MS. MARY ELLEN SHANAHAN (NPI# 1184811481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184811481 |
| Entity Type | Individual |
| Full Name | MS. MARY ELLEN SHANAHAN |
| Credential | PT, OCS, CERT. MDT |
| Practice Address |
6500 W 65th St Chicago IL 60638-4962 |
| Practice Telephone | 7084961515 |
| Practice Fax Number | 7084963422 |
| Mailing Telephone | 7084961515 |
| Mailing Fax Number | 7084963422 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
0700100410 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6500 W 65TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60638-4962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144237546 | Anita Naheed Carani | Family Medicine | 6500 W 65th St, Chicago, IL 60638-4962 | 2006-08-01 |
| 1316419963 | Sonam Sayania | Physical Therapist | 6500 W 65th St, Chicago, IL 60638-4962 | 2018-12-20 |
| 1679007900 | Madonna Marie Belcaster | Physical Therapy Assistant | 6500 W 65th St, Chicago, IL 60638-4962 | 2017-04-13 |
| 1255862892 | Occupational Health Centers of Illinois PC | Clinic/Center | 6500 W 65th St, Chicago, IL 60638-4962 | 2017-03-24 |
| 1144751785 | American Current Care of Illinois PC | Clinic/Center | 6500 W 65th St, Chicago, IL 60638-4962 | 2017-03-24 |
| 1487993911 | Eilis Ryan | Internal Medicine | 6500 W 65th St, Chicago, IL 60638-4962 | 2013-02-04 |
| 1326311713 | Julianne Murphy Bonwit | Social Worker | 6500 W 65th St, Suite 203, Chicago, IL 60638-4962 | 2012-02-15 |
| 1831409028 | Roy Varghese | Occupational Therapist | 6500 W 65th St, Chicago, IL 60638-4962 | 2010-10-21 |
| 1861658163 | James David Kornfeind | Physical Therapist | 6500 W 65th St, Chicago, IL 60638-4962 | 2008-08-06 |
| 1346404100 | Katherine Ann Sweeney | Social Worker | 6500 W 65th St, Chicago, IL 60638-4962 | 2008-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931952 | Dawid Bula | Pharmacist | 7090 S Cicero Ave, Bedford Park, IL 60638 | 2020-10-30 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| 1891343711 | Marie Dipasquale | Technician | 5837 So. Natoma Ave, Chgo, IL 60638 | 2019-09-04 |
| 1316434400 | Ab Dental Professionals LLC | Dentist | 5672 South Archer Avenue, Chicago, IL 60638 | 2018-04-16 |
| 1427563204 | Bethany Elkington | Occupational Therapist | 5764 South Archer Ave, Chicago, IL 60638 | 2017-12-03 |
| 1952759854 | Ismael Gutierrez | Family Medicine | 6084 W Archer Ave, Chicago, IL 60638 | 2016-06-01 |
| 1336533314 | Claude Lucas King | Counselor | 6235 S Major Ave Apt 1, Chicago, IL 60638 | 2015-03-27 |
| 1538594395 | Mohammad Joudeh | Chiropractor | 4844 S Cicero Ave, Chicago, IL 60638 | 2013-09-11 |
| 1548602428 | Clearing Vision Professional Corporation | Optometrist | 5718 W. 63rd St., Chicago, IL 60638 | 2013-07-22 |
| 1184963134 | Raquel Ana Eguia | Physical Therapist | 5658 S. Parkside Ave, Chicago, IL 60638 | 2013-02-12 |
| Find all providers in zip 60638 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986891 | Murtaza Aziz | Physical Therapist | 1431 N Western Ave Ste 140, Chicago, IL 60622-1770 | 2020-09-14 |
| 1902416720 | Epicore Physical Therapy | Physical Therapist | 1660 N La Salle Dr Apt 2708, Chicago, IL 60614-6021 | 2020-08-06 |
| 1518597772 | Stability Physical Therapy and Wellness, LLC | Physical Therapist | 5031 W Balmoral Ave, Chicago, IL 60630-1507 | 2020-01-16 |
| 1891217683 | Zachary Michael Stapleton | Physical Therapist | 5841 S Maryland Ave # W107, Chicago, IL 60637-1447 | 2017-07-13 |
| 1548716483 | El Rey Corporation | Physical Therapist | 2250 W Belmont Ave Unit 1w, Chicago, IL 60618-6561 | 2016-08-31 |
| 1518323112 | Saxony A Matousek | Physical Therapist | 8750 W Bryn Mawr, Chicago, IL 60631-3569 | 2016-01-12 |
| 1710239132 | Alyssa Davis | Physical Therapist | 819 W. Blackhawk, Chicago, IL 60642 | 2012-10-09 |
| 1700173093 | Physical Sciences Institute, Inc. | Physical Therapist | 1335 W Lake St, Chicago, IL 60607-1518 | 2011-07-07 |
| 1467778357 | Elizabeth Mary Amoroso | Physical Therapist | 1850 N Clark St, #2504, Chicago, IL 60614-5301 | 2010-04-16 |
| 1770811705 | Erin Colleen Dinsmore Schreiber | Physical Therapist | 10318 S Western Ave, Chicago, IL 60643-2411 | 2009-12-02 |
| 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.