JOSE A VILLANUEVA IV (NPI# 1215537113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215537113 |
| Entity Type | Individual |
| Full Name | JOSE A VILLANUEVA IV |
| Practice Address |
801 S Paulina St Chicago IL 60612-7210 |
| Mailing Address |
470 Pfingsten Rd Northbrook IL 60062-2506 |
| Practice Telephone | 3129967555 |
| Mailing Telephone | 8472084706 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023481702 | Jose Villanueva | Health Educator | 3401 Dunvale Rd Apt 2806, Houston, TX 77063-5642 | 2015-11-04 |
| 1811385479 | Jose Villanueva | Licensed Practical Nurse | 5995 Riverdale Ave Apt 2r, Bronx, NY 10471-1620 | 2015-01-06 |
| 1669786794 | Jose Villanueva | Specialist/Technologist, Other | 801 Westminster Pl, Round Rock, TX 78664-7636 | 2010-07-30 |
| 1548223886 | Jose A Villanueva | Physical Therapist | 12980 Bandera Rd, Helotes, TX 78023-4098 | 2006-04-08 |
| 1013418979 | Jose Villanueva | Licensed Practical Nurse | 6321 New Utrecht Ave, Brooklyn, NY 11219-5425 | 2018-02-26 |
| 1841716362 | Jose Villanueva | Licensed Psychiatric Technician | 2751 Napa Valley Corporate Dr Bldg B, Napa, CA 94558-6216 | 2017-08-16 |
| 1992938658 | Jose M Villanueva Sr. | Psychologist | Villa Nevarez Prof. Center, 404 B, San Juan, PR 00927 | 2009-08-28 |
| 1346390747 | Jose Santiago Villanueva | Urology | 388 Pleasant St, Suite No 201, Malden, MA 02148-8143 | 2007-01-10 |
| 1013944602 | Jose Villanueva | Physical Medicine & Rehabilitation | 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 | 2006-06-27 |
| 1396710695 | Jose Ruiz Villanueva IIi | Dentist | Unit 26610, Bavaria Dental Activity Credentials Office, Apo Ae, NY 09244 | 2006-02-21 |
| Street Address |
801 S PAULINA ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018841 | Carlotta Ann Evans | Dentist | 801 S Paulina St, Mc 841, Chicago, IL 60612-7210 | 2005-10-25 |
| 1528666229 | Michelle Akemi Marcano | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-10-14 |
| 1558969527 | Maysaa Oubaidin | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-10-13 |
| 1639789936 | Jacqueline M Wisinski | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-08-03 |
| 1740898709 | Alexandria Rozgony | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-07-16 |
| 1679191928 | Milica Novakovic | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-07-13 |
| 1972121234 | Philip William Cannizzaro | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-07-13 |
| 1144847740 | Nada Abdallah | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-06-30 |
| 1356964480 | Pheba Marin Abraham | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-05-23 |
| 1891315917 | Bhakti Desai | Student in an Organized Health Care Education/Training Program | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1275146599 | Ryan Mather | Student in an Organized Health Care Education/Training Program | 155 N Michigan Ave Ste 566, Chicago, IL 60601-7799 | 2020-08-26 |
| 1831701010 | Alexandra Klonis | Student in an Organized Health Care Education/Training Program | 676 N Saint Clair St Ste 6-108, Chicago, IL 60611-2927 | 2020-08-19 |
| 1851903389 | Brittney Christine Evans | Student in an Organized Health Care Education/Training Program | 1901 N Clybourn Ave Ste 302&304, Chicago, IL 60614-5090 | 2020-08-17 |
| 1205446358 | Kai Lai Chu | Student in an Organized Health Care Education/Training Program | 600 N Fairbanks Ct Unit 3505, Chicago, IL 60611-5869 | 2020-08-04 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1407474463 | Madison Nicole Schulenberg | Student in an Organized Health Care Education/Training Program | 1111 W 14th Pl Unit 119, Chicago, IL 60608-2796 | 2020-07-07 |
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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.