NSISONGIKANABASI MFON UDOH (NPI# 1487279824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487279824 |
| Entity Type | Individual |
| Full Name | NSISONGIKANABASI MFON UDOH |
| Credential | MD |
| Practice Address |
7531 S Stony Island Ave Chicago IL 60649-3954 |
| Mailing Address |
6425 S Lowe Ave Apt 513 Chicago IL 60621-2726 |
| Practice Telephone | 7739477500 |
| Mailing Telephone | 7732513585 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
7531 S STONY ISLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649-3954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750699 | Jackson Park Hospital Foundation | Psychiatric Unit | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2005-06-15 |
| 1760089718 | Chicago Pain Medicine Center | Durable Medical Equipment & Medical Supplies | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-10-02 |
| 1093332561 | Lubna Hashmi | Student in an Organized Health Care Education/Training Program | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-07-01 |
| 1144847963 | Anuja Trivedi | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-06-27 |
| 1689212581 | Great Lakes Emergency Physicians Medical Group Sc | Emergency Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2019-12-11 |
| 1205496551 | Mosleh Uddin Ahmed | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-19 |
| 1982264230 | Alina Haider | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-18 |
| 1720648074 | Madiha Batool Khan | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-18 |
| 1548820228 | Aung Naing Min | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2019-06-16 |
| 1407341118 | Hira Tariq | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| Find all providers in zip 60649 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1275146599 | Ryan Mather | Student in an Organized Health Care Education/Training Program | 155 N Michigan Ave Ste 566, Chicago, IL 60601-7799 | 2020-08-26 |
| 1831701010 | Alexandra Klonis | Student in an Organized Health Care Education/Training Program | 676 N Saint Clair St Ste 6-108, Chicago, IL 60611-2927 | 2020-08-19 |
| 1851903389 | Brittney Christine Evans | Student in an Organized Health Care Education/Training Program | 1901 N Clybourn Ave Ste 302&304, Chicago, IL 60614-5090 | 2020-08-17 |
| 1205446358 | Kai Lai Chu | Student in an Organized Health Care Education/Training Program | 600 N Fairbanks Ct Unit 3505, Chicago, IL 60611-5869 | 2020-08-04 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1407474463 | Madison Nicole Schulenberg | Student in an Organized Health Care Education/Training Program | 1111 W 14th Pl Unit 119, Chicago, IL 60608-2796 | 2020-07-07 |
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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.