LYNDA EILEEN PETTIGREW


Address: 5730 W Roosevelt Rd, Chicago, IL 60644-1580
Phone: 7734131700

LYNDA EILEEN PETTIGREW (NPI# 1174869994) 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) 1174869994
Entity Type Individual
Full Name LYNDA EILEEN PETTIGREW
Credential APN
Practice Address 5730 W Roosevelt Rd
Chicago
IL 60644-1580
Mailing Address 1442 W Fullerton Ave
3a
Chicago
IL 60614-2797
Practice Telephone 7734131700
Mailing Telephone 7737262113
Enumeration Date 2012-12-26
Last Update Date 2012-12-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
209010016 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5730 W ROOSEVELT RD
City CHICAGO
State IL
Zip Code 60644-1580

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043280936 Uhs of Hartgrove Inc Psychologist 5730 W Roosevelt Rd, Chicago, IL 60644 2006-01-24
1942828439 Emily Gooding Nurse Practitioner 5730 W Roosevelt Rd, Chicago, IL 60644-1580 2020-07-10
1881224921 Tomas Torres Nurse Practitioner 5730 W Roosevelt Rd, Chicago, IL 60644-1580 2020-01-16
1770126054 Ariel B Rodriguez Psychologist 5730 W Roosevelt Rd, Chicago, IL 60644-1580 2019-10-19
1356848600 Jose Irne Rebolledo Counselor 5730 W Roosevelt Rd, Chicago, IL 60644-1580 2018-04-11
1669980033 Hiren Ghayal Psychologist 5730 W Roosevelt Rd, Chicago, IL 60644-1580 2018-01-18
1235587338 Nicolas Ariel Lescano Psychiatry & Neurology 5730 W Roosevelt Rd, Chicago, IL 60644-1580 2016-05-31
1336501550 Daniel Z Chappell Nurse Practitioner 5730 W Roosevelt Rd, Chicago, IL 60644-1580 2016-03-26
1366803603 Cassie Roviso Social Worker 5730 W Roosevelt Rd, Chicago, IL 60644-1580 2016-03-15
1407215031 Jill Gaertner Social Worker 5730 W Roosevelt Rd, Chicago, IL 60644-1580 2016-02-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710535638 Marta Yvonne Palmer Technician 5008 W Adams, Chicago, IL 60644 2019-09-04
1861056848 B U I L D Incorporated Social Worker 5100 W Harrison St., Chicago, IL 60644 2019-04-25
1851806269 Habilitative Systems, Inc. Case Management 4732 W Ohio St, Chicago, IL 60644 2017-12-07
1336408665 Meghan Nancy Daw Dietitian, Registered 646 S Central Ave, Chicago, IL 60644 2012-05-07
1164790515 Elizabeth Eleanor Reid-tate Pharmacist 5222 W. Madison Avenue, Chicago, IL 60644 2011-12-13
1134458466 Power Teen Program Psychologist 300 N Central Ave, Chicago, IL 60644 2009-12-16
1417198342 Betty Jean Lofton Counselor 5938 W. Midway Park, Chicago, IL 60644 2009-03-24
1881856094 Sanjay M. Patel M.d. S.c. Psychiatry & Neurology 5730 W. Roosevelt Road, Chicago, IL 60644 2008-06-29
1639348691 Ysl Care, Inc Community Based Residential Treatment Facility, Mental Illness 5107-21 West Jackson Blvd, Chicago, IL 60644 2008-02-25
1073795845 Maryanne Rakidzioski Occupational Therapist 5103 W Jackson Blvd, Chicago, IL 60644 2007-12-03
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1689232522 Sarah Ball Schrock Nurse Practitioner 3310 W Division St, Chicago, IL 60651-2301 2019-06-05
1982168407 Richardson Psychiatric Nurse Practitioner 3660 N Lake Shore Dr Ste 201, Chicago, IL 60613-5302 2019-01-29
1386117232 Prudent Alliance for Healthcare, LLC Nurse Practitioner 6159 W Eddy St, Chicago, IL 60634-4122 2019-01-03
1770068421 Gian Bonador Nurse Practitioner 1134 W Granville Ave Apt 715, Chicago, IL 60660-5047 2018-09-28
1790115293 Stacey Marie Meyers Nurse Practitioner 6439 N Sheridan Rd Ste 310, Chicago, IL 60626-5364 2013-11-19
1326385824 Deborah Francine Bump Nurse Practitioner 6918 S Euclid Ave, Chicago, IL 60649-1512 2013-01-03
1104058221 Lester Eugene Lamee Jr. Nurse Practitioner 251 E Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 2009-08-24
1720003577 Janice E Stern Nurse Practitioner 1645 W Jackson Blvd Ste 602, Chicago, IL 60612 2006-07-13
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Competitor

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City CHICAGO
Zip Code 60644

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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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