TARA TABBAA (NPI# 1003417551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003417551 |
| Entity Type | Individual |
| Full Name | TARA TABBAA |
| Credential | PA-C |
| Practice Address |
4009 Warren Ave Bellwood IL 60104-2066 |
| Mailing Address |
2522 N Milwaukee Ave Apt 411 Chicago IL 60647-2458 |
| Practice Telephone | 7083431300 |
| Mailing Telephone | 2167895753 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 085.007935 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 153 1/2 N 19th Ave, Melrose Park, IL 60160 | 7083458960 | |
| 414 W Lake St, Addison, IL 601012305 | 6305430988 |
| Street Address |
4009 WARREN AVE |
| City | BELLWOOD |
| State | IL |
| Zip Code | 60104-2066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538682232 | Juanita Erica Williams | Non-emergency Medical Transport (VAN) | 622 Bohland Ave, Bellwood, IL 60104 | 2017-07-25 |
| 1548680887 | Edward Erlikh | Family Medicine | 456 25th Ave, Bellwood, IL 60104 | 2014-04-25 |
| 1649472333 | American Family Dental Care P.c | Dentist | 4209.st.charles Road, Bellwood, IL 60104 | 2007-06-04 |
| 1235291287 | Lary Michael Pane | Dentist | 4420 St Charles Road, Bellwood, IL 60104 | 2006-12-15 |
| 1356411136 | Westchester Family Dental Ltd | Dentist | 4 Westbrook Corporate Center Ste 102, Westchester, IL 60104 | 2006-11-08 |
| 1750450128 | Sethurama Muthuramaswami | Dentist | 4209.st. Charles Road, Bellwood, IL 60104 | 2006-11-07 |
| 1508966466 | Universal Transportation II | Secured Medical Transport (VAN) | 2843 Washington Blvd, Bellwood, IL 60104 | 2006-09-22 |
| 1437103512 | Modupe Oladeinde | Family Medicine | 619 South 25th Avenue, Bellwood, IL 60104 | 2006-05-21 |
| 1811533953 | United Methodist Homes and Services | Physical Therapist | 439 Bohland Ave, Bellwood, IL 60104 | 2019-11-25 |
| 1740690668 | Hiram Kirkendall Jr. | Counselor | 510 Geneva Ave, Bellwood, IL 60104 | 2014-04-30 |
| Find all providers in zip 60104 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548680887 | Edward Erlikh | Family Medicine | 456 25th Ave, Bellwood, IL 60104 | 2014-04-25 |
| 1437103512 | Modupe Oladeinde | Family Medicine | 619 South 25th Avenue, Bellwood, IL 60104 | 2006-05-21 |
| 1316081474 | Blair Medical Associates | Family Medicine | 503 Main St, Bellwood, PA 16617-1909 | 2007-02-20 |
| 1851455588 | Resurrection Services | Family Medicine | 619 South 25th Avenue, Bellwood, IL 60104 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 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.