MR. CLIFFORD C WHITEHOUSE (NPI# 1780647362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780647362 |
| Entity Type | Individual |
| Full Name | MR. CLIFFORD C WHITEHOUSE |
| Credential | MMS, ATC, PA-C |
| Practice Address |
7447 W Talcott Ave Suite 500 Chicago IL 60631-3745 |
| Practice Telephone | 7738503050 |
| Practice Fax Number | 7736313005 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2015-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096-002076 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085004982 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NPI | 1780647362 | 01 |
| Street Address |
7447 W TALCOTT AVE SUITE 500 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960145 | Paul J Toussaint | Pediatrics | 7447 W Talcott Ave, Ste 467, Chicago, IL 60631-3715 | 2005-05-27 |
| 1194344721 | Alvin Au-yeung | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Chicago, IL 60631-3745 | 2020-04-14 |
| 1639680267 | Jeffrey Moorhead | Physical Therapist | 7447 W Talcott Ave, Ste 500, Chicago, IL 60631-3716 | 2017-10-23 |
| 1770019796 | Brayton Kiedrowski | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Chicago, IL 60631-3745 | 2017-05-11 |
| 1750818555 | Amber Ijaz | Family Medicine | 7447 W Talcott Ave, Resurrection Family Medicine, Ste. 182, Chicago, IL 60631-3745 | 2017-05-11 |
| 1548796683 | Jordan Oneill | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Resurrection Family Medicine Suite 182, Chicago, IL 60631-3745 | 2017-05-10 |
| 1588190821 | Asha Anne | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Resurrection Family Medicine Ste. 182, Chicago, IL 60631-3745 | 2017-05-05 |
| 1033644992 | Caryn Rachel Olshansky | Physician Assistant | 7447 W Talcott Ave, Suite 425, Chicago, IL 60631-3745 | 2017-04-27 |
| 1982139945 | Sabina Antonina Gal | Counselor | 7447 W Talcott Ave, Suite 448, Chicago, IL 60631-3745 | 2017-04-27 |
| 1538512934 | Aneta Zima | Nurse Practitioner | 7447 W Talcott Ave, Suite 248, Chicago, IL 60631-3745 | 2016-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1407331184 | David Reyes | Physician Assistant | 2800 N Sheridan Rd Ste 209, Chicago, IL 60657-6157 | 2018-09-28 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1811494917 | Nicole Fisch | Physician Assistant | 7447 W Talcott Ave Ste 512, Chicago, IL 60631-3716 | 2018-04-06 |
| 1477909448 | Temidayo Olugbenga Odugbesan | Physician Assistant | 7016 S Sangamon St, Apt 3s, Chicago, IL 60621-1759 | 2016-05-10 |
| 1689096257 | Natalie Elizabeth Warmuth | Physician Assistant | 830 West Diversey Pkwy., Suite 300, Chicago, IL 60614-8711 | 2014-01-15 |
| 1184062754 | Lindsay Christine Jones | Physician Assistant | 205 East Huron, Northwestern Memorial Hospital Galter 11-140, Chicago, IL 60611 | 2013-06-05 |
| 1366741449 | Monica L Fiehler | Physician Assistant | 3537 Paysphere Cir, Chicago, IL 60674-0001 | 2011-03-15 |
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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.