SOURABH NAGALE (NPI# 1215423843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215423843 |
Entity Type | Individual |
Full Name | SOURABH NAGALE |
Credential | CPO |
Practice Address |
2515 N Clark St Ste 802 Chicago IL 60614 |
Practice Telephone | 3122276210 |
Practice Fax Number | 3122279429 |
Mailing Telephone | 3122276210 |
Mailing Fax Number | 3122279429 |
Enumeration Date | 2018-07-06 |
Last Update Date | 2018-07-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Z00000X | Orthotist | 213000186 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2515 N CLARK ST STE 802 |
City | CHICAGO |
State | IL |
Zip Code | 60614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558344788 | Ramsay L Fuleihan | Pediatrics | 2515 N Clark St, Chicago, IL 60614-2730 | 2005-11-22 |
1740764026 | Jazmyn Lopez | Speech-Language Pathologist | 2515 N Clark St, Chicago, IL 60614-2730 | 2018-09-21 |
1831673417 | Melissa Yanes | Speech-Language Pathologist | 2515 N Clark St, Chicago, IL 60614-2730 | 2018-09-19 |
1356853717 | Sarah Stephanie Parks | Occupational Therapist | 2515 N Clark St, Chicago, IL 60614-2730 | 2017-10-25 |
1760993901 | Elizabeth Vongontard | Physical Therapist | 2515 N Clark St, Chicago, IL 60614-2730 | 2017-10-16 |
1558808402 | Meaghan Gilb | Physical Therapist | 2515 N Clark St, Chicago, IL 60614-2730 | 2017-01-30 |
1003359969 | Kathleen Needham | Occupational Therapist | 2515 N Clark St, Chicago, IL 60614-2730 | 2016-11-28 |
1073068664 | Mary Noreen Cheng | Physical Therapist | 2515 N Clark St, Chicago, IL 60614-2730 | 2016-08-24 |
1003264961 | Meghan Elizabeth Vertovec | Nurse Practitioner | 2515 N Clark St, Chicago, IL 60614-2730 | 2016-06-01 |
1932520699 | Joshua Figlewicz | Physical Therapist | 2515 N Clark St, Suite 700, Chicago, IL 60614-2730 | 2013-12-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
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Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831691104 | Ashley Zinnamon | Orthotist | 1525 E 55th St Ste 204, Chicago, IL 60615-5512 | 2018-03-02 |
1699896431 | Timothy W Porcelli | Orthotist | 3723 N Southport, Chicago, IL 60613-3718 | 2007-04-02 |
1306981345 | Matthew Alan Goddard | Orthotist | 2515 N Clark St Ste 802, Chicago, IL 60614-2730 | 2007-02-20 |
1386781755 | Andreas Josef Bohner | Orthotist | 2300 N Childrens Plz # 46, Chicago, IL 60614-3363 | 2007-02-01 |
1568509040 | Robert Allen Novak | Orthotist | 5521 N Cumberland Ave, Suite 1115, Chicago, IL 60656-4717 | 2007-01-31 |
1396371225 | Breanna Angela Baltrusch | Orthotist | 2515 N Clark St Ste 802, Chicago, IL 60614-2730 | 2020-03-23 |
1063062370 | Michael Socie | Orthotist | 355 E Erie St, Chicago, IL 60611-3167 | 2019-09-18 |
1679034177 | Sara L Jerousek | Orthotist | 225 E Chicago Ave, Chicago, IL 60611 | 2019-03-27 |
1083195424 | Erin Claussen | Orthotist | 225 E Chicago Ave # 46, Chicago, IL 60611-2991 | 2018-08-23 |
1447747308 | Michael Elsen | Orthotist | 1725 W Harrison St Ste 220, Chicago, IL 60612-3836 | 2018-04-17 |
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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.