AMY MARIE FADER


Address: 4440 W 95th St, Oak Lawn, IL 60453-2600
Phone: 3129962936

AMY MARIE FADER (NPI# 1508481250) 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) 1508481250
Entity Type Individual
Full Name AMY MARIE FADER
Other Name AMY MARIE ZIEMS
Credential DO
Practice Address 4440 W 95th St
Oak Lawn
IL 60453-2600
Practice Telephone 3129962936
Enumeration Date 2020-06-09
Last Update Date 2020-06-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4440 W 95TH ST
City OAK LAWN
State IL
Zip Code 60453-2600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902805666 Kenneth S. Toth Anesthesiology 4440 W 95th St, Oak Lawn, IL 60453-2600 2005-07-15
1821697392 Marissa Vavra Occupational Therapist 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-10-25
1215535638 Jarrod Siek Georgacakis Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-10-16
1396350708 Crystal Oehmen Radiology 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-09-11
1255943999 Kristen Michele Hill Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-08-22
1033735295 Thomas Panicucci Registered Nurse 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-06-23
1538785407 Amanda Thompson Nurse Practitioner 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-06-17
1528680139 Nader Hamzeh Darwish Student in an Organized Health Care Education/Training Program 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-05-18
1003438920 Anna Manilla Speech-Language Pathologist 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-05-13
1710508783 Caitlin Cronin Physical Medicine & Rehabilitation 4440 W 95th St, Oak Lawn, IL 60453-2600 2020-04-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659995231 Natalia Zero Student in an Organized Health Care Education/Training Program 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 2020-05-30
1114554300 Sylvia Maria Chlebek Student in an Organized Health Care Education/Training Program Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 2020-03-26
1972066751 Amanda Mroczek Family Medicine 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 2019-04-09
1013479955 Leah Rae Prager Physician Assistant 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 2019-04-01
1659833473 Chelsea Sumida Gipson Family Medicine 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 2019-04-01
1518427418 Robert Lindgren Family Medicine 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 2019-03-25
1154886695 Stephanie Anne Comer Social Worker 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 2019-02-08
1700360070 Brian L Lee Counselor 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 2018-09-21
1679085245 International Dental of Oak Lawn Clinic/Center 9539 S Cicero Ave, Oak Lawn, IL 60453 2017-11-03
1124538301 Kavitha Rajendran Physician Assistant 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 2017-10-02
Find all providers in zip 60453

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659995231 Natalia Zero Student in an Organized Health Care Education/Training Program 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 2020-05-30
1497383814 Adeola Adetunji Student in an Organized Health Care Education/Training Program 4440 W 95th St Ste 131nob, Oak Lawn, IL 60453-2600 2020-03-31
1114554300 Sylvia Maria Chlebek Student in an Organized Health Care Education/Training Program Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 2020-03-26
1700413572 Samantha Jo Storti Student in an Organized Health Care Education/Training Program 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 2020-03-23
1790342533 Amanda Ruiz Student in an Organized Health Care Education/Training Program 5453 W 108th Pl, Oak Lawn, IL 60453-5032 2019-05-28
1669835914 Adam Daniel Gliniewicz Student in an Organized Health Care Education/Training Program 4440 W 95th St Rm 131no, Oak Lawn, IL 60453-2600 2016-04-04
1689036493 Sarah Solano Nathan Student in an Organized Health Care Education/Training Program 5851 W 95th St Ste 400, Oak Lawn, IL 60453-2415 2016-03-22
1457320467 Brian Kretschmer Student in an Organized Health Care Education/Training Program 9400 Southwest Hwy, Oak Lawn, IL 60453-2372 2006-03-14
1902421449 Andrew Rife Student in an Organized Health Care Education/Training Program 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 2020-06-10
1427673995 Roxanne Teresa Aleman Student in an Organized Health Care Education/Training Program 4440 W 95th St Rm 131, Oak Lawn, IL 60453-2600 2020-06-10
Find all providers in OAK LAWN

Competitor

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City OAK LAWN
Zip Code 60453

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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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