DR. KAVITHA PANCHOLY (NPI# 1477760080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477760080 |
| Entity Type | Individual |
| Full Name | DR. KAVITHA PANCHOLY |
| Credential | MD |
| Practice Address |
701 Winthrop Ave Glendale Heights IL 60139-1405 |
| Practice Telephone | 6305455600 |
| Mailing Telephone | 6305455600 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A103159 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
701 WINTHROP AVE |
| City | GLENDALE HEIGHTS |
| State | IL |
| Zip Code | 60139-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721264 | Timothy R White | Anesthesiology | 701 Winthrop Ave, Glendale Heights, IL 60139 | 2005-09-23 |
| 1487264800 | Jovin Philip | Physical Therapist | 701 Winthrop Ave, Glendale Heights, IL 60139-1405 | 2020-08-01 |
| 1750834628 | Wahaj Ahmed | Hospitalist | 701 Winthrop Ave, Glendale Heights, IL 60139 | 2016-07-27 |
| 1619321676 | Adventist Health Partners, Inc | Surgery | 701 Winthrop Ave, Glendale Heights, IL 60139-1405 | 2016-04-15 |
| 1396151825 | Estefania Vela Pinto | Psychiatry & Neurology | 701 Winthrop Ave, Glendale Heights, IL 60139 | 2014-07-03 |
| 1861807356 | Adventist Glenoaks Hospital | Internal Medicine | 701 Winthrop Ave, Glendale Heights, IL 60139-1405 | 2014-06-24 |
| 1194064139 | Adventist Health Partners, Inc | Family Medicine | 701 Winthrop Ave, Adventist Glenoaks Ed, Glendale Heights, IL 60139-1405 | 2013-02-12 |
| 1891063988 | Ewa Maria Kinser | Nurse Practitioner | 701 Winthrop Ave, Ambulatory Care, Glendale Heights, IL 60139-1405 | 2011-12-05 |
| 1134427248 | Nirali R Parikh Md LLC | Internal Medicine | 701 Winthrop Ave, Ambulatory Care, Glendale Heights, IL 60139-1405 | 2011-03-14 |
| 1356669923 | Jas Brar M.d., S.c. | Internal Medicine | 701 Winthrop Ave, Glendale Heights, IL 60139-1405 | 2010-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316465909 | Jonathan Rieckmann | Home Health Aide | 1187 Harbor Court, Glendale Heights, IL 60139 | 2017-09-02 |
| 1265968333 | Alpha Omega Caregivers, Inc | Home Health | 292 Paddock Cir, Glendale Heights, IL 60139 | 2017-05-10 |
| 1508305327 | Elizabeth Antosz | Emergency Medical Technician, Basic | 2234 Lake Ridge Drive, Glendale Heights, IL 60139 | 2017-02-13 |
| 1700274412 | Ivelisse Torres | Interpreter | 1579 Floyd Brown Ln, Glendale Heights, IL 60139 | 2015-01-05 |
| 1659786069 | Polpain Interventional Pain Management Center Ltd. | Clinic/Center | 2090 Gladstone Dr., Unit B, Glendale Heights, IL 60139 | 2014-06-24 |
| 1699100156 | Katarzyna M Lazarczuk | Physical Therapist | 2190 Gledstone Drive, Unit B, Glendale Heights, IL 60139 | 2013-09-03 |
| 1063754232 | Dental Heights Dds PC | Dentist | 148 East Army Trail Road, Glendale Heights, IL 60139 | 2013-03-26 |
| 1306077466 | Sarah Elizabeth Del Gallo | Physical Therapy Assistant | 875 Roosevelt Road, Glen Ellyn, IL 60139 | 2009-08-06 |
| 1275796088 | Joseph P Nguyen | Pharmacist | 2164 Bloomingdale Road, Glendale Heights, IL 60139 | 2008-07-02 |
| 1619159084 | Michael Paul Wagner | Chiropractor | 544e. North Ave, Glendale Heights, IL 60139 | 2007-11-28 |
| Find all providers in zip 60139 | ||||
| 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 |
|---|---|---|---|---|
| 1083827802 | James Michael Winger | Family Medicine | 2166 Gladstone Ct, Suite A, Glendale Heights, IL 60139-1653 | 2007-05-08 |
| 1770796609 | Kathleen Sy Talamayan | Family Medicine | 335 E Army Trail Rd, Glendale Heights, IL 60139-1755 | 2007-05-07 |
| 1902976368 | Jsk Family Healthcare, P.c | Family Medicine | 1557 Bloomingdale Rd, Suite 1200, Glendale Heights, IL 60139-2733 | 2006-11-09 |
| 1194064139 | Adventist Health Partners, Inc | Family Medicine | 701 Winthrop Ave, Adventist Glenoaks Ed, Glendale Heights, IL 60139-1405 | 2013-02-12 |
| 1164471934 | Joseph Shanahan | Family Medicine | 701 Winthrop Ave, Glendale Heights, IL 60139-1405 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
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| City | GLENDALE HEIGHTS |
| Zip Code | 60139 |
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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.