MAGGIE GIDDENS


Address: 4318 S State St, Chicago, IL 60609-3701
Phone: 7732859304

MAGGIE GIDDENS (NPI# 1629565007) 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) 1629565007
Entity Type Individual
Full Name MAGGIE GIDDENS
Credential NP
Practice Address 4318 S State St
Chicago
IL 60609-3701
Mailing Address 3030 Chicago Rd
Steger
IL 60475-1055
Practice Telephone 7732859304
Practice Fax Number 7735643501
Mailing Telephone 7083006692
Mailing Fax Number 7087563065
Enumeration Date 2018-04-20
Last Update Date 2019-12-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209016970 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BOARD CERTIFICATION 2017024054 01

Office Location

Street Address 4318 S STATE ST
City CHICAGO
State IL
Zip Code 60609-3701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780905349 Tina V. Valdez Internal Medicine 4318 S State St, Chicago, IL 60609-3701 2010-06-17
1023661980 Margaret Clemons-adams Nurse Practitioner 4318 S State St, Chicago, IL 60609-3701 2019-07-19
1306307723 Heather Collins Social Worker 4318 S State St, Chicago, IL 60609-3701 2019-03-28
1154801660 Danielle Smith Pharmacist 4318 S State St, Chicago, IL 60609 2018-08-15
1639665961 Cynthia Muite Social Worker 4318 S State St, Chicago, IL 60609-3701 2018-07-10
1720538572 Mount Sinai Community Foundation Internal Medicine 4318 S State St, Chicago, IL 60609-3701 2016-10-05
1285188938 Allison Phillips Nurse Practitioner 4318 S State St, Chicago, IL 60609-3701 2016-08-11
1114390788 Katherine Eydelman Nurse Practitioner 4318 S State St, Chicago, IL 60609-3701 2015-11-04
1013329127 D2 Dental At Oak Street, P.C. Dentist 4318 S State St, Chicago, IL 60609-3701 2014-05-22
1093064701 Maggie Spleet Social Worker 4318 S State St, Chicago, IL 60609-3701 2012-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144843152 Healing and Fuerza Therapy LLC Clinic/Center 3735 S Wallace St 1r, Chicago, IL 60609 2020-05-26
1306407721 Athletico Ltd Physical Therapist 5336 S State St, Chicago, IL 60609 2019-06-26
1396157939 Unlimited Resources Private Vehicle 8104 S. Kingston, Chicago, IL 60609 2014-06-02
1013215474 Giles B. Mizock M.d. Ltd. Obstetrics & Gynecology 5025 W. Paulina, Methodist Hosp, Chicago, IL 60609 2011-03-09
1164691630 Alfreda D Beard Dentist 5050 So State, Chicago, IL 60609 2008-02-28
1588876510 Victor P Gutierrez Chiropractor 1824 W. 47th St., Chicago, IL 60609 2007-05-03
1619092558 Highlander Care Center, LLC Skilled Nursing Facility 4815 S Western Ave, Chicago, IL 60609 2007-03-20
1437295482 Rolando A Lara Internal Medicine 1708 W 47th St, Chicago, IL 60609 2007-01-29
1497765168 Judith H Mcdevitt Nurse Practitioner 734 W. 47th Street, Ihc South, Chicago, IL 60609 2006-08-08
1790795474 Lorrita Marie Verhey Nurse Practitioner 734 W. 47th Street South, Ihc, Chicago, IL 60609 2006-08-08
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700911 Laura Ivette Portillo Nurse Practitioner 2727 N Marmora Ave, Chicago, IL 60639-1219 2020-11-05
1265033385 Carolle M Derradji Nurse Practitioner 3256 W Potomac Ave, Chicago, IL 60651-2411 2020-11-04
1104427293 Katie Michelle O'halloran Nurse Practitioner 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 2020-11-04
1578163515 Deanna Bassette Nurse Practitioner 243 E 31st St Apt 401, Chicago, IL 60616-5212 2020-10-29
1891395745 Vrunda Shah Patel Nurse Practitioner 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 2020-10-29
1881291706 Rita Elue Nurse Practitioner 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 2020-10-04
1558976514 Janice Nicole Kinney Nurse Practitioner 10127 S Harding Ave, Chicago, IL 60655-3748 2020-09-15
1881209278 Monique Graves Nurse Practitioner 4912 W Adams St Apt 2, Chicago, IL 60644-4445 2020-09-11
1194339721 Maureen Iyesogie Diji Nurse Practitioner 4658 S Ellis Ave, Chicago, IL 60653-3625 2020-09-01
1669085395 Emily Calderon Nurse Practitioner 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 2020-08-24
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Competitor

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City CHICAGO
Zip Code 60609

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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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