VANESSA MATHAI


Address: 2801 S Lawndale Ave, Chicago, IL 60623-4547
Phone: 7734567551

VANESSA MATHAI (NPI# 1417357112) 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) 1417357112
Entity Type Individual
Full Name VANESSA MATHAI
Credential COTA
Practice Address 2801 S Lawndale Ave
Chicago
IL 60623-4547
Practice Telephone 7734567551
Mailing Telephone 7734567551
Enumeration Date 2014-08-29
Last Update Date 2014-08-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 057.004083 IL Other Service Providers

Office Location

Street Address 2801 S LAWNDALE AVE
City CHICAGO
State IL
Zip Code 60623-4547

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285771618 Lcy Transition Therapy Inc. Occupational Therapist 2801 S Lawndale Ave, Chicago, IL 60623-4547 2007-02-01
1679111819 Mindy Zamora Physical Therapy Assistant 2801 S Lawndale Ave, Chicago, IL 60623-4547 2019-12-18
1619528437 Stefanie Diaz Physical Therapy Assistant 2801 S Lawndale Ave, Chicago, IL 60623-4547 2019-09-23
1386000560 Renata Dudek Occupational Therapy Assistant 2801 S Lawndale Ave, Chicago, IL 60623-4547 2016-01-04
1558726117 Monika Solarz Occupational Therapy Assistant 2801 S Lawndale Ave, Chicago, IL 60623-4547 2015-12-28
1760863658 Gail Gasper Specialist/Technologist 2801 S Lawndale Ave, Chicago, IL 60623-4547 2015-06-16
1962844019 Irene Gomez Occupational Therapist 2801 S Lawndale Ave, Chicago, IL 60623-4547 2013-07-17
1083912026 Alegria Habilitation Speech-Language Pathologist 2801 S Lawndale Ave, Chicago, IL 60623-4547 2011-02-28

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1992055487 Margaret C Johnson Nurse Practitioner 3860 W. Ogden Ave, Chicago, IL 60623 2012-09-12
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346899630 Jeremy Gantz Morse Specialist 815 W Buena Ave, Chicago, IL 60613-1694 2019-09-09
1619539632 Benjamin Mendoza Specialist 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 2019-06-29
1811471808 Judith M Penn Specialist 8312 S Kedzie Ave, Chicago, IL 60652-3309 2018-09-17
1841774825 Matthew E Huggins Specialist 4553 W 56th St Apt 204c, Chicago, IL 60629-5389 2018-09-17
1750860177 Muhammad Asim Khan Specialist 60 E Delaware Pl, Chicago, Il 60611, 14th Floor Urology- Andrology Clinic, Chicago, IL 60611 2018-08-07
1922502657 Shauntay Robertson Specialist 7342 S Richmond St, Chicago, IL 60629-3015 2018-03-19
1114448644 Ageless Men's Health Holdings Inc Specialist 1729 N Clybourn Ave, Chicago, IL 60614-6503 2017-07-06
1447798871 Andria Miller Specialist 840 N Western Ave, Chicago, IL 60622-4638 2017-02-06
1710425129 Rtb Sc Specialist 5015 N. Paulina #225, Chicago, IL 60640 2017-02-06
1881137354 Joy Deliverance Williamson Specialist 3863 W Flournoy St, Apt. 1w, Chicago, IL 60624-3617 2016-11-30
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Competitor

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City CHICAGO
Zip Code 60623

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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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