WYKOFF HEIGHTS MEDICAL CENTER (NPI# 1508398868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508398868 |
| Entity Type | Organization |
| Organization Name | WYKOFF HEIGHTS MEDICAL CENTER |
| Practice Address |
240 Washington Blvd 3b Oak Park IL 60302-4123 |
| Practice Telephone | 4692314048 |
| Mailing Telephone | 4692314048 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | MR. FRANK VUTRANO (CFO) |
| Authorized Official Telephone | 7189637152 |
| Is Organization Subpart | N |
| 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 |
240 WASHINGTON BLVD 3B |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| 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 |
|---|---|---|---|---|
| 1104447531 | Annmarie Elizabeth Brown | Student in an Organized Health Care Education/Training Program | 8 Iowa St Apt 3m, Oak Park, IL 60302-2496 | 2020-04-27 |
| 1770119760 | Michael Anthony Fratina | Student in an Organized Health Care Education/Training Program | 519 S Cuyler Ave Apt 2e, Oak Park, IL 60304-1550 | 2020-03-21 |
| 1972133866 | Erin A Flanagan | Student in an Organized Health Care Education/Training Program | 1036 N Lombard Ave, Oak Park, IL 60302-1435 | 2020-01-21 |
| 1538639398 | Joseph Tayani | Student in an Organized Health Care Education/Training Program | 320 Wisconsin Ave Apt 310, Oak Park, IL 60302-3457 | 2018-12-04 |
| 1003356775 | Ashley Chen | Student in an Organized Health Care Education/Training Program | 5155 Wagner Way, Oak Park, CA 91377-4731 | 2017-03-01 |
| 1043752991 | Nnenna Udensi | Student in an Organized Health Care Education/Training Program | 165 N Kenilworth Ave, 1b, Oak Park, IL 60301-1225 | 2016-11-09 |
| 1811344567 | Rebecca Grace Maddrell | Student in an Organized Health Care Education/Training Program | 1 Erie Court, Suite 6160, Dr. A.l. Burdick Family Medicine Center, Oak Park, IL 60302-2519 | 2016-05-23 |
| 1114380516 | Grant Joseph Turek | Student in an Organized Health Care Education/Training Program | 707 Garfield St, Apt 3, Oak Park, IL 60304-1978 | 2016-04-01 |
| 1952762783 | Sheila Braggs | Student in an Organized Health Care Education/Training Program | 21141 Ridgedale St, Oak Park, MI 48237-2705 | 2016-03-07 |
| 1609260793 | William Warren Phillips | Student in an Organized Health Care Education/Training Program | 351 S Harvey Ave, Apartment 2, Oak Park, IL 60302-3584 | 2015-03-26 |
| Find all providers in OAK PARK | ||||
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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.