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).
| 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 |
| 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 |
| Street Address |
5730 W ROOSEVELT RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60644-1580 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 60644 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1114574886 | Hyde Park Mental Wellness | Nurse Practitioner | 1525 E 55th St Ste 205, Chicago, IL 60615-5584 | 2019-08-19 |
| 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 |
| Find all providers in CHICAGO | ||||
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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.