MANDI ADYDAN (NPI# 1275195067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275195067 |
| Entity Type | Individual |
| Full Name | MANDI ADYDAN |
| Credential | PSYD |
| Practice Address |
4920 N Kenmore Ave Chicago IL 60640-3710 |
| Mailing Address |
8170 Mccormick Blvd Ste 204 Skokie IL 60076-2914 |
| Practice Telephone | 7737692700 |
| Practice Fax Number | 7737692701 |
| Mailing Telephone | 8474102029 |
| Mailing Fax Number | 8474102041 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071010057 | IL | Behavioral Health & Social Service Providers |
| Street Address |
4920 N KENMORE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336218841 | Mid America Care Center, LLC | Skilled Nursing Facility | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2006-11-07 |
| 1831678192 | Lester & Rosalie Anixter Center | Clinic/Center | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2018-08-08 |
| 1841703238 | Uptown Care Center, LLC | Skilled Nursing Facility | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2017-11-08 |
| 1184163826 | Uptown Care Center LLC | Skilled Nursing Facility | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2017-02-14 |
| 1396089256 | Bridget Milligan | Occupational Therapist | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2012-11-16 |
| 1558597716 | Waldemar Emmerich | Physical Therapist | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2009-06-02 |
| 1548494438 | Bethany A Riebock | Speech-Language Pathologist | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2009-05-07 |
| 1831331941 | Yuk Ngan Lai | Occupational Therapist | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2009-04-03 |
| 1083821102 | Mid-america Convalescent Centers, Inc. | Skilled Nursing Facility | 4920 N Kenmore Ave, Chicago, IL 60640-3710 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on MANDI ADYDAN.
| 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.