JENNIFER AHMADIAN (NPI# 1285635466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285635466 |
| Entity Type | Individual |
| Full Name | JENNIFER AHMADIAN |
| Credential | M.D. |
| Practice Address |
636 Raymond Dr Naperville IL 60563-9789 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6304699200 |
| Mailing Telephone | 6304699200 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2011-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036104597 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE | P00032771 | 01 |
| IL | 036104597 | 05 |
| Street Address |
636 RAYMOND DR |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-9789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250642 | Sean Patrick Mccormick | Pediatrics | 636 Raymond Dr, Suite 205, Naperville, IL 60563-9789 | 2005-07-28 |
| 1528465614 | Melissa Mandra | Audiologist | 636 Raymond Dr, Suite 203, Naperville, IL 60563-9789 | 2014-12-04 |
| 1407269939 | Lauren Marie Panner | Registered Nurse | 636 Raymond Dr, Naperville, IL 60563-9791 | 2014-06-02 |
| 1740523539 | Jill Katherine Cotseones | Dermatology | 636 Raymond Dr, Naperville, IL 60563 | 2013-04-01 |
| 1285981167 | Elizabeth J Delass | Physical Therapist | 636 Raymond Dr, Suite 305, Naperville, IL 60563-9789 | 2012-08-09 |
| 1386991552 | Michaela Campagnolo | Physical Therapist | 636 Raymond Dr, Suite 305, Naperville, IL 60563-9789 | 2012-08-07 |
| 1720366636 | Lauren Nicole Taglia | Dermatology | 636 Raymond Dr, Naperville, IL 60563-9791 | 2011-07-26 |
| 1881972990 | Karen L Camporese | Physical Therapist | 636 Raymond Dr, Suite 104a, Naperville, IL 60563-9789 | 2011-07-25 |
| 1023304862 | Molly Purkart | Physical Therapist | 636 Raymond Dr, Suite 200, Naperville, IL 60563-9789 | 2011-06-20 |
| 1659675601 | Kimberly Anne Gubbins | Nurse Practitioner | 636 Raymond Dr, Suite 205, Naperville, IL 60563-9789 | 2011-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447545579 | Advanced Behavioral Health Services LLC | Psychiatry & Neurology | 1952 Mc Dowell Rd Ste 305, Naperville, IL 60563-6507 | 2011-06-16 |
| 1801849161 | Lisa C Pellegrini | Psychiatry & Neurology | 1250 N Mill St, Ste 100, Naperville, IL 60563-6304 | 2006-05-18 |
| 1487629572 | Grace Cheng | Psychiatry & Neurology | 1964 Springbrook Square Dr Ste 108a, Naperville, IL 60564-5949 | 2006-02-22 |
| 1720377328 | Nicholas Ryan Mathenia | Psychiatry & Neurology | 120 Spalding Dr, Suite 101, Naperville, IL 60540-6508 | 2011-04-04 |
| 1437314630 | Reem Beckerly | Psychiatry & Neurology | 100 Spalding Dr Ste 200, Naperville, IL 60540-6552 | 2008-07-28 |
| 1891958401 | Manish Prabhakar Kapadia | Psychiatry & Neurology | 636 Raymond Dr, 304, Naperville, IL 60563-9789 | 2008-07-03 |
| 1366647232 | Hurmina Muqtadar | Psychiatry & Neurology | 120 Spalding Dr, Naperville, IL 60540-6508 | 2007-06-19 |
| 1932205671 | Hassan Moghadam Md Sc | Psychiatry & Neurology | 120 Spalding Dr, Suite 407, Naperville, IL 60540-6508 | 2006-09-16 |
| 1497850010 | Hassan A Moghadam | Psychiatry & Neurology | 120 Spalding Dr, Suite 407, Naperville, IL 60540-6508 | 2006-09-14 |
| 1427069558 | Edward Hospital | Psychiatry & Neurology | 801 S Washington St, Naperville, IL 60540-7430 | 2006-08-11 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
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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.