MR. KENNETH A. STIFF (NPI# 1255300117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255300117 |
| Entity Type | Individual |
| Full Name | MR. KENNETH A. STIFF |
| Credential | ATC |
| Practice Address |
500 W Elk Grove Blvd Elk Grove Village IL 60007-4272 |
| Mailing Address |
2904 South Ct Rolling Meadows IL 60008-1757 |
| Practice Telephone | 8477184412 |
| Practice Fax Number | 8477184417 |
| Mailing Telephone | 8473943492 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | 96000134 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
500 W ELK GROVE BLVD |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573021 | Tina Cavyan | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2020-09-21 |
| 1154834380 | Lindsey Rapinchuk | Speech-Language Pathologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2017-11-09 |
| 1336663285 | Sandra Marie Nirva | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2017-08-02 |
| 1619372372 | Sharon Leigh West | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2014-10-23 |
| 1023383130 | Michael Vincent Porters | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2012-03-22 |
| 1629100565 | Richard F. Mirro | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139949 | Meryl Swidler | Specialist/Technologist | 44w625 Plato Rd, Burlington, IL 60109-1086 | 2019-11-22 |
| 1083070403 | Katerina Savino | Specialist/Technologist | 3823 N Ashland Ave, Chicago, IL 60613-5828 | 2016-01-14 |
| 1316174493 | David Knight | Specialist/Technologist | 66 Bradford Ln, Mundelein, IL 60060-2073 | 2009-06-16 |
| 1710147046 | Megan Maria Ziomek-feldman | Specialist/Technologist | 8440 Callie Ave, #301, Morton Grove, IL 60053-5011 | 2008-06-10 |
| 1538329842 | Carlos Andres Vazquez | Specialist/Technologist | 10743 S Avenue L, Chicago, IL 60617-6602 | 2008-06-10 |
| 1215118922 | Angela Sorensen | Specialist/Technologist | 616a W 5th Ave # A, Naperville, IL 60563-2902 | 2007-11-21 |
| 1790800043 | Veronica E. Moreno | Specialist/Technologist | 4332 N Elston Ave, Chicago, IL 60641-2144 | 2007-03-19 |
| 1174657605 | Kathryn Ruth Schwerman | Specialist/Technologist | 21290 Sylvan Dr S, Mundelein, IL 60060-9518 | 2007-03-15 |
| 1548318298 | Richa Vohra | Specialist/Technologist | 24039 W Lockport Rd, Plainfield, IL 60544-1832 | 2007-01-08 |
| 1952901506 | Joan Kristen Riley | Specialist/Technologist | 259 E Erie St Ste 2400, Chicago, IL 60611-3907 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
Please comment or provide details below to improve the information on MR. KENNETH A. STIFF.
| 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.