL 60639-4409 | 2018-12-07 |
| 1013485465 | Sheena Gibbs | Homemaker | 5953 N Kenmore Ave Apt 205, Chicago, IL 60660-3686 | 2018-11-04 |
| 1609395391 | Gloria Mauricio Medrano | Homemaker | 4118 N Kedvale Ave, Chicago, IL 60641-0030 | 2017-09-13 |
| 1346685591 | Hellenic Foundation | Homemaker | 6251 W Touhy Ave, Chicago, IL 60646-1106 | 2013-05-01 |
| 1003157298 | Family Choice Home Health | Homemaker | 5933 N Milwaukee Avenue, Chicago, IL 60646 | 2013-03-13 |
| 1508103730 | Romanian American Community Center | Homemaker | 3643 W Irving Park Rd, Chicago, IL 60618-4143 | 2013-01-08 |
| 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.