PRAIRIE MEDICAL ASSOCIATES (NPI# 1952439119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952439119 |
Entity Type | Organization |
Organization Name | PRAIRIE MEDICAL ASSOCIATES |
Practice Address |
2850 S Wabash Ave Ste 106 Chicago IL 60616-2955 |
Practice Telephone | 3128424400 |
Practice Fax Number | 3128424595 |
Mailing Telephone | 3128424400 |
Mailing Fax Number | 3128424595 |
Enumeration Date | 2007-03-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JOHN PICKEN (M.D.) |
Authorized Official Telephone | 3128424400 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
X | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
Street Address |
2850 S WABASH AVE STE 106 |
City | CHICAGO |
State | IL |
Zip Code | 60616-2955 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013998194 | Johnnie Lewis | Podiatrist | 2850 S Wabash Ave, Ste 206, Chicago, IL 60616-2491 | 2005-11-07 |
1073979761 | Southeast Chicago Neurology Associates Sc | Psychiatry & Neurology | 2850 S Wabash Ave, Suite 102, Chicago, IL 60616-2955 | 2016-01-11 |
1245542356 | Pef Clinic II Ltd | Internal Medicine | 2850 S Wabash Ave, Suite 203, Chicago, IL 60616-2955 | 2010-07-06 |
1396981460 | Indiana Regional Sleep Disorder Center, Inc | Internal Medicine | 2850 S Wabash Ave, Chicago, IL 60616-2955 | 2008-12-19 |
1235384801 | Johnnie Lewis D.p.m P.c | Podiatrist | 2850 S Wabash Ave, Ste 206, Chicago, IL 60616-2955 | 2008-11-24 |
1790931095 | The Thresholds | Community/Behavioral Health | 2850 S Wabash Ave, Chicago, IL 60616-2955 | 2008-08-18 |
1669641478 | Apogee Health Partners, Inc. | Exclusive Provider Organization | 2850 S Wabash Ave, Suite 202, Chicago, IL 60616-2955 | 2008-02-26 |
1467654913 | Margaret Bowden | Registered Nurse | 2850 S Wabash Ave, Suite 100, Chicago, IL 60616-2955 | 2007-06-05 |
1174747596 | Milton Chandler II | Naprapath | 2850 S Wabash Ave, Suite 203, Chicago, IL 60616-2955 | 2007-04-13 |
1912025776 | Global Sleep Centers Inc | Clinic/Center | 2850 S Wabash Ave, Suite #102, Chicago, IL 60616-2955 | 2007-03-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
Find all providers in zip 60616 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699382531 | Contemporary Ob/gyn Chicago, Pllc | Obstetrics & Gynecology | 2007 S State St, Chicago, IL 60616-2173 | 2020-09-24 |
1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
1679003826 | Scolastica W Njoroge | Obstetrics & Gynecology | 5841 S Maryland Ave Rm J-141, Chicago, IL 60637-1447 | 2017-06-19 |
1356794457 | Paige Dermer Kendall | Obstetrics & Gynecology | 250 E. Huron Street, Chicago, IL 60611 | 2016-07-13 |
1427409093 | Marly Francois | Obstetrics & Gynecology | 1300 W Belmont Ave Ste 100, Chicago, IL 60657-3200 | 2016-06-24 |
1346695509 | Kristina Janea Warner | Obstetrics & Gynecology | 250 E Superior St Ste 5-2166, Chicago, IL 60611-2914 | 2016-04-25 |
1962857102 | Jacqueline Christine Lee | Obstetrics & Gynecology | 250 E Superior St Ste 5-2177, Chicago, IL 60611-2914 | 2016-04-25 |
1881049120 | Kelly Ann Davis | Obstetrics & Gynecology | 7447 W Talcott Ave Ste 531, Chicago, IL 60631-3716 | 2016-04-24 |
1780046185 | Hillary Edelman | Obstetrics & Gynecology | 900 N Kingsbury St Ste 130n, Chicago, IL 60610-7457 | 2016-03-24 |
1578929139 | Olivia Helen Finkelstein Barry | Obstetrics & Gynecology | 675 N Saint Clair St # 200, Chicago, IL 60611 | 2016-01-12 |
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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.