SNEHA BONTU (NPI# 1760011803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760011803 |
| Entity Type | Individual |
| Full Name | SNEHA BONTU |
| Practice Address |
2160 S 1st Ave Rm 7609 Maywood IL 60153-3328 |
| Practice Telephone | 7082164349 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125.075821 | IL | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2160 S 1ST AVE RM 7609 |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407146640 | Asima Abbas Doriwala | Internal Medicine | 2160 S 1st Ave Rm 7609, Maywood, IL 60153-3328 | 2011-04-08 |
| 1336776566 | Danielle Strunk | Internal Medicine | 2160 S 1st Ave Rm 7609, Maywood, IL 60153-3328 | 2020-03-26 |
| 1942705967 | Yiran Gong | Internal Medicine | 2160 S 1st Ave Rm 7609, Maywood, IL 60153 | 2018-03-30 |
| 1710482922 | Andrew Ching-zhong Go | Internal Medicine | 2160 S 1st Ave Rm 7609, Maywood, IL 60153 | 2018-03-28 |
| 1952806580 | Elizabeth L Lockerman | Internal Medicine | 2160 S 1st Ave Rm 7609, Maywood, IL 60153 | 2018-03-26 |
| 1932603867 | Jordan Taylor | Internal Medicine | 2160 S 1st Ave Rm 7609, Maywood, IL 60153 | 2018-03-23 |
| 1295230159 | Faisal Husain | Internal Medicine | 2160 S 1st Ave Rm 7609, Maywood, IL 60153 | 2018-03-23 |
| 1306340914 | Aman Prasad | Internal Medicine | 2160 S 1st Ave Rm 7609, Maywood, IL 60153 | 2018-03-19 |
| 1841608049 | Scott Janus | Internal Medicine | 2160 S 1st Ave Rm 7609, Maywood, IL 60153-3328 | 2014-07-31 |
| 1265851000 | Marcus Sublette | Internal Medicine | 2160 S 1st Ave Rm 7609, Maywood, IL 60153-3328 | 2014-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1013540244 | Lisa Laurenzana | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave Bldg Stritch, Maywood, IL 60153-3328 | 2020-02-17 |
| 1972149649 | Jenna Gartz | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave Rm 4500, Maywood, IL 60153-3328 | 2019-11-18 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1538626718 | Tyana Davis | Student in an Organized Health Care Education/Training Program | 624 S 21st Ave, Maywood, IL 60153-1476 | 2019-02-25 |
| 1801391438 | Giacomo Colver Waller | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave Ste 2840, Maywood, IL 60153-3328 | 2018-03-26 |
| 1194339911 | Victoria Leah Drozd | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-31 |
| 1467073668 | Isabel Anne Pennings | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-04-29 |
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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.