LATHA S PANICKER (NPI# 1508110347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508110347 |
Entity Type | Individual |
Full Name | LATHA S PANICKER |
Other Name | MRS. LATHA S PANICKER |
Credential | APN-BC |
Practice Address |
977 N Oaklawn Ave Suite 104 Elmhurst IL 60126-1045 |
Mailing Address |
800 S Wilmette Ave Westmont IL 60559-8623 |
Practice Telephone | 8006837861 |
Practice Fax Number | 8888564648 |
Mailing Telephone | 6306967594 |
Enumeration Date | 2012-11-01 |
Last Update Date | 2012-11-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209.009961 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
977 N OAKLAWN AVE SUITE 104 |
City | ELMHURST |
State | IL |
Zip Code | 60126-1045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639251317 | Emelita D Sequeira | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2006-10-20 |
1699166892 | Brenna Kathleen Kouzoukas | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2015-02-10 |
1396134623 | Lisa A Biancalana-marsh | Nurse Practitioner | 977 N Oaklawn Ave, Elmhurst, IL 60126-1045 | 2015-01-09 |
1184022238 | Laura Elizabeth Miller | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2014-12-05 |
1508262205 | Guriqbal S Sandhu | Nurse Practitioner | 977 N Oaklawn Ave, Suite # 104, Elmhurst, IL 60126-1045 | 2014-11-07 |
1558766139 | Lee-anne J Millas | Registered Nurse | 977 N Oaklawn Ave, Elmhurst, IL 60126-1045 | 2014-10-25 |
1760804355 | Felicia Thompson Coburn | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2014-01-15 |
1225459456 | Rosalyn Dembek | Nurse Practitioner | 977 N Oaklawn Ave, 104, Elmhurst, IL 60126-1045 | 2013-12-13 |
1861823692 | Kathleen S Antunovich | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2013-12-04 |
1730518952 | Jacqueline Myers | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2013-11-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
Find all providers in zip 60126 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
1114478476 | Tsering Lhamo | Nurse Practitioner | 9030 53rd Ave Apt 3, Elmhurst, NY 11373-4540 | 2016-10-20 |
1366997363 | Ying Chen | Nurse Practitioner | 8833 51st Ave, Apt 2b, Elmhurst, NY 11373-3978 | 2016-08-18 |
1356717342 | Moisey Simkhayev | Nurse Practitioner | 4047 95th St Apt B, Elmhurst, NY 11373 | 2015-08-13 |
1508259722 | Hyun Ji Choi | Nurse Practitioner | 7656 47th Ave, 3fl, Elmhurst, NY 11373-2965 | 2015-03-12 |
1982955308 | Kyaw Naing | Nurse Practitioner | 5155 Van Kleeck St Apt 3k, Elmhurst, NY 11373-4218 | 2012-09-25 |
1629224035 | Ma.riza Lising | Nurse Practitioner | 8710 Corona Ave Fl 3, Elmhurst, NY 11373-3900 | 2008-08-18 |
1609041029 | Joy Chizoba Nwigwe | Nurse Practitioner | 110 E Schiller St Ste 318, Elmhurst, IL 60126-2823 | 2008-04-26 |
1780857920 | Nancy H Daly | Nurse Practitioner | 110 E. Schiller Street Suite 319, Np Care of Il LLC, Elmhurst, IL 60126 | 2008-04-09 |
1750552360 | Deborah A Panuska | Nurse Practitioner | 110 E Schiller St Ste 319, Elmhurst, IL 60126-2823 | 2008-03-23 |
Find all providers in ELMHURST |
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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.