AMANDA L KLIMCZAK (NPI# 1003415001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003415001 |
| Entity Type | Individual |
| Full Name | AMANDA L KLIMCZAK |
| Credential | LMT |
| Practice Address |
1231 Ridgeland Ave Berwyn IL 60402-1142 |
| Practice Telephone | 7739884013 |
| Mailing Telephone | 7739884013 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227005982 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1231 RIDGELAND AVE |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205461241 | Retina Cooley | Massage Therapist | 6841 Cermak Rd Ste 9, Berwyn, IL 60402-2259 | 2020-03-10 |
| 1700201365 | Eunice Esparza | Massage Therapist | 6530 Pershing Rd, Berwyn, IL 60402-4046 | 2014-02-19 |
| 1699959718 | Marie Christine Edstrom | Massage Therapist | 3521 Euclid Ave, Apt 2, Berwyn, IL 60402-4731 | 2007-12-26 |
| 1326390923 | Tinnirello Chiropractic & Family Wellness Clinic Ltd | Massage Therapist | 2827 Harlem Ave, Berwyn, IL 60402-2825 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1497354104 | Lola Sanders | Massage Therapist | 844 Wilshire Dr, Belleville, IL 62223-2623 | 2020-10-22 |
| 1093314148 | Jody Lee Hazel | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
| 1194323352 | Vanina Barnett | Massage Therapist | 112 Sussex Cir, Schaumburg, IL 60193-1835 | 2020-10-10 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1407463029 | Danielle Wright | Massage Therapist | 132 S Water St Ste 430, Decatur, IL 62523-2305 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1780291872 | Jennifer Marshall | Massage Therapist | 6920 W 110th St, Worth, IL 60482-1425 | 2020-09-23 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
| 1063028553 | Jerica N Mayo | Massage Therapist | 9430 S Loomis St # 9, Chicago, IL 60620-3615 | 2020-09-20 |
| 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.