MARK PULASKI (NPI# 1740516202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740516202 |
| Entity Type | Individual |
| Full Name | MARK PULASKI |
| Practice Address |
721 W 31st St Suite 2 Chicago IL 60616-3006 |
| Practice Telephone | 8473376529 |
| Mailing Telephone | 8473376529 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
721 W 31ST ST SUITE 2 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60616-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
| 1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
| 1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
| 1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
| 1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
| 1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
| 1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
| 1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
| 1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
| Find all providers in zip 60616 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740824986 | Samuel Montes | Specialist/Technologist, Other | 4014 N Spaulding Ave Apt G, Chicago, IL 60618-3328 | 2019-10-31 |
| 1780908434 | Chicago Electrical Trauma Research Institute | Specialist/Technologist, Other | 4047 W. 40th Street, Chicago, IL 60632 | 2010-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761525 | Rick D Hitchens | Specialist/Technologist, Other | 676 Framingham Ct, Gurnee, IL 60031-3496 | 2020-08-19 |
| 1588225635 | Ramon Edgargo Nunez | Specialist/Technologist, Other | 205 Lake St, Libertyville, IL 60048-1850 | 2019-06-27 |
| 1477069946 | Melissa Costello-mckee | Specialist/Technologist, Other | 6003 Jackpine Rd, Bloomington, IL 61705-7502 | 2017-12-20 |
| 1720500580 | Uche Michael Esedebe | Specialist/Technologist, Other | 5013 Florence Ave Apt 3, Downers Grove, IL 60515-3973 | 2017-07-13 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1629468541 | Definitive Neurodiagnostics, LLC Professional Services | Specialist/Technologist, Other | 1604 Visa Dr # 1, Normal, IL 61761-2195 | 2015-01-30 |
| 1942569843 | Intranerve LLC | Specialist/Technologist, Other | 2210 Abbeywood Dr Ste A, Lisle, IL 60532-3384 | 2012-05-11 |
| 1922308220 | Sandie Dragos | Specialist/Technologist, Other | 3905 Crosby St, Rockford, IL 61107-4865 | 2010-11-02 |
| 1265732036 | Rockford Neuromonitoring Group LLC | Specialist/Technologist, Other | 1036 Lundvall Ave, Rockford, IL 61107-3338 | 2010-10-27 |
| 1275856718 | Brian M Brown | Specialist/Technologist, Other | 3220 185th Pl, Homewood, IL 60430-2701 | 2010-03-11 |
| 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.