PADMAJA VITTAL (NPI# 1780818195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780818195 |
| Entity Type | Individual |
| Full Name | PADMAJA VITTAL |
| Credential | MD |
| Practice Address |
25 N Winfield Rd Winfield IL 60190-1295 |
| Practice Telephone | 6309334056 |
| Practice Fax Number | 6309335868 |
| Mailing Telephone | 6309334056 |
| Mailing Fax Number | 6309335868 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2018-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036133023 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN INDIVIDUAL | F400299312 | 01 |
| IL | MEDICARE PTAN GROUP | 206147 | 01 |
| Street Address |
25 N WINFIELD RD |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190-1295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499899 | Teresa Smith | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2005-07-05 |
| 1396358412 | Stephanie Bryan | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1379 | 2020-08-28 |
| 1629602560 | Amanda Berndt | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2020-03-01 |
| 1003454943 | Joelle Marie Tolentino | Registered Nurse | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-12-10 |
| 1073157582 | Haley Young | Physician Assistant | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-10-29 |
| 1316406440 | Lisa Wehbe | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-03-18 |
| 1821562281 | Julianne Reinbold | Speech-Language Pathologist | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-01-17 |
| 1023591054 | Ekchhanak Leaders Rosenkranz | Physician Assistant | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2018-09-14 |
| 1376038166 | Brittany Wienkes | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2018-06-25 |
| 1841789583 | Sheela Bhayani | Physician Assistant | 25 N Winfield Rd, Winfield, IL 60190 | 2018-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
| Find all providers in zip 60190 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790028801 | Jennifer Lauren Nichols | Psychiatry & Neurology | 25 N Winfield Rd Ste 432, Winfield, IL 60190-1222 | 2013-03-27 |
| 1659690741 | Karina Mae Arkush | Psychiatry & Neurology | 25 N Winfield Rd Ste 424, Winfield, IL 60190-1222 | 2010-05-27 |
| 1083860613 | Sittanur Shoush | Psychiatry & Neurology | 25 N. Winfield Rd Ste 401, Winfield, IL 60190 | 2008-08-14 |
| 1477627396 | Dhruvil J Pandya | Psychiatry & Neurology | 25 N Winfield Rd Fl 3, Winfield, IL 60190-1222 | 2006-11-20 |
| 1013354760 | Diana Constanza Hengartner | Psychiatry & Neurology | 25 N Winfield Rd Ste 432, Winfield, IL 60190-1295 | 2013-06-03 |
| 1619233277 | Anjali Rita Garg | Psychiatry & Neurology | 25 N Winfield Rd Ste 424, Winfield, IL 60190-1222 | 2012-04-09 |
| 1396032298 | Kapil Sachdeva | Psychiatry & Neurology | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2011-06-30 |
| 1265694525 | Malathi Rao | Psychiatry & Neurology | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2008-06-27 |
| 1932387081 | Archana Shrivastava | Psychiatry & Neurology | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2008-01-31 |
| 1760547889 | Avi Mazumdar | Psychiatry & Neurology | 25 N Winfield Rd, Suite 500, Winfield, IL 60190-1295 | 2006-12-27 |
| Find all providers in WINFIELD | ||||
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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.