VIRU SC (NPI# 1295136794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295136794 |
| Entity Type | Organization |
| Organization Name | VIRU SC |
| Other Organization Name | OLIVO WELLNESS MEDICAL CENTER |
| Practice Address |
2901 N Clybourn Ave Chicago IL 60618-8101 |
| Practice Telephone | 7733847977 |
| Practice Fax Number | 7734518285 |
| Mailing Telephone | 7733847977 |
| Mailing Fax Number | 7734518285 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2016-01-25 |
| Authorized Official Name | DR. JACQUELINE OLIVO (M.D.) |
| Authorized Official Telephone | 7734236178 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Olivo Wellness Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558812362 | Viru Sc | Clinic/Center | 2412 W Fullerton Ave, Chicago, IL 60647-7435 | 2016-10-17 |
| 1922294503 | Viru Sc | Family Medicine | 2412 W Fullerton Ave, Chicago, IL 60647-3155 | 2007-09-18 |
| Street Address |
2901 N CLYBOURN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457798597 | Ella Ostrovskaya | Podiatrist | 2901 N Clybourn Ave, Chicago, IL 60618-8101 | 2013-05-30 |
| 1275939951 | Nicole Markovich | Nurse Practitioner | 2901 N Clybourn Ave, Chicago, IL 60618-8101 | 2014-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909517 | Matayah Love | Prosthetic/Orthotic Supplier | 5833 W Madison St, Chicago, IL 60644-3840 | 2020-10-15 |
| 1710508239 | Vivian Danielle Williams | Prosthetic/Orthotic Supplier | 940 N Monticello Ave # 1, Chicago, IL 60651-3949 | 2020-05-06 |
| 1265053136 | Dfined Beauty LLC | Prosthetic/Orthotic Supplier | 1507 E 53rd St # 835, Chicago, IL 60615-4573 | 2020-05-02 |
| 1417515784 | Dionne Williams Group | Prosthetic/Orthotic Supplier | 6822 S Wood St, Chicago, IL 60636-3337 | 2019-06-03 |
| 1801358734 | Dionne Williams | Prosthetic/Orthotic Supplier | 1130 N Dearborn St Apt 2511, Chicago, IL 60610-2752 | 2019-04-01 |
| 1083174064 | Scheck & Siress Prosthetics, Inc | Prosthetic/Orthotic Supplier | 233 E Erie St Ste 200, Chicago, IL 60611-5938 | 2019-03-25 |
| 1366976243 | United Medical Market, Inc | Prosthetic/Orthotic Supplier | 1930 W Estes Ave, #104, Chicago, IL 60626-2363 | 2017-04-17 |
| 1124563218 | Ace Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 4315 N Lincoln Ave, Chicago, IL 60618-1711 | 2016-12-27 |
| 1174072276 | Eyepothecary | Prosthetic/Orthotic Supplier | 1726 W Chicago Ave, Chicago, IL 60622-5000 | 2016-09-30 |
| 1932652567 | Md Orthotic & Prosthetic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 1514 E 87th St Lowr Level, Chicago, IL 60619 | 2016-08-01 |
| 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.