BIOTIDAL TECHNOLOGY, INC (NPI# 1710145933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710145933 |
| Entity Type | Organization |
| Organization Name | BIOTIDAL TECHNOLOGY, INC |
| Practice Address |
3354 N Paulina St Suite 206c Chicago IL 60657-1068 |
| Mailing Address |
4103 W Potomac Ave Chicago IL 60651-1853 |
| Practice Telephone | 7739915131 |
| Mailing Telephone | 7734869546 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |
| Authorized Official Name | MR. GREGG S HORIGAN (PRESIDENT) |
| Authorized Official Telephone | 7739915131 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 038-006984 | IL | Ambulatory Health Care Facilities |
| Street Address |
3354 N PAULINA ST SUITE 206C |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609897826 | Jodine A Speckman | Chiropractor | 3354 N Paulina St, Suite 203, Chicago, IL 60657-1068 | 2006-07-22 |
| 1518418037 | Marcelo Gonzalez | Counselor | 3354 N Paulina St, 206f, Chicago, IL 60657-1068 | 2016-10-19 |
| 1467804617 | Kari Harrison | Counselor | 3354 N Paulina St, Suite 206f, Chicago, IL 60657-1068 | 2016-07-11 |
| 1811348485 | Tandem Psychology LLC | Psychologist | 3354 N Paulina St, 205, Chicago, IL 60657-1068 | 2016-06-24 |
| 1477900199 | The New Center, LLC | Psychologist | 3354 N Paulina St, Suite 204c, Chicago, IL 60657-1068 | 2016-05-23 |
| 1740691542 | Tyler Fortman | Psychologist | 3354 N Paulina St, Suite 205, Chicago, IL 60657-1068 | 2014-05-14 |
| 1821245036 | Leslie Banghart | Social Worker | 3354 N Paulina St, 206f, Chicago, IL 60657-1068 | 2008-08-19 |
| 1497913792 | Gregg S Horigan | Chiropractor | 3354 N Paulina St, Suite 206c, Chicago, IL 60657-1068 | 2008-05-23 |
| 1184804619 | Mary Lagana | Social Worker | 3354 N Paulina St, Suite 204c, Chicago, IL 60657-1068 | 2007-11-13 |
| 1659582831 | Trang Vu Donovan | Massage Therapist | 3354 N Paulina St, Studio 206c, Chicago, IL 60657-1068 | 2007-05-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1649817768 | Rising Root Nutrition LLC | Clinic/Center | 2835 N Sheffield Ave Ste 511, Chicago, IL 60657-5081 | 2019-12-09 |
| 1487203642 | Jennifer Scherbauer | Clinic/Center | 4036 N Ashland Ave Apt 1w, Chicago, IL 60613-2534 | 2019-09-10 |
| 1194380147 | Colmed Clinic Ltd | Clinic/Center | 3615 N Ashland Ave Apt 1n, Chicago, IL 60613-4742 | 2019-05-06 |
| 1831662931 | Ova Institute LLC | Clinic/Center | 401 N Michigan Ave Ste 1800, Chicago, IL 60611-4225 | 2019-01-10 |
| 1972080992 | Family Care Sc | Clinic/Center | 2320 W Peterson Ave Fl 6, Chicago, IL 60659-5242 | 2018-07-23 |
| Find all providers in CHICAGO | ||||
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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.