SARAH JAHNS KIDDER


Address: 800 E 55th St, Chicago, IL 60615
Phone: 7737020660

SARAH JAHNS KIDDER (NPI# 1629204961) 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) 1629204961
Entity Type Individual
Full Name SARAH JAHNS KIDDER
Credential DO
Practice Address 800 E 55th St
Chicago
IL 60615
Mailing Address 135 N Oak St
Hinsdale
IL 60521-3860
Practice Telephone 7737020660
Mailing Telephone 6308568900
Mailing Fax Number 6308568933
Enumeration Date 2009-06-01
Last Update Date 2018-05-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0000X Family Medicine
Specialization: Adolescent Medicine
036128700 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 125055971 IL Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
135 N Oak St, Hinsdale, IL 605213860 6308568900 6308568933

Other Providers SARAH KIDDER

NPI Name Taxonomy Address Enumeration
1225462476 Sarah Kidder Social Worker 8000 W 127th St, Overland Park, KS 66213-2714 2013-08-23

Office Location

Street Address 800 E 55TH ST
City CHICAGO
State IL
Zip Code 60615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578560090 Friend Family Health Center, Inc Clinic/Center 800 E 55th St, Chicago, IL 60615-4906 2005-06-30
1851930127 Ashley B Deicher Physician Assistant 800 E 55th St, Chicago, IL 60615-4906 2020-01-03
1154967230 Riskat Fadonougbo Nurse Practitioner 800 E 55th St, Chicago, IL 60615-4906 2019-11-23
1295376481 Lauren Williams Physician Assistant 800 E 55th St, Chicago, IL 60615-4906 2019-09-30
1649824491 Danielle D Cox Social Worker 800 E 55th St, Chicago, IL 60615-4906 2019-07-30
1689138448 Surecare Discount Pharmacy 2 Inc Pharmacy 800 E 55th St, Chicago, IL 60615-4906 2019-01-25
1740752294 Friend Family Health Center Inc Case Management 800 E 55th St, Chicago, IL 60615-4906 2018-12-21
1811473820 Natalia Ruiz Nurse Practitioner 800 E 55th St, Chicago, IL 60615-4906 2018-07-12
1528553013 Kayla Marchelle Jones Nurse Practitioner 800 E 55th St, Chicago, IL 60615-4906 2018-06-27
1477045763 Andrea Williams Dietitian, Registered 800 E 55th St, Chicago, IL 60615-4906 2018-06-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170221 Cook County Technician, Other 430 East 51st Pl, Chicago, IL 60615 2020-09-28
1700498326 Connie Frances Davis Massage Therapist 5481 S. Cornell, Chicago, IL 60615 2020-08-17
1134781974 Lifestyle Rejuvenation Medical Group Pllc Chiropractor 1740 E 55th Street, Chicago, IL 60615 2019-07-02
1275007767 Michelle Alyse Costello Social Worker 1225 E 53rd St, Suite 606, Chicago, IL 60615 2019-01-17
1194207522 Cindy Louise Lys Social Worker 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 2018-09-01
1861983660 Pranusha Pinna Student in an Organized Health Care Education/Training Program 1850 W. Harrison St., Chicago, IL 60615 2018-05-29
1528577632 Jonah Waseberg Counselor 1100 E.55th St, Chicago, IL 60615 2017-09-21
1710404496 Tawann Jackson Psychologist 360 Blair Lane, Door 13, Bolingbrook, IL 60615 2017-08-24
1194259069 Molly Kachale Netter Nurse Practitioner 1554 E 55th St., Chicago, IL 60615 2017-04-17
1205387990 Kirk Remon Riddle Counselor 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 2016-10-18
Find all providers in zip 60615

Taxonomy Information

Taxonomy Code 207QA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adolescent Medicine

Taxonomy Definition

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023517331 Chicago Medical Healthcare Group, S.c. Family Medicine 3648 W Armitage Avenue, Chicago, IL 60647 2018-02-02
1548492234 63rd Advanced Health Clinic Inc Family Medicine 1249 W 63rd St, Chicago, IL 60636-1947 2009-08-14
1518969518 Ghousia Begum Ali Family Medicine 2136 W Devon Ave, Chicago, IL 60659-2127 2005-08-10
1568099380 Bianca Jenkins Family Medicine 251 E Huron St, Chicago, IL 60611-2908 2020-03-23
1740779024 Karen Batty Family Medicine 3000 S King Dr, Chicago, IL 60616-3452 2018-05-02
1558593947 Kedzie Medical Clinic Inc Family Medicine 262 N Kedzie Ave, Chicago, IL 60612-1869 2009-08-18
1548404031 Ebony R Copeland Family Medicine 836 W Wellington Ave, Chicago, IL 60657-5147 2009-04-28
1386770642 Rosa Subero Family Medicine 3600 W Fullerton Ave, Chicago, IL 60647-2319 2007-02-23
1649325929 Nela Rodriguez Cordero Family Medicine 2002 N Damen Ave, Chicago, IL 60647-4527 2007-01-24
1992811178 Trv - Family Medicine, Ltd. Family Medicine 2740 W Foster Ave, Suite 214, Chicago, IL 60625-3500 2006-08-21
Find all providers in CHICAGO

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City CHICAGO
Zip Code 60615

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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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