DR. DIANA MNATSAKANOVA (NPI# 1124394127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124394127 |
Entity Type | Individual |
Full Name | DR. DIANA MNATSAKANOVA |
Credential | M.D. |
Practice Address |
1801 W Taylor St Chicago IL 60612-4795 |
Mailing Address |
200 Hawkins Dr Dept Of Iowa City IA 52242-1009 |
Practice Telephone | 3129966496 |
Enumeration Date | 2012-03-24 |
Last Update Date | 2018-09-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
036146766 | IL | Allopathic & Osteopathic Physicians |
Street Address |
1801 W TAYLOR ST |
City | CHICAGO |
State | IL |
Zip Code | 60612-4795 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992790828 | Julia Corcoran | Surgery | 1801 W Taylor St, 3f Occ Mc 741, Chicago, IL 60612-4795 | 2005-09-16 |
1659986982 | Rebekah Nailor-zee | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2020-09-14 |
1245856442 | Tara Kristen Maga | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2020-06-23 |
1427678606 | Lauren Grieco | Physical Therapist | 1801 W Taylor St, Chicago, IL 60612-4795 | 2020-04-17 |
1255993887 | Katherine Josephine Cobian | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2019-07-03 |
1689130494 | Anna Titcomb | Dietitian, Registered | 1801 W Taylor St, Chicago, IL 60612-4795 | 2019-02-17 |
1740757012 | Jessica Spitelli | Nurse Practitioner | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-10-25 |
1255807400 | Alexus Ann Bushee | Physician Assistant | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-10-15 |
1114417995 | Madelyn Katz | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-05-16 |
1013413301 | Diana Lorena Bejarano Pineda | Student in an Organized Health Care Education/Training Program | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-04-04 |
Find all providers in the same location |
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 | 2084N0600X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Clinical Neurophysiology |
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497174353 | Atif Sheikh | Psychiatry & Neurology | 600 N Mcclurg Ct Apt 3205a, Chicago, IL 60611-6610 | 2014-04-08 |
1235557927 | Akash D Patel | Psychiatry & Neurology | 1801 W Taylor St Ste 4e, Chicago, IL 60612-4795 | 2014-03-31 |
1093337412 | Sumayyah Abumurad | Psychiatry & Neurology | 5841 S Maryland Ave Rm J-141, Mc2030, S231, Chicago, IL 60637-1443 | 2020-05-07 |
1023558376 | Adam Jackson | Psychiatry & Neurology | 55 W Chestnut St, Chicago, IL 60610-3347 | 2017-03-06 |
1831540111 | Christopher Veys | Psychiatry & Neurology | 1725 W Harrison St Ste 885, Chicago, IL 60612-3841 | 2016-06-28 |
1588027924 | Geeta Verma | Psychiatry & Neurology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2016-04-02 |
1326459553 | Ahmad Daif | Psychiatry & Neurology | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1447 | 2014-05-09 |
1619183852 | Adriana Carmenza Bermeo Ovalle | Psychiatry & Neurology | 1725 W Harrison St, Suite 1106, Chicago, IL 60612-3841 | 2007-05-15 |
1972694537 | Mary Louise Tomyanovich | Psychiatry & Neurology | 820 S Damen Ave, M.p. # 127, Chicago, IL 60612-3728 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821649138 | Daif Consulting LLC | Psychiatry & Neurology | 7921 W 103rd St Apt 1b, Palos Hills, IL 60465-1585 | 2019-09-27 |
1720098858 | Syed Naveed | Psychiatry & Neurology | 17 W 434 Rosevelt Rd, Oakbrook Terrece, IL 60181 | 2006-08-09 |
1760427850 | Rana F Mafee | Psychiatry & Neurology | 2450 Wolf Rd, Suite D, Westchester, IL 60154-5643 | 2006-06-20 |
1982723482 | Neurological Consultants Group Ltd | Psychiatry & Neurology | 17w434 Roosevelt Rd, Oakbrook Terrace, IL 60181-3510 | 2007-03-28 |
1316901234 | Joseph H Mayer | Psychiatry & Neurology | 2320 High St, Blue Island, IL 60406-2426 | 2006-04-17 |
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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.