MAXICARE VISITING PHYSICIAN, INC (NPI# 1245753755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245753755 |
| Entity Type | Organization |
| Organization Name | MAXICARE VISITING PHYSICIAN, INC |
| Practice Address |
3300 W Peterson Ave Suite H Chicago IL 60659 |
| Mailing Address |
3300 W Peterson Ave Ste H Chicago IL 60659-3585 |
| Practice Telephone | 7739617580 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |
| Authorized Official Name | NELSON MERCADO (OFFICE MANAGER) |
| Authorized Official Telephone | 7739617580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
3300 W PETERSON AVE SUITE H |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063685568 | Stephen A. Almeleh, D.d.s., S.c. | Dentist | 3300 W Peterson Ave, Suite B, Chicago, IL 60659-3509 | 2008-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899788 | Neuro Drive Pt, Pllc | Clinic/Center | 2300 W Wabansia Ave Apt 107, Chicago, IL 60647-5355 | 2020-10-21 |
| 1396389417 | Hirsch Advanced Practice Providers Ltd | Clinic/Center | 11422 S Western Ave, Chicago, IL 60643-4120 | 2019-10-31 |
| 1497308761 | Exquisite Care Spa and Wellness Inc. | Clinic/Center | 3257 N Sheffield Ave Ste 116, Chicago, IL 60657-2276 | 2019-07-16 |
| 1437612405 | Voice of Reason Counseling, LLC | Clinic/Center | 6634 S Knox Ave, Chicago, IL 60629-5643 | 2019-04-08 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1184122509 | First Call Network, LLC | Clinic/Center | 8725 W Higgins Rd Ste 110, Chicago, IL 60631-2710 | 2018-01-31 |
| 1164952362 | Franklin Eye Care, LLC | Clinic/Center | 227 W Monroe St Lbby 160, Chicago, IL 60606-5091 | 2017-06-19 |
| 1770027567 | Eating Recovery Center | Clinic/Center | 3121 Augusta Blvd, Apt 3, Chicago, IL 60622 | 2016-12-13 |
| 1619428273 | 360 Active Recovery | Clinic/Center | 2221 W North Ave, #1, Chicago, IL 60647-5429 | 2016-10-19 |
| 1992158562 | Illinois Wellness and Weight Loss Centers Sc | Clinic/Center | 9933 South Western Avenue, Suite 200, Chicago, IL 60643-1810 | 2016-07-19 |
| Find all providers in CHICAGO | ||||
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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.