MR. ANTON J. SAHATTCHIEV (NPI# 1669597910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669597910 |
| Entity Type | Individual |
| Full Name | MR. ANTON J. SAHATTCHIEV |
| Credential | RSA |
| Practice Address |
5722 W Maple Ave Berkeley IL 60163-1446 |
| Practice Telephone | 7086919982 |
| Practice Fax Number | 7085443807 |
| Mailing Telephone | 7086919982 |
| Mailing Fax Number | 7085443807 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5722 W MAPLE AVE |
| City | BERKELEY |
| State | IL |
| Zip Code | 60163-1446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972685410 | Nikola Ivancevic | Podiatrist | 5646 St Charles Rd, Suite B, Berkeley, IL 60163 | 2006-10-20 |
| 1194720292 | New Home Respiratory Care, Inc | Durable Medical Equipment & Medical Supplies | 5813 Saint Charles Rd, Berkeley, IL 60163-1031 | 2005-06-15 |
| 1972856839 | Kathleen Anne Ruffulo | Counselor | 1212 N Ashbel Ave, Berkeley, IL 60163-1118 | 2012-10-16 |
| 1104197664 | Nadia C Hughes | Pharmacist | 1228 N Irving Ave, Berkeley, IL 60163-1130 | 2012-01-14 |
| 1649294927 | Gary Robert Johnson | Dentist | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2006-07-27 |
| 1386095933 | Michael A. Esposito Dds, P.C. | Dentist | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2016-06-24 |
| 1144663139 | Clinical Research Institute, Inc. | Voluntary or Charitable | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2013-04-10 |
| 1063573277 | Michael Anthony Esposito | Dentist | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2006-12-12 |
| 1366466930 | Gary R. Johnson, D.d.s., P.C. | Clinic/Center | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2006-07-27 |
| 1861517617 | Berkeley School Dist 87 | Local Education Agency (LEA) | 5400 Saint Charles Rd, Berkeley, IL 60163-1244 | 2007-03-20 |
| Find all providers in zip 60163 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184658783 | Gaye Derusso | Physician Assistant | 2999 Regent St, Ste 225, Berkeley, CA 94705-2190 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
| Find all providers with the same taxonomy | ||||
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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.