KIM WHITESIDE (NPI# 1386196780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386196780 |
| Entity Type | Individual |
| Full Name | KIM WHITESIDE |
| Practice Address |
2204 Gabriel Ave Zion IL 60099-2223 |
| Practice Telephone | 8478153316 |
| Mailing Telephone | 8478153316 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | W323-5165-9687 | IL | Transportation Services |
| Street Address |
2204 GABRIEL AVE |
| City | ZION |
| State | IL |
| Zip Code | 60099-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1295384790 | Loretta Beatrice Colwell | Technician | 3005 Elizabeth Ave, Zion, IL 60099 | 2019-09-06 |
| 1053893164 | Tea Mohn | Psychologist | 3901 W. 21st Street, Zion, IL 60099 | 2018-09-05 |
| 1326540808 | Monica Donald | Specialist/Technologist | 2825 Jethro Ct, Zion, IL 60099 | 2018-03-01 |
| 1265816516 | Igor Wroblewski | Internal Medicine | 2505 26th St, Zion, IL 60099 | 2015-07-16 |
| 1831432996 | Samuel Harrison Cannon Jr. | Nurse Anesthetist, Certified Registered | 3302 Wembley Dr, Zion, IL 60099 | 2013-03-27 |
| 1619213618 | Lizel Ann Granada | Nurse Practitioner | 2723 Sheridan Road, Suite C, Zion, IL 60099 | 2012-12-19 |
| 1194070540 | Shana Marie Pagtalunan Ramirez | Physical Therapist | 2404 Joppa Ave., Zion, IL 60099 | 2012-07-20 |
| 1962674978 | Zion Benton Children's Service | Dentist | 1608 W 23rd St, Zion, IL 60099 | 2008-03-31 |
| 1710176110 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 4580 Rt. 173, Zion, IL 60099 | 2007-10-22 |
| Find all providers in zip 60099 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223703 | Jimmy D Hill | Private Vehicle | 300 W Bond Ave Apt 11, Patoka, IL 62875-1044 | 2020-10-23 |
| 1033716675 | Tuwana Hunter | Private Vehicle | 512 N Jackson St, Waukegan, IL 60085-3848 | 2020-10-07 |
| 1407462336 | Connect Care Trans LLC | Private Vehicle | 2454 W Peterson Ave, Chicago, IL 60659-4113 | 2020-09-16 |
| 1437769577 | Steven Walls | Private Vehicle | 12 Chatham Cir, Kankakee, IL 60901-5802 | 2020-08-04 |
| 1275166514 | Ira Lee Williams | Private Vehicle | 9801 S Karlov Ave Apt 203, Oak Lawn, IL 60453-3443 | 2020-02-14 |
| 1033740477 | Karriage Incorporated | Private Vehicle | 8314 W 95th St, Hickory Hills, IL 60457-1951 | 2020-02-03 |
| 1275179178 | William Smith Iv | Private Vehicle | 2535 S Twin Bridge Rd, Decatur, IL 62521-9604 | 2019-11-26 |
| 1972147627 | Td Reliable Transport LLC | Private Vehicle | 1462 Legacy Dr Unit 4, Dekalb, IL 60115-2078 | 2019-11-05 |
| 1225670151 | Margaret Sharice Ward | Private Vehicle | 1995 W Meadowview Dr, Round Lake, IL 60073-9793 | 2019-10-11 |
| 1427699081 | Tb Transportation Enterprise Inc | Private Vehicle | 4114 W Gladys Ave, Chicago, IL 60624-3284 | 2019-10-04 |
| Find all providers with the same taxonomy | ||||
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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.