ANDREW BLACK


Address: 1740 W Taylor St, Chicago, IL 60612-7232
Phone: 8666002273

ANDREW BLACK (NPI# 1740787241) 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) 1740787241
Entity Type Individual
Full Name ANDREW BLACK
Practice Address 1740 W Taylor St
Chicago
IL 60612-7232
Mailing Address 17478 E Plateau Dr
Aurora
CO 80015-1975
Practice Telephone 8666002273
Mailing Telephone 7194641786
Enumeration Date 2018-04-11
Last Update Date 2018-04-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers ANDREW BLACK

NPI Name Taxonomy Address Enumeration
1790011724 Andrew P Black Physician Assistant 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 2009-10-27
1548408669 Andrew P Black Podiatrist 1050 Sw 3rd Ave Ste 400, Ontario, OR 97914-2197 2009-01-27
1457480659 Andrew Steven Black Chiropractor 64 Fulton St, Ground Floor Office, New York, NY 10038-1854 2007-03-05
1659318020 Andrew James Black Internal Medicine 2215 Burdett Ave., Hmp of Samaritan, Troy, NY 12180-2466 2006-06-02
1851392351 Andrew William Black Internal Medicine 1125 N Porter Ave Ste 301, Norman, OK 73071-6443 2005-08-09
1346726999 Andrew Black Nurse Practitioner 5041 Victor Dr Ste C, Medina, OH 44256-6028 2018-07-17
1306204193 Andrew Black Counselor 17640 Ne Halsey St, Portland, OR 97230-6733 2016-02-08
1245620137 Andrew Black IIi Physical Therapist 1725 Laskin Rd, Virginia Beach, VA 23454 2015-01-29
1063838720 Andrew Allen Black Massage Therapist 14511 Westlake Dr Ste 100, Lake Oswego, OR 97035-7727 2014-03-05
1417222340 Andrew Patrick Black Pharmacist 79795 Highway 111, La Quinta, CA 92253-4756 2012-03-10

Office Location

Street Address 1740 W TAYLOR ST
City CHICAGO
State IL
Zip Code 60612-7232

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467450882 Nestor S Cuasay Radiology 1740 W Taylor St, Chicago, IL 60612-7232 2005-07-09
1255941589 Tariq Yousef Mohammad Alyamani Internal Medicine 1740 W Taylor St, Chicago, IL 60612-7232 2020-08-02
1043828601 Alexandra Leora Millman Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-07-20
1457974818 Marian Shehata Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-20
1033731773 Parisa Hassanzadeh Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-16
1922620939 Mohammad El-saied Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1205458213 Michal Gorski Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1710509773 Jaspreet Bahia Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1184246191 Sean Carter Tompkins Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1548882442 Zaid Adel Zayyad Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205443975 Nickolas Armstrong Student in an Organized Health Care Education/Training Program 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 2020-09-28
1134735962 Kalvin Cheuk Hang Lung Student in an Organized Health Care Education/Training Program 675 N St Clair St 17th Floor, Chicago, IL 60611 2020-09-17
1487267845 Ashley Marie Sablich Student in an Organized Health Care Education/Training Program 250 E Huron Street, Suite 1-200, Chicago, IL 60611 2020-08-26
1275146599 Ryan Mather Student in an Organized Health Care Education/Training Program 155 N Michigan Ave Ste 566, Chicago, IL 60601-7799 2020-08-26
1831701010 Alexandra Klonis Student in an Organized Health Care Education/Training Program 676 N Saint Clair St Ste 6-108, Chicago, IL 60611-2927 2020-08-19
1851903389 Brittney Christine Evans Student in an Organized Health Care Education/Training Program 1901 N Clybourn Ave Ste 302&304, Chicago, IL 60614-5090 2020-08-17
1205446358 Kai Lai Chu Student in an Organized Health Care Education/Training Program 600 N Fairbanks Ct Unit 3505, Chicago, IL 60611-5869 2020-08-04
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1407474463 Madison Nicole Schulenberg Student in an Organized Health Care Education/Training Program 1111 W 14th Pl Unit 119, Chicago, IL 60608-2796 2020-07-07
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60612

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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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