PREVENTIVE CARDIOVASCULAR SERVICES & HEALTH SERVICES (NPI# 1093187239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093187239 |
Entity Type | Organization |
Organization Name | PREVENTIVE CARDIOVASCULAR SERVICES & HEALTH SERVICES |
Practice Address |
4800 S Chicago Beach Dr Apt 311s Chicago IL 60615-7019 |
Mailing Address |
356 W Superior St Fl 2 Chicago IL 60654-3416 |
Practice Telephone | 3129335204 |
Mailing Telephone | 3129335204 |
Enumeration Date | 2015-10-27 |
Last Update Date | 2015-11-03 |
Authorized Official Name | DR. SHEILA MICHELLE WICKS, MSC MD MBA (PARTNER ACUPUNCTURE & NUTRITION) |
Authorized Official Telephone | 3129335204 |
Authorized Official Credential | MD MBA MSC LAC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
========= | IL | Dietary & Nutritional Service Providers |
Street Address |
4800 S CHICAGO BEACH DR APT 311S |
City | CHICAGO |
State | IL |
Zip Code | 60615-7019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
Find all providers in zip 60615 |
Taxonomy Code | 133NN1002X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Nutritionist |
Specialization | Nutrition, Education |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881169027 | Nourishment Works PC | Nutritionist | 4633 N Western Ave Ste 202, Chicago, IL 60625-2181 | 2018-10-03 |
1790067353 | Patricia Clay | Nutritionist | 6511 S Bell Ave, Chicago, IL 60636-2529 | 2011-09-09 |
1164745113 | Linda W Clarke | Nutritionist | 7406 S Oglesby Ave, Chicago, IL 60649-3312 | 2010-03-04 |
1275725244 | Vandana Puri | Nutritionist | 1130 S Michigan Ave, Apt 3103, Chicago, IL 60605-2521 | 2007-08-14 |
1497959845 | Regina E. Shelton | Nutritionist | 1531 S Saint Louis Ave, Chicago, IL 60623-2155 | 2007-06-11 |
1710068499 | Larry M. Jackson | Nutritionist | 9357 S Kingston Ave, Chicago, IL 60617-4042 | 2006-10-18 |
1598773707 | Lynn Danford | Nutritionist | 4338 N Richmond St, Chicago, IL 60618-1406 | 2006-08-03 |
1588199293 | Loop Nutrition Inc | Nutritionist | 16 N Peoria St, Chicago, IL 60607-2609 | 2017-05-01 |
1306394416 | Move Therapy and Wellness 1241 LLC | Nutritionist | 3808 N Ashland Ave, Commercial Condo, Chicago, IL 60613-5382 | 2016-09-17 |
1689806358 | Fuller Health Group PC | Nutritionist | 211 N Clinton St, Suite 2s, Chicago, IL 60661-1282 | 2009-08-14 |
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.