MRS. AMANDA MICHELLE WIZINSKY (NPI# 1306145115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306145115 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA MICHELLE WIZINSKY |
| Credential | PT, DPT |
| Practice Address |
2211 North Oak Park Avenue Chicago IL 60707 |
| Mailing Address |
2643 N. Mozart St. Garden Unit Chicago IL 60647 |
| Practice Telephone | 7736225400 |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
070.017461 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2211 NORTH OAK PARK AVENUE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518071398 | Peter A Smith | Orthopaedic Surgery | 2211 North Oak Park Avenue, Shriners Hospital for Children Chicago, Chicago, IL 60707-3392 | 2006-08-18 |
| 1558912873 | Lisa Arteaga | Dietitian, Registered | 2211 North Oak Park Avenue, Chicago, IL 60707 | 2019-09-27 |
| 1740358308 | Purnendu Gupta | Orthopaedic Surgery | 2211 North Oak Park Avenue, Suite 3a, Chicago, IL 60707-3329 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077408 | Karen Ennis, Slp, Inc. | Speech-Language Pathologist | 1709 73rd Ct, Elmood Park, IL 60707 | 2018-03-19 |
| 1518324995 | Dosha Grant | Registered Nurse | 2317 N Rutherford, Elmwood Park, IL 60707 | 2016-01-15 |
| 1962774794 | Oak Park Dental Group | Dentist | 7034 W. North Ave., Chicago, IL 60707 | 2012-02-09 |
| 1326277005 | Resurrection Services | Internal Medicine | 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 | 2009-07-02 |
| 1134370059 | Mefagui Dental Office P.C. | Dentist | 6913 W. Grand Ave, Chicago, IL 60707 | 2008-10-09 |
| 1821265760 | Carly M. Smith | Chiropractor | 7716 W. North, Elmwood Pk, IL 60707 | 2008-05-09 |
| 1063695096 | Henry J. Hagopian D.d.s. P.C. | Dentist | 7518 W. North Avenue, Elmwood Park, IL 60707 | 2007-12-13 |
| 1386864411 | Brian M Caraba Dds PC | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| 1104041243 | Clinics for Wellness and Neuropathy, LLC | Internal Medicine | 2333 N. Harlem, Chicago, IL 60707 | 2007-04-16 |
| 1972621050 | Sid Anderson | Psychologist | 2408 Westbrook Drive, Elmwood Park, IL 60707 | 2007-03-27 |
| Find all providers in zip 60707 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1669840005 | Kateland Hojnacki | Physical Therapist | 431 W Belden Ave, C203, Chicago, IL 60614-3867 | 2015-09-02 |
| 1033522362 | Starting Smart LLC | Physical Therapist | 3359 N Seminary Ave # 1, Chicago, IL 60657-2220 | 2014-06-04 |
| 1770996159 | Sydney Steininger | Physical Therapist | 2315 N Leavitt St, Apt 3r, Chicago, IL 60647-3273 | 2014-06-03 |
| 1184989964 | Debra Renae Nickoli | Physical Therapist | 401 E Ontario St Apt 4003, Chicago, IL 60611-4443 | 2012-07-09 |
| 1326352899 | Sandra Maria De Jesus | Physical Therapist | 3630 N. Harlem Avenue, 214, Chicago, IL 60634-3194 | 2010-07-27 |
| 1528384971 | New City Therapy, Inc. | Physical Therapist | 2644 W Cermak Rd, Chicago, IL 60608-3515 | 2010-04-09 |
| 1104056571 | Abbey Louise Melling | Physical Therapist | 1 W Superior St, Apt. 908, Chicago, IL 60654-8803 | 2009-07-20 |
| 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.