CORISSA NICOLE CULICHIA (NPI# 1801380563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801380563 |
| Entity Type | Individual |
| Full Name | CORISSA NICOLE CULICHIA |
| Credential | DO |
| Practice Address |
4400 W 95th St Oak Lawn IL 60453-2654 |
| Mailing Address |
10409 Menard Ave Apt 112 Oak Lawn IL 60453-4416 |
| Practice Telephone | 7245536257 |
| Mailing Telephone | 7245536257 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 125073094 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4400 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445678 | Richard Z Belch | Specialist | 4400 W 95th St, Suite 207, Oak Lawn, IL 60453-2654 | 2005-05-31 |
| 1629683289 | Allison Gilbert | Nurse Practitioner | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2020-09-10 |
| 1164054011 | Elizabeth Gawne | Nurse Practitioner | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2020-02-09 |
| 1770128175 | Brittany Snyder | Physician Assistant | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2019-11-10 |
| 1730723446 | Christina M Tortorici | Physician Assistant | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2019-11-06 |
| 1437610805 | Duhah Hamayel | Pediatrics | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2019-03-28 |
| 1790246205 | Shawn Buxton | Pediatrics | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2019-03-27 |
| 1619456506 | Betty Joechle | Registered Nurse | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2018-08-10 |
| 1700372174 | Amy Elizabeth Calandriello | Registered Nurse | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2018-07-09 |
| 1073005922 | Nicole Kathryne Sather | Student in an Organized Health Care Education/Training Program | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2018-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699059238 | April Dawn Jones | Pediatrics | 4440 W 95th St Ste 250n, Oak Lawn, IL 60453-2600 | 2011-09-30 |
| 1407019110 | Mehwish Sajid Sheikh | Pediatrics | 4440 W 95th St Rm 250n, Oak Lawn, IL 60453-2600 | 2008-07-03 |
| 1902911050 | Ayman Rawda | Pediatrics | 9939 Southwest Hwy, Oak Lawn, IL 60453-3767 | 2006-08-20 |
| 1942267604 | Tripat Sahajpal | Pediatrics | 4861 W 95th St, Oak Lawn, IL 60453-2521 | 2006-04-27 |
| 1245292283 | Cynthia Jane Mears | Pediatrics | 4440 W 95th St Ste 1200h, Advocate Childrens Hospital Oak Lawn, Oak Lawn, IL 60453-2600 | 2006-04-05 |
| 1396711875 | John Oscar Kowalski | Pediatrics | 5669 W. 95th St., Oak Lawn, IL 60453-6501 | 2006-02-24 |
| 1326012204 | Ira Horowitz | Pediatrics | 4440 W 95th St Ste 3192h, Oak Lawn, IL 60453-2600 | 2006-02-15 |
| 1609405299 | Victoria Alexandra Krieg | Pediatrics | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-04-06 |
| 1093343238 | Naveen A Kanji | Pediatrics | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-04-01 |
| 1396373908 | Lyndsay Danielle Long | Pediatrics | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-03-30 |
| Find all providers in OAK LAWN | ||||
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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.