DR. LUNINGNING GAYAPA MADAMBA


Address: 5332 N Kildare Ave, Chicago, IL 60630-1759
Phone: 7734633635

DR. LUNINGNING GAYAPA MADAMBA (NPI# 1144281882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144281882
Entity Type Individual
Full Name DR. LUNINGNING GAYAPA MADAMBA
Credential MD
Practice Address 5332 N Kildare Ave
Chicago
IL 60630-1759
Practice Telephone 7734633635
Mailing Telephone 7734633635
Enumeration Date 2006-03-31
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider 036-55463 IL Other Service Providers

Office Location

Street Address 5332 N KILDARE AVE
City CHICAGO
State IL
Zip Code 60630-1759

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Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346638566 Brandon C. Wagenaar Military Health Care Provider 1245 S Michigan Ave Ste 215, Chicago, IL 60605-2408 2014-12-23
1235430737 Megan Elizabeth Schelp Military Health Care Provider 5820 N Kenmore Ave, Apartment 404, Chicago, IL 60660-3765 2010-11-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669869764 Benjamin Pittman Military Health Care Provider Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 2015-04-16
1932434339 Tasha Oakley Military Health Care Provider 104 Kenwood Ct Apt 1, Normal, IL 61761-4707 2009-10-02
1861512501 Leigh Karole Grannan Military Health Care Provider 625 Wham Dr - Mailcode 6607, Center for Autism Spectrum Disorders, Carbondale, IL 62901-4313 2007-03-29
1215033790 Jerzy Feliks Zadecki Military Health Care Provider 930 Mapleton Ave, Oak Park, IL 60302-1404 2006-09-15
1073575692 Teresita Hernandez Huang Military Health Care Provider 3450 Riverside Dr, Wilmette, IL 60091-1062 2006-04-06
1154380947 Eden U Padilla Military Health Care Provider Uss Red Rover, Recruit Training Center, Great Lakes, IL 60088 2006-03-21
1225439045 Erin O'connor Military Health Care Provider 310 W Losey St, Scott Air Force Base, IL 62225-5250 2014-09-11
1376704783 Richard Neal Craig Military Health Care Provider 2401 W Main St, Va Medical Center, Marion, IL 62959-1188 2008-06-18
1518084359 Dolores Delacruz Lindsey Military Health Care Provider 111 N County Farm Rd, Wheaton, IL 60187-3977 2007-03-26
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Competitor

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City CHICAGO
Zip Code 60630

Improve Information

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Dataset Information

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.

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