DR. KUNHUNNI VELLODY (NPI# 1225066129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225066129 |
Entity Type | Individual |
Full Name | DR. KUNHUNNI VELLODY |
Credential | MD |
Practice Address |
2850 W 95th Street Suite 203 Evergreen Park IL 60805-2734 |
Practice Telephone | 7082292764 |
Practice Fax Number | 7082292766 |
Mailing Telephone | 7082292764 |
Mailing Fax Number | 7082292766 |
Enumeration Date | 2006-06-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS | 21603948 | 01 |
Street Address |
2850 W 95TH STREET SUITE 203 |
City | EVERGREEN PARK |
State | IL |
Zip Code | 60805-2734 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407306400 | Kathleen Mary Galyean | Physician Assistant | 2850 W 95th Street, Suite 400, Evergreen Park, IL 60805 | 2016-10-13 |
1881099240 | Kimberly Reule | Nurse Practitioner | 2850 W 95th Street, Suite 400, Evergreen Park, IL 60805 | 2014-10-28 |
1215279393 | Katherine M Riff | Pediatrics | 2850 W 95th Street, Suite 400, Evergreen Park, IL 60805 | 2013-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
Find all providers in zip 60805 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467614750 | Huma Ali Khan | Pediatrics | 9730 S Western Ave Ste 500, Evergreen Park, IL 60805-2780 | 2008-06-27 |
1548337793 | Pediatric Associates PC | Pediatrics | 3749 W 95th St, Evergreen Park, IL 60805-2019 | 2006-11-30 |
1407405236 | Emily Santolin | Pediatrics | 3749 W 95th St, Evergreen Park, IL 60805-2019 | 2019-09-04 |
1215279393 | Katherine M Riff | Pediatrics | 2850 W 95th Street, Suite 400, Evergreen Park, IL 60805 | 2013-03-26 |
1487987707 | Alicia Lopez | Pediatrics | 9760 S Kedzie Ave, Suite 11, Evergreen Park, IL 60805-3109 | 2009-09-18 |
1922104025 | Hassan Alzein | Pediatrics | 2850 W 95th St, Suite 400, Evergreen Park, IL 60805-2735 | 2006-09-15 |
1245345545 | Calliope C Andricacou | Pediatrics | 2850 W 95th St, #404, Evergreen Park, IL 60805 | 2006-08-20 |
1396757407 | Sunnette C Varnado-smith | Pediatrics | 9730 S Western Ave, Suite 500, Evergreen Park, IL 60805-2814 | 2006-08-13 |
1770593071 | Loris Rayner | Pediatrics | 9730 S Western Ave, Suite 500, Evergreen Park, IL 60805-2814 | 2006-08-09 |
1700896008 | Lin Roberts | Pediatrics | 9730 S Western Ave, Suite 500, Evergreen Park, IL 60805-2814 | 2006-08-09 |
Find all providers in EVERGREEN PARK |
City | EVERGREEN PARK |
Zip Code | 60805 |
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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.