CHANDRA B RATHOD MDSC (NPI# 1740585736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740585736 |
| Entity Type | Organization |
| Organization Name | CHANDRA B RATHOD MDSC |
| Practice Address |
4211 N Cicero Ave Suite 203 Chicago IL 60641-1651 |
| Mailing Address |
4211 N Cicero Ave Suite 203 Chicago IL 60641-1650 |
| Practice Telephone | 7737948800 |
| Practice Fax Number | 7737948830 |
| Mailing Telephone | 7737948800 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |
| Authorized Official Name | CHANDRA RATHOD (MDSC) |
| Authorized Official Telephone | 7737938800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036059328 | IL | Ambulatory Health Care Facilities |
| Street Address |
4211 N CICERO AVE SUITE 203 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60641-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444184 | Jack C. Enter Jr. | Physician Assistant | 4211 N Cicero Ave, Suite 100, Chicago, IL 60641-1651 | 2005-08-11 |
| 1205378460 | Caroline Rodriguez | Nurse Practitioner | 4211 N Cicero Ave, Chicago, IL 60641-1651 | 2016-11-04 |
| 1114342037 | Lauren Kimberly Hofius | Specialist/Technologist, Other | 4211 N Cicero Ave, #400, Chicago, IL 60641-1651 | 2014-02-28 |
| 1477892917 | Jacob M Richey | Podiatrist | 4211 N Cicero Ave, Chicago, IL 60641-1651 | 2013-02-04 |
| 1558611624 | Sophia Zamudio Rasof | Family Medicine | 4211 N Cicero Ave, Suite 308, Chicago, IL 60641-1651 | 2012-09-14 |
| 1265792212 | Sonia Shah M D S C | Internal Medicine | 4211 N Cicero Ave, Suite 203, Chicago, IL 60641-1651 | 2012-05-24 |
| 1538460134 | Six Corners Anesthesia LLC | Anesthesiology | 4211 N Cicero Ave, Suite 400, Chicago, IL 60641-1651 | 2010-11-12 |
| 1720225469 | Diana Barros | Physician Assistant | 4211 N Cicero Ave, Suite #200, Chicago, IL 60641-1651 | 2009-01-16 |
| 1801055777 | Gerard P Alleje | Physical Therapist | 4211 N Cicero Ave, Suite #200, Chicago, IL 60641-1651 | 2008-06-05 |
| 1285806596 | James D Wnek Jr. | Physical Therapy Assistant | 4211 N Cicero Ave, Suite 100, Chicago, IL 60641-1651 | 2008-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038131 | Victoria Carmen Grau Kazmierzcak | Student in an Organized Health Care Education/Training Program | 5458 W Grace St, Unit 2, Chicago, IL 60641 | 2020-06-24 |
| 1659926921 | Farah Alhaidar | Counselor | 4028 W Irving Park Rd Loft B, Chicago, IL 60641 | 2019-08-05 |
| 1255898482 | Bernadeta Agnieszka Kapustka | Nurse Practitioner | 5425 W Addison, Chicago, IL 60641 | 2019-02-24 |
| 1295200921 | The Dental Masters of Belmont, LLC | Dentist | 5236 W. Belmont Ave., Chicago, IL 60641 | 2018-10-09 |
| 1700364171 | National Vision Inc | Technician/Technologist | 4068 North Milwaukee Avenue, Chicago, IL 60641 | 2018-07-30 |
| 1477055168 | Elaine Vozar Acupuncturist Ltd | Acupuncturist | 3817 N. Pulaski, Chicago, IL 60641 | 2018-03-08 |
| 1174906853 | Heather Rocco | Hearing Instrument Specialist | 4122 N Millwaukee Ave, Chicago, IL 60641 | 2015-06-30 |
| 1770910184 | Kendra Manning | Physician Assistant | 4959 W. Belmont Ave, Chicago, IL 60641 | 2013-09-30 |
| 1679916274 | Don E Mccree | Technician, Cardiology | 2936 N. Kolmar, 3c, Chicago, IL 60641 | 2013-04-12 |
| 1053664888 | Scott P Dusenbery | Occupational Therapist | 3235 N Lockwood Apt 3, Chicago, IL 60641 | 2012-10-17 |
| Find all providers in zip 60641 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
| 1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
| 1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 1407209208 | Mount Sinai Hospital Medical Center | Clinic/Center | 1501 S California Ave # L1026, Chicago, IL 60608-1732 | 2016-07-16 |
| 1487058731 | Encinas Medical Center | Clinic/Center | 4614 S Ashland Ave, Chicago, IL 60609-3251 | 2014-10-15 |
| 1366872061 | Lawndale Christian Health Center | Clinic/Center | 5122 S Archer Ave, Chicago, IL 60632-4508 | 2013-11-15 |
| 1083051643 | Oak Street Health Physicians Group, PC | Clinic/Center | 30 W Monroe St Ste 1200, Chicago, IL 60603-2420 | 2013-05-22 |
| 1043564529 | Triple S Medical Care S.c. | Clinic/Center | 6455 S Pulaski Rd, Chicago, IL 60629 | 2012-11-05 |
| 1548541022 | Valentinalb,s.c. | Clinic/Center | 5108 N Lincoln Ave, Chicago, IL 60625-7295 | 2011-08-29 |
| 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.