MR. CARL V KNUTSEN (NPI# 1043243918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043243918 |
| Entity Type | Individual |
| Full Name | MR. CARL V KNUTSEN |
| Credential | R.PH. |
| Practice Address |
2003 W Fulton St Suite 401 Chicago IL 60612-2365 |
| Mailing Address |
531 Cloverleaf Ct Naperville IL 60565-4165 |
| Practice Telephone | 3122228020 |
| Practice Fax Number | 3126669220 |
| Mailing Telephone | 6303554015 |
| Mailing Fax Number | 3126669220 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | IL | Pharmacy Service Providers |
| Street Address |
2003 W FULTON ST SUITE 401 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013638 | Michael L Fessenden | Family Medicine | 2003 W Fulton St, 3rd Floor, Chicago, IL 60612-2345 | 2005-06-20 |
| 1114526910 | Elizabeth Fast | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2020-10-22 |
| 1568080901 | Margaret R Bratcher | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2020-07-13 |
| 1285255802 | Jessica Schumacher | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2020-05-05 |
| 1033740931 | Charlotte Gambla | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2020-01-29 |
| 1609413970 | Danielle Dicristofano | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2019-12-05 |
| 1679110381 | Stephanie Kulczycki | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2019-12-02 |
| 1902454242 | Rina Hisamatsu | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2019-08-29 |
| 1376004903 | Jena Bartholomy | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2019-03-27 |
| 1861952160 | Michelle Spleha | Nurse Practitioner | 2003 W Fulton St, Chicago, IL 60612-2345 | 2019-03-22 |
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| 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 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1003416439 | Denise Venketramen | Pharmacist | 939 W Madison St Apt 310, Chicago, IL 60607-2656 | 2020-10-26 |
| 1427657063 | Sundis I Islefo | Pharmacist | 2647 W Rascher Ave Apt 2w, Chicago, IL 60625-3106 | 2020-10-24 |
| 1497353361 | Eleanor English | Pharmacist | 910 W Huron St Unit 1209, Chicago, IL 60642-5968 | 2020-10-13 |
| 1942808001 | Iris Esmeralda Gutierrez | Pharmacist | 3343 S Leavitt St, Chicago, IL 60608-6018 | 2020-10-12 |
| 1417564790 | Tara Airola | Pharmacist | 857 N Marshfield Ave Unit 1, Chicago, IL 60622-5132 | 2020-09-30 |
| 1174137129 | Tangtang Zhao | Pharmacist | 9148 S Commercial Ave, Chicago, IL 60617-4307 | 2020-09-06 |
| 1710591334 | Karolina Maculewicz | Pharmacist | 371 W Ontario St, Chicago, IL 60654-5716 | 2020-09-01 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1245844026 | Rachel Klepacz | Pharmacist | 101 N Clinton St, Chicago, IL 60661-1505 | 2020-08-31 |
| 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.