CATHERINE J MINNICK DPM PC (NPI# 1467640177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467640177 |
| Entity Type | Organization |
| Organization Name | CATHERINE J MINNICK DPM PC |
| Practice Address |
561 W Diversey Pkwy Suite 212 Chicago IL 60614-6068 |
| Practice Telephone | 7735490323 |
| Mailing Telephone | 7735490323 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-02-01 |
| Authorized Official Name | DR. CATHERINE J MINNICK (PODIATRIST/OWNER) |
| Authorized Official Telephone | 7735490323 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
016003251 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 016003251 | 05 | |
| IL | BCBSIL | 0060001266 | 01 |
| Street Address |
561 W DIVERSEY PKWY SUITE 212 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-6068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114014107 | Jennifer Wang | Social Worker | 561 W Diversey Pkwy, Suite 210, Chicago, IL 60614-6068 | 2006-10-10 |
| 1790393296 | Deanna Marie Rondero | Dietitian, Registered | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2020-07-21 |
| 1760016075 | Elizabeth Spencer | Dietitian, Registered | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2020-02-25 |
| 1750875407 | Valentina Djordjevic | Physician Assistant | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2018-06-17 |
| 1659878049 | Vanessa Chobot Lennie | Dietitian, Registered | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2018-04-11 |
| 1386065654 | Erika Kimberly Siesennop | Dietitian, Registered | 561 W Diversey Pkwy, Suite 219, Chicago, IL 60614-6068 | 2014-01-03 |
| 1225351166 | Julie Troob | Social Worker | 561 W Diversey Pkwy, Suite 216, Chicago, IL 60614-6068 | 2010-03-06 |
| 1427210962 | Cappy Silver | Social Worker | 561 W Diversey Pkwy, Ste 210a, Chicago, IL 60614-6068 | 2008-06-26 |
| 1154510279 | Inner Balance Psychotherapy Services Ltd | Clinic/Center | 561 W Diversey Pkwy, Suite 210, Chicago, IL 60614-6068 | 2007-10-15 |
| 1821200379 | Nickolas Georgiopoulos | Dentist | 561 W Diversey Pkwy, Suite 205, Chicago, IL 60614-6068 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952600058 | Magdala Danielle Lafontant | Podiatrist | 6374 N Lincoln Ave Ste 205, Chicago, IL 60659-1283 | 2011-03-15 |
| 1780801548 | Edgewater Beach Foot and Ankle Center, P.C. | Podiatrist | 5331 N Sheridan Rd, Chicago, IL 60640-2531 | 2007-04-20 |
| 1932285509 | Moeed Ekbal | Podiatrist | 2400 N Lakeview Ave Apt 2703, Chicago, IL 60614-2741 | 2006-10-27 |
| 1487677076 | David T Hong | Podiatrist | 180 W Washington St, Suite 930, Chicago, IL 60602-3580 | 2006-07-25 |
| 1952394751 | Johnny Dan Parker | Podiatrist | 8601 S Cottage Grove Ave, Chicago, IL 60619-6107 | 2005-08-26 |
| 1669478640 | Andrew Benedict O'keefe Jr. | Podiatrist | 6374 N Lincoln Ave, Ste 314, Chicago, IL 60659-1275 | 2005-06-23 |
| 1679197644 | Corey Czarnecki | Podiatrist | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-06-04 |
| 1497152516 | My Doctor P C | Podiatrist | 2811 W Greenleaf Ave, Chicago, IL 60645-2913 | 2014-12-04 |
| 1851729370 | Midwest Podiatric Physicians, P.C. | Podiatrist | 1229 N North Branch St, Ste 308, Chicago, IL 60642-2473 | 2013-10-18 |
| 1194062661 | Dr. Kaye Lagdaan, P.C. | Podiatrist | 4112 N Lincoln Ave, Chicago, IL 60618-3028 | 2013-01-03 |
| 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.