AMBER MARIE HATHCOCK


Address: 1740 W Taylor St, Chicago, IL 60612
Phone: 3129967296

AMBER MARIE HATHCOCK (NPI# 1962794123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962794123
Entity Type Individual
Full Name AMBER MARIE HATHCOCK
Credential M.D., M.P.H.
Practice Address 1740 W Taylor St
Chicago
IL 60612
Mailing Address 1740 W Taylor St
Chicago
IL 60612-7232
Practice Telephone 3129967296
Enumeration Date 2011-05-06
Last Update Date 2018-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207PP0204X Emergency Medicine
Specialization: Pediatric Emergency Medicine
P9871 TX Allopathic & Osteopathic Physicians
Y 207PP0204X Emergency Medicine
Specialization: Pediatric Emergency Medicine
036.146295 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1740 W TAYLOR ST
City CHICAGO
State IL
Zip Code 60612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467450882 Nestor S Cuasay Radiology 1740 W Taylor St, Chicago, IL 60612-7232 2005-07-09
1255941589 Tariq Yousef Mohammad Alyamani Internal Medicine 1740 W Taylor St, Chicago, IL 60612-7232 2020-08-02
1043828601 Alexandra Leora Millman Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-07-20
1457974818 Marian Shehata Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-20
1033731773 Parisa Hassanzadeh Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-16
1922620939 Mohammad El-saied Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1205458213 Michal Gorski Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1710509773 Jaspreet Bahia Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1184246191 Sean Carter Tompkins Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1548882442 Zaid Adel Zayyad Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 207PP0204X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Pediatric Emergency Medicine

Taxonomy Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043673056 Sonya Alitzia Kheshti Emergency Medicine 5841 S Maryland Ave # Mc0810, Chicago, IL 60637-1443 2016-03-29
1477933042 Anna Louise Rodenbough Emergency Medicine 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637 2015-06-08
1871908723 Gabriel Anzueto Emergency Medicine 5841 S Maryland Ave, M/c 8016, Chicago, IL 60637 2014-06-29
1083053896 Vincent Anthony Dimaggio Emergency Medicine 5841 S Maryland Ave # Mc5000, Chicago, IL 60637 2013-06-14
1891132049 Colleen D Fant Emergency Medicine 225 E Chicago Ave, Chicago, IL 60611-2991 2013-05-29
1801158894 Anat Brinkman Emergency Medicine 225 E Chicago Ave # 62, Chicago, IL 60611 2012-06-14
1275894602 Caroline Strafford Hesko Emergency Medicine 5841 S Maryland Ave, Mc 4060, Chicago, IL 60637 2012-06-01
1144476516 Seema Awatramani Emergency Medicine 808 S Wood St, Chicago, IL 60612-7300 2008-08-17
1336328145 Erin Marie Augustine Emergency Medicine 225 E Chicago Ave # 62, Chicago, IL 60611-2991 2007-10-29
1952422719 Michelle Lea Macy Emergency Medicine 225 E Chicago Ave, Chicago, IL 60611 2007-04-02
Find all providers in CHICAGO

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City CHICAGO
Zip Code 60612

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Dataset Information

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.

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