MASUM KIDIWALA (NPI# 1245858935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
041476223 | IL | Nursing Service Providers |
Street Address |
8841 MAJOR AVE |
City | MORTON GROVE |
State | IL |
Zip Code | 60053-2531 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710536206 | 360 Rehabilitation & Physical Therapy LLC | Clinic/Center | 9041 Moody Avenue, Morton Grove, IL 60053 | 2019-09-06 |
1205312147 | Ziing Healthcare, Inc | Nursing Care | 6126 Lincoln Ave, Suite 1010, Morton Grove, IL 60053 | 2018-07-13 |
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 |
1023282217 | Simona Balan | Dentist | 6223 W Dempster St, Morton Grove, IL 60053 | 2008-04-17 |
Find all providers in zip 60053 |
Taxonomy Code | 163WM0705X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Medical-Surgical |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | MORTON GROVE |
Zip Code | 60053 |
Please comment or provide details below to improve the information on MASUM KIDIWALA.
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.