JOSEPH MATTHEW THIEL (NPI# 1114577210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114577210 |
| Entity Type | Individual |
| Full Name | JOSEPH MATTHEW THIEL |
| Practice Address |
558 West De Koven Chicago IL 60607 |
| Practice Telephone | 7737061632 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146M00000X | Emergency Medical Technician, Intermediate | 060352333 | IL | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 7000 | 05 |
| Street Address |
558 WEST DE KOVEN |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| 1104331446 | Ricardo Rivera | Behavior Technician | 310 N Loomis, Chicago, IL 60607 | 2017-12-08 |
| Find all providers in zip 60607 | ||||
| Taxonomy Code | 146M00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Intermediate |
| An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720436496 | Osco | Emergency Medical Technician, Intermediate | 2550 Clybourn St., Chicago, IL 60614-1941 | 2016-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649629288 | Emergency Medical Medicine | Emergency Medical Technician, Intermediate | 2530 Crawford Ave Ste 307, Evanston, IL 60201-4972 | 2016-06-05 |
| 1023219094 | Tri District Emergency Ambulance | Emergency Medical Technician, Intermediate | 7563 Il Route 75, Rock City, IL 61070-0117 | 2007-05-29 |
| 1629014774 | Stockton Fire Protection Dist | Emergency Medical Technician, Intermediate | 113 E Queen St, Stockton, IL 61085-1327 | 2006-06-20 |
| 1841726957 | Ess of Marion LLC | Emergency Medical Technician, Intermediate | 3333 W Deyoung St, Marion, IL 62959 | 2017-05-10 |
| 1336495985 | Stephani L Poe | Emergency Medical Technician, Intermediate | 3122 Brettwood Cir, Decatur, IL 62526-2425 | 2012-08-01 |
| 1841512316 | Tri-cities Immediate Care LLC | Emergency Medical Technician, Intermediate | 815 N Randall Rd, Batavia, IL 60510-1992 | 2010-02-24 |
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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.