DR. DIANA LILY MITCHELL (NPI# 1083881650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083881650 |
| Entity Type | Individual |
| Full Name | DR. DIANA LILY MITCHELL |
| Credential | M.D. |
| Practice Address |
1675 W Dempster St Park Ridge IL 60068-1110 |
| Practice Telephone | 8477235313 |
| Mailing Telephone | 8477235313 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 036-118366 | IL | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
036118366 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366893455 | Diana J Mitchell | Licensed Practical Nurse | 203 W Maple Ave, Newark, NY 14513-2004 | 2016-06-29 |
| 1710135074 | Diana Mitchell | Physical Therapy Assistant | 950 Bay St Apt 8, San Francisco, CA 94109-1109 | 2008-08-28 |
| 1194353706 | Diana Nicole Mitchell | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-03-30 |
| 1548543267 | Diana Mitchell | Pharmacist | 1402 Sheepshead Bay Rd, Brooklyn, NY 11235-3814 | 2011-09-20 |
| 1467582510 | Diana D Mitchell | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2007-03-07 |
| Street Address |
1675 W DEMPSTER ST |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619936143 | Susan Elizabeth Crawford | Pediatrics | 1675 W Dempster St, Park Ridge, IL 60068-1110 | 2006-03-22 |
| 1689002446 | Anne Nekoliczak | Occupational Therapist | 1675 W Dempster St, Park Ridge, IL 60068-1110 | 2013-10-14 |
| 1245571660 | Nv Orthotics | Prosthetic/Orthotic Supplier | 1675 W Dempster St, Park Ridge, IL 60068-1110 | 2013-03-11 |
| 1629334800 | Rocco Giovanni Catrone | Behavioral Analyst | 1675 W Dempster St, Park Ridge, IL 60068-1110 | 2012-04-02 |
| 1275809972 | Ami Bhagvan Patel | Pediatrics | 1675 W Dempster St, Yacktman Pavilion, Park Ridge, IL 60068-1110 | 2012-03-27 |
| 1295023026 | Frank A. Vicari, M.d., LLC | Surgery | 1675 W Dempster St, Park Ridge, IL 60068-1110 | 2011-07-13 |
| 1295029684 | Melissa Harris | Physical Therapist | 1675 W Dempster St, Park Ridge, IL 60068-1110 | 2011-06-03 |
| 1295960664 | Wendy Adams Rivard | Nurse Practitioner | 1675 W Dempster St, Park Ridge, IL 60068-1110 | 2009-05-28 |
| 1093991028 | Bridget Bauersfeld | Social Worker | 1675 W Dempster St, Park Ridge, IL 60068-1110 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255674065 | Elizabeth Ann Nakae | Pediatrics | 1675 Dempster St, Yacktman Pavillion, Park Ridge, IL 60068-1110 | 2013-03-29 |
| 1477870509 | Chetan Bhupali | Pediatrics | 1775 Dempster St, Pediatric Critical Care Medicine, Park Ridge, IL 60068-1143 | 2010-04-29 |
| 1134243868 | Pediatric Critical Care Specialists | Pediatrics | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2007-03-19 |
| 1598875841 | Maureen Quaid | Pediatrics | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2006-08-30 |
| 1538128301 | Suresh Havalad | Pediatrics | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982150702 | Kayla Duvall | Pediatrics | 5841 S Maryland Ave # 1145, Chicago, IL 60637-1443 | 2016-08-31 |
| 1215304258 | Huda Adam | Pediatrics | 5706 S Blackstone Ave, Unit 1, Chicago, IL 60637-1824 | 2015-08-25 |
| 1699916932 | Deanna Marie Behrens | Pediatrics | 840 S. Wood, Department of Pediatrics, Uic, Chicago, IL 60612 | 2009-03-17 |
| 1326207663 | Lauren Elizabeth Marsillio | Pediatrics | 225 E Chicago Ave # 15-119d, Chicago, IL 60611-2991 | 2008-06-02 |
| 1376606491 | Pallavi P. Patwari | Pediatrics | 1620 W Harrison St, Suite 7 Kellogg, Chicago, IL 60612-3801 | 2006-12-19 |
| 1972665974 | Denise M. Goodman | Pediatrics | 2300 N Childrens Plz # 73, Chicago, IL 60614-3363 | 2006-12-15 |
| 1447267497 | Enrique Guillermo Cifuentes | Pediatrics | 4440 W. 95th Street, Oak Lawn, IL 60453 | 2006-08-02 |
| 1386659415 | Bharat K Kotadia | Pediatrics | 1822 Arlington Ln, Glendale Heights, IL 60139-1309 | 2006-07-29 |
| 1447271911 | Mary Christine Baldauf | Pediatrics | 2400 N Rockten Ave, Rockford Health Physicians, Rockford, IL 61103-3619 | 2006-07-21 |
| 1407897887 | Rachel K Wolfson | Pediatrics | 5839 S Maryland Ave, Mc 4064, Chicago, IL 60637-1463 | 2006-06-09 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.