PREVENTIVE CARDIOVASCULAR SERVICES & HEALTH SERVICES


Address: 4800 S Chicago Beach Dr Apt 311s, Chicago, IL 60615-7019
Phone: 3129335204

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
========= IL Dietary & Nutritional Service Providers

Office Location

Street Address 4800 S CHICAGO BEACH DR APT 311S
City CHICAGO
State IL
Zip Code 60615-7019

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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1790067353 Patricia Clay Nutritionist 6511 S Bell Ave, Chicago, IL 60636-2529 2011-09-09
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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
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1689806358 Fuller Health Group PC Nutritionist 211 N Clinton St, Suite 2s, Chicago, IL 60661-1282 2009-08-14
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Competitor

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City CHICAGO
Zip Code 60615

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Dataset Information

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.

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