JENNIFER MATHEW (NPI# 1164802419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164802419 |
| Entity Type | Individual |
| Full Name | JENNIFER MATHEW |
| Credential | D.O. |
| Practice Address |
152 N Addison Ave Ste 200 Elmhurst IL 60126-2821 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-3311 |
| Practice Telephone | 6308323100 |
| Mailing Telephone | 6304699200 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036-152488 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | OS019473 | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | OT016726 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1611 Pond Rd Ste 400, Allentown, PA 181042258 | 6103954300 | 6105309372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306813977 | Jennifer S Mathew | Family Medicine | 213 River Walk Pkwy, Ste 101, Chesapeake, VA 23320 | 2006-03-02 |
| Street Address |
152 N ADDISON AVE STE 200 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508332602 | Citywide Pediatrics Pllc | Pediatrics | 4033 76th St Ste 1, Elmhurst, NY 11373-1036 | 2018-10-17 |
| 1174065338 | Dev R. Master, Md, Pllc | Pediatrics | 8823 Justice Ave, Elmhurst, NY 11373-4558 | 2016-11-04 |
| 1093108607 | Dev Rashmin Master | Pediatrics | 88-23 Justice Ave., Elmhurst, NY 11373 | 2015-03-07 |
| 1992046577 | Immaculada Santiago Espiritu | Pediatrics | 83-21 Dongan Avenue Apt 1b, Elmhurst, NY 11373 | 2013-03-07 |
| 1154690865 | Xeres Yasmin Villanueva Sanchez | Pediatrics | 4015 Hampton St, Apt 3h, Elmhurst, NY 11373-2062 | 2011-12-26 |
| 1619124823 | Melissa Renee Ricafrente Grageda | Pediatrics | 7402 43rd Ave Apt 3j, Elmhurst, NY 11373-1840 | 2008-08-20 |
| 1083815385 | Advanced Pediatrics, PC | Pediatrics | 9436 59th Ave, Suite C4, Elmhurst, NY 11373-5151 | 2007-05-31 |
| 1679787378 | Elaine Itzu Chen | Pediatrics | 94-25 43rd Avenue, Elmhurst, NY 11373-2853 | 2007-05-10 |
| 1538203690 | Muhammad J.s.khan Md,pc | Pediatrics | 4018case Street, Main Floor, Elmhurst, NY 11373 | 2007-02-20 |
| 1023160710 | Michelle N Conroy | Pediatrics | 1200 S York, Elmhurst, IL 60126-2885 | 2007-01-16 |
| Find all providers in ELMHURST | ||||
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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.