MR. PRATIK VAIDYA


Address: 1500 S Fairfield Ave, Chicago, IL 60608-1782
Phone: 7735422000

MR. PRATIK VAIDYA (NPI# 1568016913) 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) 1568016913
Entity Type Individual
Full Name MR. PRATIK VAIDYA
Credential PA-C
Practice Address 1500 S Fairfield Ave
Chicago
IL 60608-1782
Mailing Address 9124 W Oaks Ave
Des Plaines
IL 60016-4252
Practice Telephone 7735422000
Mailing Telephone 8478733289
Enumeration Date 2019-07-24
Last Update Date 2019-07-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
085.007114 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1500 S FAIRFIELD AVE
City CHICAGO
State IL
Zip Code 60608-1782

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275564197 Paul M. Berkowitz Psychiatry & Neurology 1500 S Fairfield Ave, Chicago, IL 60608-1782 2006-07-06
1528668274 Mount Sinai Hospital Medical Center Clinic/Center 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-10-30
1669089306 Sabin Gajurel Internal Medicine 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-09-27
1710591854 Trisha May Homan Nurse Practitioner 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-09-05
1861005134 Elizaveta Vitkovskaya Internal Medicine 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-08-26
1104439751 Vishal Kwatra Internal Medicine 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-08-24
1265044226 Temitayo Kafisanwo Nurse Practitioner 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-08-20
1891306577 Nardeen Morkos Family Medicine 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-08-14
1659981983 Anuradha Sakhuja Internal Medicine 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-08-02
1508474818 Anthony Adly Messiha Family Medicine 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699390047 Bethuna Shields Occupational Therapist 1401 South California Ave, Chicago, IL 60608 2020-06-11
1861024176 Mount Sinai Community Foundation Clinic/Center 1414 S Fairfield, Chicago, IL 60608 2020-02-05
1205481058 Joshua Hartman Pharmacist 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 2019-08-08
1194386706 Mount Sinai Hospital, Chicago Internal Medicine Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 2019-06-25
1841754256 Julia Bates Occupational Therapist 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 2019-01-30
1194205781 Anais J Robles Contractor 1626 S Allport St, Chicago, IL 60608 2018-08-14
1114412970 Dmitri Zbarsky Internal Medicine 1500 South Fairfield Ave., F-914, Chicago, IL 60608 2018-06-25
1740773050 Alexia Ilian Derma Salazar Speech-Language Pathologist 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 2018-06-11
1912424730 Pareen Modi Pharmacist 2539 South Western Avenue, Chicago, IL 60608 2017-08-23
1952824302 Raquel Gonzalez Heredia Surgery 1500 South Fairfield Ave, Chicago, IL 60608 2017-07-18
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518591759 Julie Jenkot Physician Assistant 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 2020-02-26
1457997561 Jasleen Mohini Singh Physician Assistant 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 2019-11-24
1598238883 Andrea Budzon Physician Assistant 2940 N Kimball Ave Apt 2, Chicago, IL 60618-6846 2019-01-09
1760995161 Leena Abed Hamdan Physician Assistant 251 E Huron St Fl 1, Chicago, IL 60611-2908 2017-11-08
1134580079 Joseph Smith II Physician Assistant 654 E 84th St, Chicago, IL 60619-5802 2016-03-18
1679950232 Alexis Davidman Physician Assistant 20 S Clark St Ste, Chicago, IL 60603-1802 2015-05-04
1669861589 Stewart David Harsant Physician Assistant 1702 N Milwaukee Ave, Chicago, IL 60647-5424 2015-01-15
1063817013 Jenna Lynn Sniegowski Physician Assistant 675 N Saint Clair St Fl 21, Chicago, IL 60611-5975 2014-11-01
1851700066 Lauren Lew Physician Assistant 555 West Madison St. Apt 4903, Chicago, IL 60661 2014-08-13
1306270137 Brianne Patricia Randall Physician Assistant California Blvd. At 15th St., Chicago, IL 60608 2013-08-28
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Competitor

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City CHICAGO
Zip Code 60608

Improve Information

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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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