MASUM KIDIWALA


Address: 8841 Major Ave, Morton Grove, IL 60053-2531
Phone: 8478992544

MASUM KIDIWALA (NPI# 1245858935) 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) 1245858935
Entity Type Individual
Full Name MASUM KIDIWALA
Practice Address 8841 Major Ave
Morton Grove
IL 60053-2531
Practice Telephone 8478992544
Mailing Telephone 8478992544
Enumeration Date 2020-07-08
Last Update Date 2020-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WM0705X Registered Nurse
Specialization: Medical-Surgical
041476223 IL Nursing Service Providers

Office Location

Street Address 8841 MAJOR AVE
City MORTON GROVE
State IL
Zip Code 60053-2531

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710536206 360 Rehabilitation & Physical Therapy LLC Clinic/Center 9041 Moody Avenue, Morton Grove, IL 60053 2019-09-06
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1578053674 Megan Ruffalo Home Health 8922 Marion Ave, Morton Grove, IL 60053 2018-05-14
1215441381 Kristen Marie Kowalski Occupational Therapist 8145 River Dr Ste 101, Morton Grove, IL 60053 2017-11-27
1760846190 Lukasz Jarosinski Physical Therapy Assistant 8425 N Waukegan, Morton Grove, IL 60053 2016-04-12
1538547898 Alysha Gillani Behavioral Analyst 9240 Merrill Ave, Morton Grove, IL 60053 2015-05-07
1043578909 Jordan Jon Wolf Social Worker 9224 Cameron Lane, Morton Grove, IL 60053 2012-04-30
1427217454 Amy Sakoda Specialist 9400 N Orile, Morton Grove, IL 60053 2008-06-05
1063679348 Minsook Do Kroon Chiropractor 6021 W Dempster, Morton Grove, IL 60053 2008-05-22
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Taxonomy Information

Taxonomy Code 163WM0705X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093313249 Kimberly Reschke Registered Nurse 711 N Stratford Rd, Arlington Heights, IL 60004-5835 2020-10-10
1124632542 Catherine Katilius Registered Nurse 13112 Steeplechase Dr, New Lenox, IL 60451-1313 2020-09-02
1760090765 Edwana Denise Fuller Registered Nurse 5319 S Indiana Ave Apt 1, Chicago, IL 60615-4712 2020-07-16
1881239168 Amy Bachman Registered Nurse 840 S Wood St Ste 435ecsb, Chicago, IL 60612-4325 2019-11-11
1144871120 Danielle Schnoeker Registered Nurse 500 Murphysboro Rd, Chester, IL 62233-2024 2019-09-22
1487203659 Chaula Patel Registered Nurse 894 Breeze Dr, Lake Villa, IL 60046-6688 2019-09-10
1235697491 Barbara Lynn Dierking Registered Nurse 5700 Piasa Trl, Godfrey, IL 62035-1030 2019-03-06
1669967543 Shashanna Heard Registered Nurse 1301 E 71st Pl Apt 1n, Chicago, IL 60619-1440 2018-06-25
1871007930 Chequaleis Sargent Registered Nurse 2031 N Harlem Ave, Chicago, IL 60707-3280 2017-11-28
1215447842 Silvy Philip Powathil Registered Nurse 33 W Higgins Rd Ste 2000, South Barrington, IL 60010-9121 2017-10-10
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Competitor

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City MORTON GROVE
Zip Code 60053

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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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