CHAD MICHAEL MALINOWSKI (NPI# 1558918409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558918409 |
| Entity Type | Individual |
| Full Name | CHAD MICHAEL MALINOWSKI |
| Credential | NP-C |
| Practice Address |
611 W Park St Urbana IL 61801-2529 |
| Mailing Address |
611 W. Park St. Fapc Urbana IL 61801 |
| Practice Telephone | 2173833170 |
| Mailing Telephone | 2179025291 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209019919 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
611 W PARK ST |
| City | URBANA |
| State | IL |
| Zip Code | 61801-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193416 | Mark L Saxton | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2005-06-10 |
| 1083214514 | Karissa Nelson | Physical Therapist | 611 W Park St, Urbana, IL 61801-2529 | 2020-10-26 |
| 1720698756 | Justin Matthew Felix | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-08-04 |
| 1033729306 | Patricia Fairchild | Occupational Therapist | 611 W Park St, Urbana, IL 61801-2529 | 2020-08-03 |
| 1851909782 | Shruti Agarwal | Internal Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-16 |
| 1396363321 | Muhammad Umair Rana | Internal Medicine | 611 W Park St, Urbana, IL 61801 | 2020-07-07 |
| 1740807817 | Salma Malik | Internal Medicine | 611 W Park St, Urbana, IL 61801 | 2020-07-06 |
| 1477171536 | Audrey T Lam | Internal Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-06 |
| 1255959318 | Corbin Reid Mah | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-06 |
| 1093332652 | Knika Sethi | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674959 | Lindsey Carol Ross | Nurse Practitioner | 802 E Pennsylvania Ave, Urbana, IL 61801-5237 | 2020-09-21 |
| 1376153825 | Kate Priya Srikant | Nurse Practitioner | 2202 Combes St, Urbana, IL 61801-6812 | 2020-08-08 |
| 1881048304 | Rachel Thurneyssen | Nurse Practitioner | 904 Scioto St Fl 2, Urbana, OH 43078-2226 | 2016-04-21 |
| 1881003424 | Hillary Diane Pullins | Nurse Practitioner | 900 Scioto St Ste 4, Urbana, OH 43078-2251 | 2014-08-07 |
| 1932512142 | Amanda Myers | Nurse Practitioner | 204 Patrick Avenue, Urbana, OH 43078 | 2014-06-05 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1598015034 | Susanna Chow Young | Nurse Practitioner | 3350 Worthington Blvd, Urbana, MD 21704-7025 | 2012-09-12 |
| 1477512143 | Linda Marie Cox | Nurse Practitioner | Carle Clinic, 602 W. University Ave., Urbana, IL 61801 | 2006-03-21 |
| 1235749805 | Hayley Justice | Nurse Practitioner | 204 Patrick Ave, Urbana, OH 43078-2302 | 2020-08-07 |
| 1649893389 | Brookann O'dell | Nurse Practitioner | 611 W Park St, Urbana, IL 61801-2529 | 2020-05-27 |
| Find all providers in URBANA | ||||
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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.