MS. BEEBA ACHAMMA MATHEW (NPI# 1659914935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659914935 |
| Entity Type | Individual |
| Full Name | MS. BEEBA ACHAMMA MATHEW |
| Credential | AGACNP-BC |
| Practice Address |
4259 S Berkeley Ave Chicago IL 60653-3030 |
| Mailing Address |
1025 W Monroe St Unit 3w Chicago IL 60607-2745 |
| Practice Telephone | 7732687600 |
| Mailing Telephone | 8326619309 |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2019-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209.020118 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209.020118 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4259 S BERKELEY AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346221553 | Near North Health Service Corporation | Clinic/Center | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2005-11-07 |
| 1942808407 | Destenii Thomas Anderson | Dental Hygienist | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2020-10-15 |
| 1821630054 | Near North Health | Dental Hygienist | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2019-10-09 |
| 1245885474 | Miguel Bautista | Counselor | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2019-08-05 |
| 1417330556 | Samantha Kufta | Dentist | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2015-07-07 |
| 1588091276 | Ayo Renee Odior | Nurse Practitioner | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2013-09-26 |
| 1447691977 | Mary Caitlin Gondek | Nurse Practitioner | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2013-07-12 |
| 1124373899 | Adewale Olailan Lawal | Dentist | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2012-07-19 |
| 1639437924 | American Pharmaceutical Drugs Inc | Pharmacy | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2012-04-24 |
| 1699009654 | Leah Margaret Van Slambrouck | Pediatrics | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2009-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
| 1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
| 1750882742 | Racheal Coleman | Nurse Practitioner | 1725 W Harrison St Ste 1121, Chicago, IL 60612-3841 | 2018-02-24 |
| 1942725890 | Alissa L Faletti | Nurse Practitioner | 100 E Walton St Apt 39a, Chicago, IL 60611-1426 | 2017-08-11 |
| 1417483348 | Stephanie Denise Orr | Nurse Practitioner | 5115 S University Ave Apt 3, Chicago, IL 60615-3961 | 2017-05-11 |
| 1255870796 | Thaddeus Trejo | Nurse Practitioner | 4211 N Pulaski Rd, Chicago, IL 60641-2331 | 2017-02-16 |
| 1124570742 | Angela Fiorelli | Nurse Practitioner | 1942 W Cortland St, Chicago, IL 60622-1040 | 2016-10-31 |
| 1023481744 | Michelle Audrey Calvario | Nurse Practitioner | 250 E Superior St Ste 5-2322, Chicago, IL 60611-2914 | 2015-11-03 |
| 1104294834 | Elizabeth Mclaughlin | Nurse Practitioner | 5315 N Lockwood Ave, Chicago, IL 60630-1409 | 2015-09-11 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on MS. BEEBA ACHAMMA MATHEW.
| 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.