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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
135 N Oak St, Hinsdale, IL 605213860 | 6308568900 | 6308568933 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225462476 | Sarah Kidder | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2013-08-23 |
Street Address |
800 E 55TH ST |
City | CHICAGO |
State | IL |
Zip Code | 60615 |
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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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 Code | 207QA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adolescent Medicine |
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. |
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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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.