MATTHEW DAVID RATHBUN (NPI# 1184239667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184239667 |
Entity Type | Individual |
Full Name | MATTHEW DAVID RATHBUN |
Credential | NP |
Practice Address |
2955 W 95th St Evergreen Park IL 60805-2409 |
Mailing Address |
15027 W Keswick Pl Lockport IL 60441-6251 |
Practice Telephone | 3318142186 |
Mailing Telephone | 6303904567 |
Enumeration Date | 2020-09-11 |
Last Update Date | 2020-09-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209021678 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209021678 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679194989 | Matthew Rathbun | Counselor | 551 S Holland Ln, Wichita, KS 67209-2007 | 2020-04-28 |
1396247763 | Matthew John Rathbun | Nurse Anesthetist, Certified Registered | 1800 Orleans St, Baltimore, MD 21287 | 2018-03-01 |
1649660614 | Matthew Rathbun | Licensed Practical Nurse | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2015-01-29 |
Street Address |
2955 W 95TH ST |
City | EVERGREEN PARK |
State | IL |
Zip Code | 60805-2409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174582811 | Abdallah Altarshan | Internal Medicine | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2006-03-21 |
1679171557 | Daria Delores Sampler | Registered Nurse | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2020-10-13 |
1700435534 | Arrion Shelton | Nurse Practitioner | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2019-09-04 |
1255820627 | Patricia Swistowicz | Nurse Practitioner | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2018-05-01 |
1376047480 | Deborah Murray | Nurse Practitioner | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2018-03-22 |
1518468727 | Connie Vaneekeren | Nurse Practitioner | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2018-02-22 |
1073013629 | Jennifer Courts | Internal Medicine | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2018-02-20 |
1861931792 | Amro Atassi | Pharmacist | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2017-02-12 |
1316481898 | Prime Plus Pharmacy LLC | Pharmacy | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2016-12-18 |
1609230887 | Suzanne Glavin | Nurse Practitioner | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2016-04-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
Find all providers in zip 60805 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225636475 | Monika Sitko | Nurse Practitioner | 3 E 14th Pl, Lombard, IL 60148-4574 | 2020-10-10 |
1134735343 | Michael Fitz | Nurse Practitioner | 6205 Westminster Ct, Springfield, IL 62711-6728 | 2020-09-22 |
1013521038 | Eziaha R Georgewill | Nurse Practitioner | 17800 Kedzie Ave # A, Hazel Crest, IL 60429-2029 | 2020-09-08 |
1447870274 | 15 Park Place LLC | Nurse Practitioner | 15 Park Pl Ste 1, Swansea, IL 62226-2918 | 2020-04-22 |
1861021248 | Elizabeth Horan | Nurse Practitioner | 125 S Green St Apt 1005a, Chicago, IL 60607-3717 | 2020-04-07 |
1699315697 | Kelsey L Proehl | Nurse Practitioner | 70 Meadowview Ctr Ste 300, Kankakee, IL 60901-2062 | 2020-01-08 |
1992343248 | Maryanne M Smith | Nurse Practitioner | 805 W Deyoung St Ste D, Marion, IL 62959-1602 | 2019-12-17 |
1730724451 | Suzana None Nikitovic | Nurse Practitioner | 2815 Regner Rd, Mchenry, IL 60051-6942 | 2019-11-18 |
1104461870 | Swanson Family Practice LLC | Nurse Practitioner | 733 N Logan Ave Ste 1, Danville, IL 61832-4378 | 2019-11-16 |
1205471083 | Sylvia Coleman | Nurse Practitioner | 20 W Kinzie St Ste 17, Chicago, IL 60654-6393 | 2019-11-15 |
Find all providers with the same taxonomy |
City | EVERGREEN PARK |
Zip Code | 60805 |
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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.