TINCY POOVATHUR


Address: 7510 N Western Ave, Chicago, IL 60645-1511
Phone: 8668253227

TINCY POOVATHUR (NPI# 1235408527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235408527
Entity Type Individual
Full Name TINCY POOVATHUR
Practice Address 7510 N Western Ave
Chicago
IL 60645-1511
Mailing Address 161 Washington St
Eight Tower Suite 1400
Conshohocken
PA 19428-2083
Practice Telephone 8668253227
Enumeration Date 2011-12-15
Last Update Date 2011-12-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209009168 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7510 N WESTERN AVE
City CHICAGO
State IL
Zip Code 60645-1511

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245245372 Walgreen Co Durable Medical Equipment & Medical Supplies 7510 N Western Ave, Chicago, IL 60645-1511 2006-07-29
1528679719 Parth Patel Pharmacist 7510 N Western Ave, Chicago, IL 60645-1592 2020-08-12
1770926792 Julia Robbin Nurse Practitioner 7510 N Western Ave, Chicago, IL 60645-1511 2013-04-09
1417230590 Tenzin C Shokso Pharmacist 7510 N Western Ave, Chicago, IL 60645-1511 2011-09-24
1073895975 Fazal M Puthawala Pharmacist 7510 N Western Ave, Chicago, IL 60645-1511 2011-09-16
1154603397 Yashmin Patel Pharmacist 7510 N Western Ave, Chicago, IL 60645-1511 2011-09-14
1508011107 Jennifer A Gambon Nurse Practitioner 7510 N Western Ave, Chicago, IL 60645-1511 2008-11-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306210117 Brenda Ann Jarred Massage Therapist 6510 N Claremont Ave, 3rd Floor, Chicago, IL 60645 2015-11-17
1568850881 Kathryn A Pusateri Counselor 6554 North Rockwell Street, Suite 2, Chicago, IL 60645 2015-01-09
1447671169 Miriam Belsky Speech-Language Pathologist 6524 N Mozart St Apt 3, Chicago, IL 60645 2013-12-23
1972880912 Harold B Shrifter Internal Medicine 6450 N. California Ave., Chicago, IL 60645 2011-11-04
1306159710 Amy M Carl Social Worker 3003 W Touhy, Council for Jewish Elderly, Chicago, IL 60645 2010-07-15
1699919043 Boguslawa Romanowska Physical Therapist 6211 N. Milwaukee, Chicago, IL 60645 2009-04-29
1851539522 Yoela Tamara Holman Speech-Language Pathologist 3056 W. Sherwin Ave., Chicago, IL 60645 2009-02-03
1285884577 Ingrid Forsberg Nurse Practitioner 7510 N Western, Chicago, IL 60645 2008-09-24
1881842581 S Fatima Md Sc Internal Medicine 7133 North Ridge Blvd., Chicago, IL 60645 2008-09-05
1013173467 A Place for Children Early Intervention Provider Agency 2425 W Pratt, Chicago, IL 60645 2008-08-05
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1265033385 Carolle M Derradji Nurse Practitioner 3256 W Potomac Ave, Chicago, IL 60651-2411 2020-11-04
1104427293 Katie Michelle O'halloran Nurse Practitioner 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 2020-11-04
1578163515 Deanna Bassette Nurse Practitioner 243 E 31st St Apt 401, Chicago, IL 60616-5212 2020-10-29
1891395745 Vrunda Shah Patel Nurse Practitioner 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 2020-10-29
1881291706 Rita Elue Nurse Practitioner 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 2020-10-04
1558976514 Janice Nicole Kinney Nurse Practitioner 10127 S Harding Ave, Chicago, IL 60655-3748 2020-09-15
1881209278 Monique Graves Nurse Practitioner 4912 W Adams St Apt 2, Chicago, IL 60644-4445 2020-09-11
1194339721 Maureen Iyesogie Diji Nurse Practitioner 4658 S Ellis Ave, Chicago, IL 60653-3625 2020-09-01
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Competitor

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City CHICAGO
Zip Code 60645

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Dataset Information

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.

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