RAFIE DAVIDOV (NPI# 1649712373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649712373 |
| Entity Type | Individual |
| Full Name | RAFIE DAVIDOV |
| Other Name | RAFIE DZHUDZHO |
| Credential | A.P.N.-C.N.P. |
| Practice Address |
800 Biesterfield Rd Ste G01 Wimmer Building Elk Grove Village IL 60007-3372 |
| Mailing Address |
900 S Frontage Rd Suite 325 Woodridge IL 60517-4903 |
| Practice Telephone | 8479813680 |
| Practice Fax Number | 8479565122 |
| Mailing Telephone | 6309728228 |
| Mailing Fax Number | 6309728229 |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209014789 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP PRACTICE NPI | 1720371669 | 01 |
| Street Address |
800 BIESTERFIELD RD STE G01 WIMMER BUILDING |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740231505 | Cardiovascular Associates, S.c. | Nurse Practitioner | 800 Biesterfield Rd Ste G01, Wimmer Building, Elk Grove Village, IL 60007-3372 | 2006-05-15 |
| 1912515248 | Camille Raz | Nurse Practitioner | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2020-07-22 |
| 1780169664 | Jennifer Marie Handelman | Nurse Practitioner | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2018-09-26 |
| 1457865172 | Teresa O'donnell | Nurse Practitioner | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2017-11-17 |
| 1326567173 | Bhavna Sharma | Registered Nurse | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2017-09-13 |
| 1740629583 | Wesam Ostwani | Internal Medicine | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2013-06-14 |
| 1366794190 | Fortesa Myha | Physician Assistant | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2012-10-03 |
| 1578856407 | Rina Verma | Internal Medicine | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2011-05-25 |
| 1245556547 | Ashish Haryani | Internal Medicine | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2010-04-12 |
| 1992034425 | Mary Ann Deliberto | Registered Nurse | 800 Biesterfield Rd Ste G01, Wimmer Building, Elk Grove Village, IL 60007-3372 | 2009-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164890869 | Margaret M Gaynor | Nurse Practitioner | 800 Biesterfield Rd, Suite510, Elk Grove Village, IL 60007-3361 | 2015-09-11 |
| 1952323693 | Constance Reid Lokos | Nurse Practitioner | 800 Biesterfield Rd, Ste 605 Eberle Building, Elk Grove Village, IL 60007-3397 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 1710592175 | Mary Maloney | Nurse Practitioner | 348 Westglen Dr, Glen Carbon, IL 62034-1002 | 2020-09-12 |
| 1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
| 1083222368 | Izolda Rosario | Nurse Practitioner | 501 W Lake St Ste 207, Elmhurst, IL 60126-1419 | 2020-07-22 |
| 1043832785 | Melanie Glander | Nurse Practitioner | 18357 Cowing Ct, Homewood, IL 60430-3332 | 2020-05-16 |
| 1699306902 | Ife Muyiwa-ojo | Nurse Practitioner | 729 E Carpenter St, Springfield, IL 62702-5321 | 2020-01-27 |
| 1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
| 1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
| 1891358222 | Kelly Jo Erke | Nurse Practitioner | 20830 N 1970 East Rd, Danville, IL 61834-6228 | 2019-04-22 |
| 1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
| Find all providers with the same taxonomy | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
Please comment or provide details below to improve the information on RAFIE DAVIDOV.
| 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.