NEDA KHUDEIRA (NPI# 1114425618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114425618 |
| Entity Type | Individual |
| Full Name | NEDA KHUDEIRA |
| Practice Address |
8071 S Cicero Ave Chicago IL 60652-2003 |
| Mailing Address |
9405 S Oketo Ave Bridgeview IL 60455-2140 |
| Practice Telephone | 7735850480 |
| Practice Fax Number | 7735850482 |
| Mailing Telephone | 7735850480 |
| Mailing Fax Number | 7735850482 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
164.007233 | IL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSED DIETITAN NUTRITIONIST | 164.007233 | 01 |
| Street Address |
8071 S CICERO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60652-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538105911 | Abdulkareem Khudeira | Internal Medicine | 8071 S Cicero Ave, Chicago, IL 60652-2003 | 2006-06-22 |
| 1720332703 | Khudeira Medical Center, Inc | Clinic/Center | 8071 S Cicero Ave, Chicago, IL 60652-2003 | 2012-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042715 | New Hope Community Service Center | Clinic/Center | New Hope Community Service Center, 2559 West 79th, Chicago, IL 60652 | 2019-09-12 |
| 1770012189 | Rachel Pasternak | Social Worker | 3348 W 87th Street, Chicago, IL 60652 | 2017-06-08 |
| 1437682283 | Manliu Yang | Dentist | 8541 S Cicero Ave, Chicago, IL 60652 | 2017-04-08 |
| 1336687144 | Stephanie J. Wilson | Registered Nurse | 7600 S. Pulask Rd., Chicago, IL 60652 | 2017-02-01 |
| 1346786811 | Talisha Moman | Licensed Practical Nurse | 7600 S. Pulaski Rd., Suite 1106, Chicago, IL 60652 | 2017-01-09 |
| 1952851933 | Yvonne Caldwell | Licensed Practical Nurse | 8600 S. Pulaski, Road, Chicago, IL 60652 | 2016-10-13 |
| 1942605795 | Brittney Mclean | Developmental Therapist | 4317 W. 77th Pl, Chicago, IL 60652 | 2014-10-22 |
| 1245599521 | Chisa Marie Collins | Occupational Therapist | 8008 S Albany, Chicago, IL 60652 | 2012-05-08 |
| 1548572969 | St. Mary Therapy Services | Clinic/Center | 2455 W 79th St, #101, Chicago, IL 60652 | 2010-07-14 |
| 1750574752 | Curt R Lang | Dentist | 4651 W 79th St, Suite 208, Chicago, IL 60652 | 2007-08-22 |
| Find all providers in zip 60652 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228456 | The Angelo Method Tam LLC | Dietitian, Registered | 5440 N Cumberland Ave Ste 225, Chicago, IL 60656-1531 | 2019-01-02 |
| 1922238989 | Siu Mui Carman Cheng | Dietitian, Registered | 2850 S Michigan Ave, Chicago, IL 60616-5018 | 2009-07-23 |
| 1477045763 | Andrea Williams | Dietitian, Registered | 800 E 55th St, Chicago, IL 60615-4906 | 2018-06-01 |
| 1235534884 | Julie Bendix | Dietitian, Registered | 6821 S Halsted St, Chicago, IL 60621-1833 | 2014-10-24 |
| 1215282868 | Avellino Group, Ltd | Dietitian, Registered | 4256 N Ravenswood Ave, Suite 221, Chicago, IL 60613-1110 | 2012-07-19 |
| 1467615419 | Margarita Nagy | Dietitian, Registered | 2020 W Harrison St, Chicago, IL 60612-3741 | 2008-07-09 |
| 1689775199 | Mary Julia Dyra | Dietitian, Registered | 211 E Chicago Ave, Suite 1050, Chicago, IL 60611-2637 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568893535 | Jason Caraballo | Dietitian, Registered | 1002 Monticello Dr, Aurora, IL 60506-5740 | 2013-12-02 |
| 1073847539 | Luz Adriana Sancen De Brown | Dietitian, Registered | 2009 Elm St, Quincy, IL 62301-3233 | 2009-09-30 |
| 1457506214 | Corporate Wellness Inc | Dietitian, Registered | 2272 W 95th St Ste 305, Naperville, IL 60564-8944 | 2008-11-20 |
| 1629227913 | Harriet Shelley Salzberg | Dietitian, Registered | 276 Chicory Ln, Buffalo Grove, IL 60089-1835 | 2008-09-11 |
| 1053456384 | Susan Kagen Podell | Dietitian, Registered | 560 N Midlothian Rd, Suite 400, Mundelein, IL 60060-1654 | 2007-02-21 |
| 1992299788 | Walsh Nutrition Group, Inc. | Dietitian, Registered | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-06-15 |
| 1639663412 | Laura Walsh | Dietitian, Registered | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-06-15 |
| 1104281948 | Anahid Edjlali | Dietitian, Registered | 790 Remington Blvd, Bolingbrook, IL 60440 | 2015-12-21 |
| 1861883407 | Wendy Arnold | Dietitian, Registered | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2015-02-17 |
| 1659632602 | Si Medical, Inc. | Dietitian, Registered | 1909 W Coolidge Ave, Marion, IL 62959-1097 | 2012-06-06 |
| 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.