DIVYA AGRAWAL (NPI# 1386806115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386806115 |
| Entity Type | Individual |
| Full Name | DIVYA AGRAWAL |
| Credential | M.D. |
| Practice Address |
1611 W Harrison St Ste 400 Chicago IL 60612 |
| Mailing Address |
1 Westbrook Corporate Ctr Ste 240 Westchester IL 60154-5745 |
| Practice Telephone | 3124322300 |
| Mailing Telephone | 7082362600 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
036.136600 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 739 Bloomfield St, Hoboken, NJ 070305000 | 8326073304 | 2015339299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952823247 | Divya Agrawal | Physical Therapist | 1695 Main St, Chipley, FL 32428-5992 | 2017-07-09 |
| Street Address |
1611 W HARRISON ST STE 400 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770557811 | Brian Forsythe | Orthopaedic Surgery | 1611 W Harrison St Ste 400, Chicago, IL 60612 | 2006-02-15 |
| 1861022493 | Isabelle Baneux | Physician Assistant | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2020-01-23 |
| 1700429040 | William Sideras | Physician Assistant | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2019-10-18 |
| 1821643123 | Kaileen Elizabeth Healy | Physician Assistant | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2019-08-05 |
| 1124672498 | Yong Li | Physician Assistant | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2019-07-25 |
| 1326609017 | Hailey Christa Merk | Physician Assistant | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2019-06-24 |
| 1770045049 | Alissa Marie Winner | Nurse Practitioner | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2019-04-04 |
| 1790245371 | Max Monahan Levine | Physician Assistant | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2019-03-21 |
| 1780167213 | Samantha Fried | Registered Nurse | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2018-09-11 |
| 1184119471 | Joseph Bradley Samuels | Physician Assistant | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256982 | Prm of Illinois | Physical Medicine & Rehabilitation | 625 N Michigan Ave Ste 810, Chicago, IL 60611-3110 | 2020-05-15 |
| 1376007757 | Jose Angel Munoz Jr. | Physical Medicine & Rehabilitation | 5035 W Parker Ave, Chicago, IL 60639-1603 | 2019-01-30 |
| 1629315312 | Chinatown Integrated Medicine Ltd | Physical Medicine & Rehabilitation | 2134b S Archer Ave Fl 2, Chicago, IL 60616-1514 | 2013-01-15 |
| 1730236928 | Linda T Stewart | Physical Medicine & Rehabilitation | 4926 S Champlain Ave, Chicago, IL 60615-2541 | 2007-01-03 |
| 1275186033 | Chicago Regenerative Medical Center Corporation | Physical Medicine & Rehabilitation | 4149 W 26th St, Chicago, IL 60623-4314 | 2019-07-22 |
| 1972013530 | Armitage Orthopedics and Pain Ltd | Physical Medicine & Rehabilitation | 3055 W Armitage Ave, Chicago, IL 60647-3862 | 2017-10-09 |
| 1134541568 | Express Healthcare Inc | Physical Medicine & Rehabilitation | 1502 W Chicago Ave, Chicago, IL 60642-5236 | 2014-01-21 |
| 1871752881 | Shivani Shah Batra | Physical Medicine & Rehabilitation | 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 | 2008-06-04 |
| 1154510311 | Baljinder Singh Bathla | Physical Medicine & Rehabilitation | 1550 S Indiana Ave, Suite 100, Chicago, IL 60605-2857 | 2007-10-23 |
| 1114115268 | Linda T Stewart Md | Physical Medicine & Rehabilitation | 4926 S Champlain Ave, Chicago, IL 60615-2541 | 2007-10-12 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on DIVYA AGRAWAL.
| 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.