MRS. MATT WINDHAM JR. (NPI# 1790886398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790886398 |
| Entity Type | Individual |
| Full Name | MRS. MATT WINDHAM JR. |
| Practice Address |
2056 E 71st St Chicago IL 60649-2117 |
| Practice Telephone | 7732882844 |
| Practice Fax Number | 7732882848 |
| Mailing Telephone | 7732882844 |
| Mailing Fax Number | 7732882848 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NATIONAL ACQUISTION VA | V797P-4898A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679738652 | Matt Reeves Windham | Pharmacist | 2021 N Broadway St, Knoxville, TN 37917-5808 | 2008-07-18 |
| Street Address |
2056 E 71ST ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| Find all providers in zip 60649 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1710482542 | Lanisha Blockmon | Contractor | 8214 S Evans Ave, Chicago, IL 60619-5306 | 2018-03-25 |
| 1669827242 | Shauna Murray | Contractor | 1511 E 67th Pl, 2nd Fl, Chicago, IL 60637-4832 | 2016-05-02 |
| 1043665136 | All Care Now, LLC | Contractor | 2342 N Lakewood Ave, Chicago, IL 60614-6210 | 2016-04-26 |
| 1669827754 | Christopher Kujawski | Contractor | 1017 W Washington Blvd, Suite 2j, Chicago, IL 60607-2119 | 2016-04-26 |
| 1184078693 | Schmid Etienne | Contractor | 1061 W Hollywood Ave, Apt B, Chicago, IL 60660-4550 | 2016-04-20 |
| 1043696966 | Rohsaan Alexander | Contractor | 8212 S Escanaba Ave, Chicago, IL 60617-2119 | 2015-08-03 |
| 1760865943 | Andrew Migdal | Contractor | 2606 N California Ave, Chicago, IL 60647-1734 | 2015-07-07 |
| 1952705006 | Ellawease Earls | Contractor | 8801 S Constance Ave, Chicago, IL 60617-2955 | 2014-10-17 |
| 1932511920 | Kehinde Akinrinade | Contractor | 2065 W Jarvis Ave, Apt 2w, Chicago, IL 60645-2305 | 2014-05-23 |
| 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.