MAVENA CHICAGO CLINIC, INC. (NPI# 1801960208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801960208 |
| Entity Type | Organization |
| Organization Name | MAVENA CHICAGO CLINIC, INC. |
| Practice Address |
1455 E Golf Rd Ste 120 Des Plaines IL 60016-1253 |
| Mailing Address |
500 N Michigan Ave Ste 300 Chicago IL 60611-3775 |
| Practice Telephone | 8472989400 |
| Practice Fax Number | 8472987660 |
| Mailing Telephone | 8472989400 |
| Mailing Fax Number | 8472987660 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JERRI MCGINNIS (VICE PRESIDENT) |
| Authorized Official Telephone | 8472989400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1455 E GOLF RD STE 120 |
| City | DES PLAINES |
| State | IL |
| Zip Code | 60016-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043702830 | Professional Healthcare Inc | Family Medicine | 960 Rand Rd Ste 224, Des Plaines, IL 60016 | 2018-06-06 |
| 1407367022 | Vcare Pharmacy Inc | Pharmacy | 380 E Nortwest Hwy, Suite 201, Des Plaines, IL 60016 | 2017-10-23 |
| 1649799610 | George N Hotousiotis | Pharmacist | 10 East Golf Road, Des Plaines, IL 60016 | 2017-09-11 |
| 1619494838 | Abdul M Shamsuddin | Physical Therapist | 2555 Suffield St, Des Plaines, IL 60016 | 2017-08-28 |
| 1063960482 | Rachel Kimbrough | Counselor | 100 N River Road, Des Plaines, IL 60016 | 2016-09-14 |
| 1902250178 | Perfect Storm Chiropractic, LLC | Chiropractor | 565 Concord Ln, Des Plaines, IL 60016 | 2016-04-14 |
| 1255796611 | Nektaria Goudis | Psychologist | 950 Lee Street, Des Plaines, IL 60016 | 2015-12-29 |
| 1831501352 | Gary R. Kuntz | Dentist | 1173 Algonquin Rd., Des Plaines, IL 60016 | 2014-06-02 |
| 1558773754 | Midwest Anesthesia and Pain Specialists, Sc | Pain Medicine | 9700 Golf Rd, Second Floor, Des Plaines, IL 60016 | 2014-05-22 |
| 1508282377 | Maciej Padowski | Emergency Medicine | 9500 Greenwood Dr, Des Plaines, IL 60016 | 2014-03-17 |
| Find all providers in zip 60016 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871648261 | Lenor J Davis | Specialist | 650 Murray Ln Unit 203, Des Plaines, IL 60016-5603 | 2007-01-24 |
| 1558461442 | Arthritis & Sports Therapy Associates,ltd | Specialist | 81 N Broadway St, Des Plaines, IL 60016-2347 | 2006-09-22 |
| 1467473231 | Pravin S Shah | Specialist | 1400e Golf Rd 222, Des Plaines, IL 60016-1252 | 2006-07-21 |
| 1962453027 | Athanasios Bonoris | Specialist | 1726 S Elm St, Des Plaines, IL 60018-2216 | 2006-05-13 |
| 1578513990 | Procopio Miguel Munoz | Specialist | 2200 E Devon Ave, Suite 285, Des Plaines, IL 60018-4503 | 2006-05-10 |
| 1922466598 | Aermed Logistix LLC | Specialist | 1455 E Golf Rd, Des Plaines, IL 60016-1250 | 2016-02-10 |
| 1295850766 | David Selwyn Sager | Specialist | 150 N River Rd, Des Plaines, IL 60016-1272 | 2007-03-20 |
| 1932258886 | Carl M Silberman Md Sc | Specialist | 1430 E Thacker St, Des Plaines, IL 60016-6460 | 2007-01-09 |
| 1477617629 | Mani N Subramanian Md Sc | Specialist | 150 N River Rd, Suite 240, Des Plaines, IL 60016-1272 | 2006-12-21 |
| 1013085992 | Retina Consultants, Ltd | Specialist | 2454 E Dempster St, 400, Des Plaines, IL 60016-5315 | 2006-12-01 |
| Find all providers in DES PLAINES | ||||
| City | DES PLAINES |
| Zip Code | 60016 |
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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.