DR. PRABHA VAIDYA (NPI# 1508956145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508956145 |
| Entity Type | Individual |
| Full Name | DR. PRABHA VAIDYA |
| Credential | M.D. |
| Practice Address |
1545 Waukegan Rd Glenview IL 60025-2166 |
| Practice Telephone | 8477298986 |
| Mailing Telephone | 8477298986 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC/BS | 01636495 | 01 |
| Street Address |
1545 WAUKEGAN RD |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437186871 | Brian Marc Dembo | Optometrist | 1545 Waukegan Rd, Glenview, IL 60025-2166 | 2006-06-28 |
| 1306213103 | Ckf Acupuncture, LLC | Acupuncturist | 1545 Waukegan Rd, Glenview, IL 60025-2166 | 2015-08-27 |
| 1922262328 | Brian Dembo,o.d.,p.c. | Optometrist | 1545 Waukegan Rd, Glenview, IL 60025-2166 | 2008-07-15 |
| 1366659195 | Thomas Godberg Hauff | Dentist | 1545 Waukegan Rd, Glenview, IL 60025-2166 | 2007-05-17 |
| 1588871313 | Thomas G Hauff Dds Ltd | Dentist | 1545 Waukegan Rd, Glenview, IL 60025-2166 | 2007-05-17 |
| 1700091717 | Mary Sheridan | Optometrist | 1545 Waukegan Rd, Glenview, IL 60025-2166 | 2007-05-12 |
| 1265650832 | Thomas Godberg Hauff, Jr. | Dentist | 1545 Waukegan Rd, Suite 9, Glenview, IL 60025-2166 | 2007-04-21 |
| 1629296207 | Hauff Dental Group Ltd. | Dentist | 1545 Waukegan Rd, Suite 9, Glenview, IL 60025-2166 | 2007-04-21 |
| 1699883017 | Carol Linda Tessler | Psychologist | 1545 Waukegan Rd, Suite 6, Glenview, IL 60025-2166 | 2006-08-27 |
| 1437168689 | Michael G. Spiegel | Optometrist | 1545 Waukegan Rd, Glenview, IL 60025-2166 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366802365 | Matthew Frazier | General Practice | 2305 Central Rd, Glenview, IL 60025-4270 | 2016-03-03 |
| 1497198378 | Lina Gladish | General Practice | 3834 Lizette Ln., Glenview, IL 60026 | 2013-04-10 |
| 1710289509 | Northshore Practitioners Inc | General Practice | 1511 Glenwood Road, Glenview, IL 60025-0000 | 2010-11-30 |
| 1053623009 | Rafi K Altaweel | General Practice | 3710 Capri Ct, Glenview, IL 60025-3810 | 2010-07-07 |
| 1831338565 | Jerald Tornheim | General Practice | 2927 Fairway Ct, Glenview, IL 60025-4062 | 2009-02-19 |
| 1548532310 | Resurrection Services | General Practice | 2614 Patriot Blvd, Suite A, Glenview, IL 60026-8024 | 2012-02-08 |
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| 1154946903 | Wound Pros Illinois | General Practice | 5250 Old Orchard Rd., Suite 300, Skokie, IL 60077-4462 | 2020-06-08 |
| 1306465786 | Brightlife Regenerative Medical Clinic Lombard Sc | General Practice | 442 E Roosevelt Rd, Lombard, IL 60148-4630 | 2020-04-15 |
| 1851920524 | Sahens Mezidor | General Practice | 228 Ridge Ave Apt G, Evanston, IL 60202-6409 | 2020-04-05 |
| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
| 1598302077 | Enhance Medical LLC | General Practice | 1193 N Gary Ave, Carol Stream, IL 60188-9423 | 2019-12-04 |
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
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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.