TEIA L ATWOOD


Address: 5250 Old Orchard Rd Ste 300, Skokie, IL 60077
Phone: 8479200902

TEIA L ATWOOD (NPI# 1205165222) 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) 1205165222
Entity Type Individual
Full Name TEIA L ATWOOD
Other Name TEIA HENDERSON
Credential NP-C
Practice Address 5250 Old Orchard Rd Ste 300
Skokie
IL 60077
Mailing Address 5250 Old Orchard Rd Ste 300
Skokie
IL 60077-4462
Practice Telephone 8479200902
Practice Fax Number 8479200901
Mailing Telephone 8479200902
Mailing Fax Number 8479200901
Enumeration Date 2009-12-22
Last Update Date 2018-05-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
209.007896 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5250 OLD ORCHARD RD STE 300
City SKOKIE
State IL
Zip Code 60077

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NPI Name Taxonomy Address Enumeration
1740835347 Tharani Theivakumar Dentist 5225 W. Touhy Ave, Skokie, IL 60077 2019-08-09
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1720328925 Brian Kamuda Nurse Practitioner 5230 Old Orchard Rd, Skokie, IL 60077-1034 2013-02-25
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Competitor

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City SKOKIE
Zip Code 60077

Improve Information

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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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