DR. MWIA MUTUA (NPI# 1326434648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326434648 |
Entity Type | Individual |
Full Name | DR. MWIA MUTUA |
Credential | M.D. |
Practice Address |
5843 S Western Ave Chicago IL 60636-1526 |
Mailing Address |
127 S Broadway Yonkers NY 10701-4006 |
Practice Telephone | 7734348600 |
Practice Fax Number | 7734340600 |
Enumeration Date | 2015-04-14 |
Last Update Date | 2019-04-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 036145395 | IL | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
5843 S WESTERN AVE |
City | CHICAGO |
State | IL |
Zip Code | 60636-1526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972600518 | Mary M Frech | Nurse Practitioner | 5843 S Western Ave, Chicago, IL 60636-1526 | 2006-09-17 |
1932723111 | Bhavik Lakhani | Dentist | 5843 S Western Ave, Chicago, IL 60636-1526 | 2020-06-03 |
1427344100 | Neil P Parikh | Dentist | 5843 S Western Ave, Chicago, IL 60636 | 2011-06-22 |
1184955866 | Maricela Garcia | Registered Nurse | 5843 S Western Ave, Chicago, IL 60636-1526 | 2010-01-20 |
1689774283 | Debra Beth Stulberg | Family Medicine | 5843 S Western Ave, Chicago, IL 60636-1526 | 2006-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124438742 | Habilitative Systems, Inc. | Case Management | 6845 S Western Ave, Chicago, IL 60636 | 2014-05-05 |
1346505286 | Sneha Abichandani | Pediatrics | 5843 South Western, Chicago, IL 60636 | 2012-07-06 |
1972812501 | Westwood Medical Ceter Inc | Surgery | 6326 S. Ashland Avenue, Chicago, IL 60636 | 2010-09-30 |
1104134915 | Mamanatandathernizampc. | Clinic/Center | 2001 W.69thst., Chicago, IL 60636 | 2010-09-15 |
1295966562 | Carla Maria Lennan | Durable Medical Equipment & Medical Supplies | 6343 S. Western, Chicago, IL 60636 | 2009-08-04 |
1083826507 | Devere J Herron | Dentist | 7203 South Western Avenue, Chicago, IL 60636 | 2007-05-04 |
1427155910 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1620 West 59th St, Chicago, IL 60636 | 2006-09-19 |
1023031473 | J &j Pharmacy Ltd. | Pharmacist | 2001 W 69th Street, Clinic Pharmacy, Chicago, IL 60636 | 2006-07-26 |
1831169218 | Michael A. Luckett, Dmd & Associates (western | Dentist | 6153 South Western Avenue, Chicago, IL 60636 | 2006-01-26 |
1457330870 | Friend Family Health Center, Inc | Clinic/Center | 5843 S. Western Avenue, Chicago, IL 60636 | 2006-01-13 |
Find all providers in zip 60636 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
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.