PENELOPE BERNSTEIN (NPI# 1154410603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154410603 |
| Entity Type | Individual |
| Full Name | PENELOPE BERNSTEIN |
| Other Name | PENELOPE BERNSTEIN |
| Practice Address |
1640 W Roosevelt Rd Chicago IL 60608-1316 |
| Mailing Address |
2045 W Waveland Ave Chicago IL 60618-4949 |
| Practice Telephone | 3124138119 |
| Mailing Telephone | 7739357582 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | IL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1640 W ROOSEVELT RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174554331 | University of Illinois - Chicago | Developmental Therapist | 1640 W Roosevelt Rd, Room 336 (mc 628), Chicago, IL 60608-1316 | 2006-07-06 |
| 1821608597 | Amanda J Montbriand | Physical Therapist | 1640 W Roosevelt Rd, Chicago, IL 60608-1316 | 2020-08-06 |
| 1285244947 | Benjamin Land | Physical Therapist | 1640 W Roosevelt Rd, Chicago, IL 60608-1316 | 2020-08-06 |
| 1750925111 | Marcus Williams | Occupational Therapy Assistant | 1640 W Roosevelt Rd, Chicago, IL 60608-1316 | 2019-10-29 |
| 1558883033 | Heidi Fischer | Occupational Therapist | 1640 W Roosevelt Rd, Chicago, IL 60608-1316 | 2017-07-17 |
| 1841728458 | Carlyn Dorothy Babinec | Physical Therapist | 1640 W Roosevelt Rd, Chicago, IL 60608-1316 | 2017-05-25 |
| 1407307812 | The Board of Trustees of The University of Illinois | Physical Medicine & Rehabilitation | 1640 W Roosevelt Rd, Room 336, Chicago, IL 60608-1316 | 2016-10-20 |
| 1568815421 | Uic Assistive Technology Unit | Speech-Language Pathologist | 1640 W Roosevelt Rd, 415, Chicago, IL 60608-1316 | 2016-07-15 |
| 1295185072 | Stephanie Vallera Bay | Speech-Language Pathologist | 1640 W Roosevelt Rd, 415, Chicago, IL 60608-1316 | 2016-06-13 |
| 1386099539 | Fani Lee | Occupational Therapist | 1640 W Roosevelt Rd, Rm 413, Chicago, IL 60608-1316 | 2016-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316462807 | Hrisanthi Zhupa | Specialist/Technologist, Other | 7253 W Touhy Ave, Chicago, IL 60631-4326 | 2017-08-07 |
| 1730431271 | Lexi Inc | Specialist/Technologist, Other | 757 N Orleans St, Suite #1605, Chicago, IL 60654-3514 | 2012-10-08 |
| 1427027846 | Karrie L. Hamstra-wright | Specialist/Technologist, Other | 901 W. Roosevelt Rd., Peb 331, Mc 194, Chicago, IL 60608 | 2006-03-16 |
| 1922523414 | Nits N Nats | Specialist/Technologist, Other | 7253 W Touhy Ave, Chicago, IL 60631-4326 | 2017-08-07 |
| 1235560160 | Insite Medical Imaging Advisors Inc | Specialist/Technologist, Other | 1016 W Jackson Blvd, Suite 104, Chicago, IL 60607-2914 | 2013-12-03 |
| 1164761649 | Midwest Mobile Diagnostics LLC | Specialist/Technologist, Other | 175 N Harbor Dr, Suite 2111, Chicago, IL 60601-7344 | 2013-02-04 |
| 1356580336 | Adriana H Pinto | Specialist/Technologist, Other | 3153 W Fullerton Ave, Chicago, IL 60647-2809 | 2009-02-13 |
| 1407833023 | Irina Aleynikova | Specialist/Technologist, Other | 2361 Paysphere Cir, Chicago, IL 60674-0023 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634045 | Electrolysis By Kelly Inc | Specialist/Technologist, Other | 715 Lake St Ste 300, Oak Park, IL 60301-1412 | 2020-06-25 |
| 1295384337 | Stacey Gail Lucterhand | Specialist/Technologist, Other | 133 Ridge Rd, Highland Park, IL 60035-4338 | 2019-09-11 |
| 1740783117 | Ericka Nicole Curry | Specialist/Technologist, Other | 8635 S 87th Ave, Justice, IL 60458-2005 | 2018-03-13 |
| 1013442045 | Kyle Marcus Thorson | Specialist/Technologist, Other | 267 South Chestnut St, Apt 3, Chebanse, IL 60922 | 2017-04-27 |
| 1255866646 | Matthew Kovarik | Specialist/Technologist, Other | 221 3rd St, Libertyville, IL 60048-2303 | 2017-04-24 |
| 1275068660 | Marissa Nicole Maeder | Specialist/Technologist, Other | 205 S 6th St, Malta, IL 60150-9703 | 2017-04-24 |
| 1629503016 | Amber Beasley | Specialist/Technologist, Other | 2808 Grouse Ct, Rolling Meadows, IL 60008-2601 | 2017-04-24 |
| 1073048468 | Nicole Lynn Fatka | Specialist/Technologist, Other | 318 N Thomas St, Gilman, IL 60938-1352 | 2017-04-24 |
| 1982139374 | Nicholas Escondo | Specialist/Technologist, Other | 1407 Churchill Ln, Grayslake, IL 60030-3754 | 2017-04-24 |
| 1801321294 | Jessica Hanson Pletsch | Specialist/Technologist, Other | 7749 Clarksville Rd, Rochester, IL 62563-8052 | 2017-04-24 |
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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.