MS. SALLY KATSAGGELOS (NPI# 1306010889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306010889 |
| Entity Type | Individual |
| Full Name | MS. SALLY KATSAGGELOS |
| Credential | M.ED. CERT. AVT |
| Practice Address |
5857 S. Maryland Ave. Mc 9020 Chicago IL 60637-1470 |
| Mailing Address |
714 W Cornelia Ave Chicago IL 60657-2400 |
| Practice Telephone | 7737028182 |
| Practice Fax Number | 7738340154 |
| Mailing Telephone | 7737028182 |
| Mailing Fax Number | 7738340154 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2013-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5857 S. MARYLAND AVE. MC 9020 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396133609 | Benedict Chang | Rehabilitation Practitioner | 5610 N Mango Ave, Chicago, IL 60646-6306 | 2015-01-08 |
| 1417350414 | Billy Tatum | Rehabilitation Practitioner | 1436 W. Randolph, 5th Floor, Chicago, IL 60607 | 2014-10-03 |
| 1417261538 | Gina Graff | Rehabilitation Practitioner | 1000 N Lasalle St, Apt 518, Chicago, IL 60610-2676 | 2010-07-30 |
| 1083818470 | Gesher Hatorah Day School | Rehabilitation Practitioner | 6350 N Whipple St, Chicago, IL 60659-1420 | 2007-06-12 |
| 1851415608 | Christine Mary Sedlack | Rehabilitation Practitioner | East 65th Street At Lake Michigan, Chicago, IL 60649-1395 | 2007-03-19 |
| 1205997400 | Gina Mottier | Rehabilitation Practitioner | 3223 N Harlem Ave, Chicago, IL 60634-4502 | 2006-12-12 |
| 1962512020 | Nikol Ann Margiotta | Rehabilitation Practitioner | 4337 W Irving Pk Rd, Chicago, IL 60641 | 2006-08-30 |
| 1629020128 | Brandon Barksdale | Rehabilitation Practitioner | 129 W 108th St, Chicago, IL 60628-3452 | 2006-05-16 |
| 1225495484 | Hannah Elaine Berkenstock | Rehabilitation Practitioner | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2016-01-19 |
| 1841411741 | Noel Castelino Sc | Rehabilitation Practitioner | 6374 N Lincoln Ave, Chicago, IL 60659-1275 | 2007-05-01 |
| 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.