MRS. CYNTHIA LOUISE PETTY (NPI# 1841437787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841437787 |
| Entity Type | Individual |
| Full Name | MRS. CYNTHIA LOUISE PETTY |
| Credential | APN |
| Practice Address |
Uic, Ijr, 1747 West Roosevelt Road, M/c 747 Cu 113 Chicago IL 60608 |
| Practice Telephone | 3124131136 |
| Practice Fax Number | 3124134459 |
| Mailing Telephone | 3124131136 |
| Mailing Fax Number | 3124134459 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
209000709 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659882181 | Cynthia Marie Petty | Respiratory Therapist, Certified | 1000 West Carson Street, Torrance, CA 90502 | 2017-10-24 |
| 1831387554 | Cynthia M Petty | Occupational Therapy Assistant | 333 Green End Ave, Middletown, RI 02842-5620 | 2007-10-09 |
| Street Address |
UIC, IJR, 1747 WEST ROOSEVELT ROAD, M/C 747 CU 113 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184839201 | Susan Gail Painter | Registered Nurse | 1056 N Hermitage Ave, #1f, Chicago, IL 60622-3259 | 2007-05-11 |
| 1417926601 | Merle Evelyn Pray | Registered Nurse | 820 S0 Damen Ave, 4292, Chicago, IL 60612 | 2006-03-17 |
| 1841706371 | Jesse Dewayne Herron | Registered Nurse | 912 S Wood St # Mc913, Chicago, IL 60612-4300 | 2017-12-20 |
| 1508157363 | Zenaida Castro Sulit | Registered Nurse | 4822 N Broadway St Fl 2, Chicago, IL 60640-3604 | 2011-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679932057 | Jennifer Howard | Registered Nurse | 1515 W 9th St, Dixon, IL 61021-3312 | 2016-02-15 |
| 1790143733 | Mitzi Walker | Registered Nurse | 676 Brookwood Dr, Olympia Fields, IL 60461-1510 | 2016-02-05 |
| 1376156471 | Cross Counseling and Coaching, Inc. | Registered Nurse | 7 Bronze Pointe S Ste B2, Swansea, IL 62226-8308 | 2020-08-28 |
| 1982230124 | Bradley Thompson | Registered Nurse | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2020-03-19 |
| 1225544901 | Gloria Ann Ennenbach | Registered Nurse | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2017-12-18 |
| 1801256813 | Lisa L Henderson | Registered Nurse | 2239 E Cook St, Springfield, IL 62703-1944 | 2016-03-03 |
| 1972979409 | Sarah Schulze | Registered Nurse | 309 W Clark St, Champaign, IL 61820-4637 | 2015-08-19 |
| 1699049817 | Lynn Robin Kovel | Registered Nurse | 3010 Grand Ave Fl 1, Waukegan, IL 60085-2321 | 2012-03-06 |
| 1497089601 | Lori Beeler | Registered Nurse | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2009-09-22 |
| 1992920128 | Trena Cummings | Registered Nurse | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2007-04-14 |
| Find all providers with the same taxonomy | ||||
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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.