HEALTH DEPARTMENT (NPI# 1447418017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447418017 |
| Entity Type | Organization |
| Organization Name | HEALTH DEPARTMENT |
| Other Organization Name | ST BERNARD HOSPITAL |
| Practice Address |
5400 S Hyde Park Blvd Apt D2 Chicago IL 60615-5852 |
| Practice Telephone | 7736674631 |
| Mailing Telephone | 7736674631 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | MRS. PRATHIBHA V THARIMALA (PEDIATRICIAN) |
| Authorized Official Telephone | 7736674631 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
036048048 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | U45703 | 05 |
| Other Name | Type Code |
|---|---|
| St Bernard Hospital | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790964211 | Health Department | Clinic/Center | 410 Ave Hostos, Suite 1, Mayaguez, PR 00682-1560 | 2007-10-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HEALTH DEPARTMENT | 335 W Cherry St, Winchester, IL 62694-1029 |
| System for Award Management (SAM) Entities | HEALTH DEPARTMENT & HOME HEALTH AGENCY | 1001 S Jamison St, Kirksville, MO 63501-3986 |
| System for Award Management (SAM) Entities | HEALTH DEPARTMENT OF BROOKLINE | 11 Pierce St Ste 2300, Brookline, MA 02445-7807 |
| System for Award Management (SAM) Entities | HEALTH DEPARTMENT OF NORTHWEST MICHIGAN | 220 West Garfield, Charlevoix, MI 49720-1631 |
| System for Award Management (SAM) Entities | HEALTH DEPARTMENT/COUNSELING CENTER | 106 Edwards St, Newton, IL 62448-1736 |
| Street Address |
5400 S HYDE PARK BLVD APT D2 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-5852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376979278 | Prathibha V Tharimala | Specialist | 5400 S Hyde Park Blvd Apt D2, Chicago, IL 60615-5852 | 2013-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499573 | Nurse Now LLC | Clinic/Center | 2901 S Michigan Ave Apt 406, Chicago, IL 60616-3297 | 2020-05-26 |
| 1316356850 | The Night Ministry | Clinic/Center | 4711 N Ravenswood Ave, Chicago, IL 60640-4407 | 2014-08-08 |
| 1104134915 | Mamanatandathernizampc. | Clinic/Center | 2001 W.69thst., Chicago, IL 60636 | 2010-09-15 |
| 1962664268 | Jil Medical Consultant | Clinic/Center | 5500 S Damen Ave, Chicago, IL 60636-1107 | 2008-06-27 |
| 1295947430 | Communityhealth | Clinic/Center | 2611 W Chicago Ave, Chicago, IL 60622-4519 | 2007-05-03 |
| 1649399106 | Circle Family Healthcare Network, Inc | Clinic/Center | 115 Parkside, Chicago, IL 60644-3040 | 2007-03-28 |
| 1194819623 | City of Chicago | Clinic/Center | South Lawndale Nhc, 3059 W 26th Street, Chicago, IL 66023 | 2006-10-02 |
| 1194817809 | New Hope Community Service | Clinic/Center | 2011 E 75th St Ste 110, Chicago, IL 60649-3646 | 2006-09-29 |
| 1871595256 | City of Chicago | Clinic/Center | 641 W 63rd St, Chicago, IL 60621-2032 | 2005-08-15 |
| 1194717330 | City of Chicago | Clinic/Center | South Chicago, 2938 E 89th Street, Chicago, IL 60617 | 2005-08-15 |
| 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.