KARMEN MAYTUM


Address: 9831 S Western Ave, Chicago, IL 60643-1740
Phone: (773) 445-3500

KARMEN MAYTUM (NPI# 1467981571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467981571
Entity Type Individual
Full Name KARMEN MAYTUM
Credential NP
Practice Address 9831 S Western Ave
Chicago
IL 60643-1740
Practice Telephone (773) 445-3500
Mailing Telephone 7734453500
Enumeration Date 2017-06-12
Last Update Date 2017-06-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209.015644 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9831 S WESTERN AVE
City CHICAGO
State IL
Zip Code 60643-1740

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689667479 Lucius C Earles Dermatology 9831 S Western Ave, Chicago, IL 60643-1740 2005-08-26
1598234999 Colleen Marie Tumino Registered Nurse 9831 S Western Ave, Chicago, IL 60643-1740 2018-11-15
1144799446 Robert Joseph Stachler Massage Therapist 9831 S Western Ave, Chicago, IL 60643-1740 2018-11-15
1164991568 Karen Lynn Duggan Registered Nurse 9831 S Western Ave, Chicago, IL 60643-1740 2018-11-15
1881163285 Megan Corr Registered Nurse 9831 S Western Ave, Chicago, IL 60643-1740 2018-11-15
1952895971 Vaishali Shah Pharmacist 9831 S Western Ave, Chicago, IL 60643-1740 2018-06-22
1174045462 Kinsey Nolan Registered Nurse 9831 S Western Ave, Chicago, IL 60643-1740 2017-07-09
1386178226 Kristy Hynes Nurse Practitioner 9831 S Western Ave, Chicago, IL 60643-1740 2017-04-18
1154878510 Ewa Rafacz Registered Nurse 9831 S Western Ave, Chicago, IL 60643-1740 2016-09-02
1972959054 Advocate Medical Group Clinic/Center 9831 S Western Ave, Suite 396, Chicago, IL 60643-1740 2016-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154941698 Breann Hampton Behavior Technician 1214 W 115th St, Chicago, IL 60643 2020-04-24
1366075566 Sanctuary Counseling, LLC Home Health 12247 S Racine Ave, Calumet Park, IL 60643 2020-02-16
1467082883 Juliana Frances Cunningham Developmental Therapist 10037 S Bell, Chicago, IL 60643 2020-01-24
1013578624 Sct Counseling Counselor 11948 S Western Ave, Chicago, IL 60643 2019-06-25
1073087474 For Eyes Optical Company of Pa Optometrist 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 2019-01-18
1073096426 Derek Peake Physical Therapist 9465 S. Western Road, Chicago, IL 60643 2018-09-12
1508356072 Halo Medical Professionals Sc. Chiropractor 10650 S Western Ave, Chicago, IL 60643 2018-05-10
1811405699 Kara Eileen Noland Developmental Therapist 9327 S Hamilton Ave, Chicago, IL 60643 2018-01-16
1588173546 Kiah Nicole Bouie Behavioral Analyst 1461 W 113th Pl, Chicago, IL 60643 2017-09-21
1174042766 Travis Wade Robertson Physical Therapist 10909-11 S Western Ave, Beverly, IL 60643 2017-09-14
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700911 Laura Ivette Portillo Nurse Practitioner 2727 N Marmora Ave, Chicago, IL 60639-1219 2020-11-05
1265033385 Carolle M Derradji Nurse Practitioner 3256 W Potomac Ave, Chicago, IL 60651-2411 2020-11-04
1104427293 Katie Michelle O'halloran Nurse Practitioner 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 2020-11-04
1578163515 Deanna Bassette Nurse Practitioner 243 E 31st St Apt 401, Chicago, IL 60616-5212 2020-10-29
1891395745 Vrunda Shah Patel Nurse Practitioner 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 2020-10-29
1881291706 Rita Elue Nurse Practitioner 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 2020-10-04
1558976514 Janice Nicole Kinney Nurse Practitioner 10127 S Harding Ave, Chicago, IL 60655-3748 2020-09-15
1881209278 Monique Graves Nurse Practitioner 4912 W Adams St Apt 2, Chicago, IL 60644-4445 2020-09-11
1194339721 Maureen Iyesogie Diji Nurse Practitioner 4658 S Ellis Ave, Chicago, IL 60653-3625 2020-09-01
1669085395 Emily Calderon Nurse Practitioner 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 2020-08-24
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Competitor

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City CHICAGO
Zip Code 60643

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Dataset Information

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.

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