VALENTINA DJORDJEVIC (NPI# 1750875407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750875407 |
Entity Type | Individual |
Full Name | VALENTINA DJORDJEVIC |
Practice Address |
561 W Diversey Pkwy Chicago IL 60614-6068 |
Practice Telephone | 7739064546 |
Practice Fax Number | 7733044549 |
Mailing Telephone | 7739064546 |
Mailing Fax Number | 7733044549 |
Enumeration Date | 2018-06-17 |
Last Update Date | 2018-06-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
561 W DIVERSEY PKWY |
City | CHICAGO |
State | IL |
Zip Code | 60614-6068 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114014107 | Jennifer Wang | Social Worker | 561 W Diversey Pkwy, Suite 210, Chicago, IL 60614-6068 | 2006-10-10 |
1790393296 | Deanna Marie Rondero | Dietitian, Registered | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2020-07-21 |
1760016075 | Elizabeth Spencer | Dietitian, Registered | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2020-02-25 |
1659878049 | Vanessa Chobot Lennie | Dietitian, Registered | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2018-04-11 |
1386065654 | Erika Kimberly Siesennop | Dietitian, Registered | 561 W Diversey Pkwy, Suite 219, Chicago, IL 60614-6068 | 2014-01-03 |
1225351166 | Julie Troob | Social Worker | 561 W Diversey Pkwy, Suite 216, Chicago, IL 60614-6068 | 2010-03-06 |
1427210962 | Cappy Silver | Social Worker | 561 W Diversey Pkwy, Ste 210a, Chicago, IL 60614-6068 | 2008-06-26 |
1154510279 | Inner Balance Psychotherapy Services Ltd | Clinic/Center | 561 W Diversey Pkwy, Suite 210, Chicago, IL 60614-6068 | 2007-10-15 |
1467640177 | Catherine J Minnick Dpm PC | Podiatrist | 561 W Diversey Pkwy, Suite 212, Chicago, IL 60614-6068 | 2007-10-09 |
1821200379 | Nickolas Georgiopoulos | Dentist | 561 W Diversey Pkwy, Suite 205, Chicago, IL 60614-6068 | 2007-05-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
Find all providers in zip 60614 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
1598238883 | Andrea Budzon | Physician Assistant | 2940 N Kimball Ave Apt 2, Chicago, IL 60618-6846 | 2019-01-09 |
1760995161 | Leena Abed Hamdan | Physician Assistant | 251 E Huron St Fl 1, Chicago, IL 60611-2908 | 2017-11-08 |
1134580079 | Joseph Smith II | Physician Assistant | 654 E 84th St, Chicago, IL 60619-5802 | 2016-03-18 |
1679950232 | Alexis Davidman | Physician Assistant | 20 S Clark St Ste, Chicago, IL 60603-1802 | 2015-05-04 |
1669861589 | Stewart David Harsant | Physician Assistant | 1702 N Milwaukee Ave, Chicago, IL 60647-5424 | 2015-01-15 |
1063817013 | Jenna Lynn Sniegowski | Physician Assistant | 675 N Saint Clair St Fl 21, Chicago, IL 60611-5975 | 2014-11-01 |
1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
1306270137 | Brianne Patricia Randall | Physician Assistant | California Blvd. At 15th St., Chicago, IL 60608 | 2013-08-28 |
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.