TINCY POOVATHUR (NPI# 1235408527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209009168 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7510 N WESTERN AVE |
City | CHICAGO |
State | IL |
Zip Code | 60645-1511 |
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 |
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 |
Find all providers in zip 60645 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
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 |
1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
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.