MARY UDOH (NPI# 1073068995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073068995 |
| Entity Type | Individual |
| Full Name | MARY UDOH |
| Practice Address |
4554 N Broadway St Suite #333 Chicago IL 60640-5642 |
| Practice Telephone | 3122087304 |
| Mailing Telephone | 3122087304 |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2016-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | 3001321 | IL | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720392061 | Mary Edem Udoh | Registered Nurse | 1800 Mount Vernon Ave, Bakersfield, CA 93306-3302 | 2010-07-28 |
| Street Address |
4554 N BROADWAY ST SUITE #333 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295725000 | Hsien Che Kuo | Dentist | 4554 N Broadway St, Suite 229, Chicago, IL 60640-5642 | 2005-10-24 |
| 1518113414 | Quality Home Health Care, LLC | Home Health | 4554 N Broadway St, Suite 224, Chicago, IL 60640-5642 | 2008-08-11 |
| 1932187721 | Tssy Min Lin | Family Medicine | 4554 N Broadway St, Ste 231, Chicago, IL 60640-5671 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| 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 |
| 1023621364 | Antwaniqua White | Homemaker | 3500 S Lake Park Ave Apt 405, Chicago, IL 60653-1561 | 2020-08-26 |
| 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 |
| 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.