NATHANIEL OVERTON HOLLOWAY III (NPI# 1982659561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982659561 |
| Entity Type | Individual |
| Full Name | NATHANIEL OVERTON HOLLOWAY III |
| Credential | M.D. |
| Practice Address |
7531 S Stony Island Ave Basement Chicago IL 60649-3954 |
| Mailing Address |
3400 N Lake Shore Dr Unit 9-b Chicago IL 60657-2827 |
| Practice Telephone | 7739477850 |
| Practice Fax Number | 7739477852 |
| Mailing Telephone | 7739477850 |
| Mailing Fax Number | 7739477852 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
036073542 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036073542 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649714064 | Nathaniel Charles Holloway | Chiropractor | 6942 Autumn Oaks Dr, Olive Branch, MS 38654-9379 | 2016-12-05 |
| 1699909507 | Nathaniel Lorenzo Holloway | Anesthesiology | Fresno & R Street, Fresno, CA 93721-1365 | 2009-05-06 |
| Street Address |
7531 S STONY ISLAND AVE BASEMENT |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649-3954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750699 | Jackson Park Hospital Foundation | Psychiatric Unit | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2005-06-15 |
| 1760089718 | Chicago Pain Medicine Center | Durable Medical Equipment & Medical Supplies | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-10-02 |
| 1093332561 | Lubna Hashmi | Student in an Organized Health Care Education/Training Program | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-07-01 |
| 1144847963 | Anuja Trivedi | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-06-27 |
| 1487279824 | Nsisongikanabasi Mfon Udoh | Student in an Organized Health Care Education/Training Program | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-06-11 |
| 1689212581 | Great Lakes Emergency Physicians Medical Group Sc | Emergency Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2019-12-11 |
| 1205496551 | Mosleh Uddin Ahmed | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-19 |
| 1982264230 | Alina Haider | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-18 |
| 1720648074 | Madiha Batool Khan | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-18 |
| 1548820228 | Aung Naing Min | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2019-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| Find all providers in zip 60649 | ||||
| Taxonomy Code | 2085R0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Therapeutic Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1508819186 | Donthamsetti Seshagirirao | Radiology | 2233 W. Division Street, Cancer Center, Chicago, IL 60622 | 2006-05-18 |
| 1487606315 | Chicago Radiation Oncology, S.c. | Radiology | 2839 S Ellis Ave, Mr-148, Chicago, IL 60616-2906 | 2006-05-17 |
| 1639306426 | Gene-fu Liu | Radiology | 5758 S. Maryland Ave., Mc 9006, Chicago, IL 60637 | 2009-06-18 |
| 1518109552 | Cook County Radiation Oncology,sc | Radiology | 7531 S Stony Island Ave, Basement, Chicago, IL 60649-3954 | 2009-04-06 |
| 1134232135 | Marina Kuznetsova Md Sc | Radiology | 4646 N Marine Dr, Radiation Oncology Department, Chicago, IL 60640-5759 | 2006-08-16 |
| 1750391843 | Harish V Thakrar | Radiology | 161 E Chicago Ave, # 52 B, Chicago, IL 60611-2601 | 2006-08-09 |
| 1205879970 | Dharma D. Rajbhandari | Radiology | 1901 W Harrison St, Stroger Hospital of Cook County, Chicago, IL 60612-3714 | 2006-06-13 |
| 1861447542 | Tumor Treatment Ltd. | Radiology | 2233 W Division St, Chicago, IL 60622-3043 | 2006-05-23 |
| 1932154614 | Quality Cancer Treatment | Radiology | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2006-05-23 |
| Find all providers in CHICAGO | ||||
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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.