PATRICIA WHITESIDE (NPI# 1760010573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760010573 |
| Entity Type | Individual |
| Full Name | PATRICIA WHITESIDE |
| Credential | MD |
| Practice Address |
4440 W 95th St Oak Lawn IL 60453-2600 |
| Practice Telephone | 7086848000 |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 125.075593 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4440 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805666 | Kenneth S. Toth | Anesthesiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2005-07-15 |
| 1821697392 | Marissa Vavra | Occupational Therapist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-25 |
| 1215535638 | Jarrod Siek Georgacakis | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-16 |
| 1396350708 | Crystal Oehmen | Radiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-09-11 |
| 1255943999 | Kristen Michele Hill | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-08-22 |
| 1033735295 | Thomas Panicucci | Registered Nurse | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-23 |
| 1538785407 | Amanda Thompson | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-17 |
| 1508481250 | Amy Marie Fader | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-09 |
| 1528680139 | Nader Hamzeh Darwish | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-18 |
| 1003438920 | Anna Manilla | Speech-Language Pathologist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962030775 | Ramya Kondaveeti | Emergency Medicine | 4440 W 95th St Ste 106s, Oak Lawn, IL 60453-2600 | 2020-03-28 |
| 1669888327 | Thaer Ahmad | Emergency Medicine | 4440 W 95th St Ste 1320m, Oak Lawn, IL 60453-2600 | 2014-07-02 |
| 1104836238 | Rohit Gupta | Emergency Medicine | 440 W 95th St, Oak Lawn, IL 60453 | 2006-08-09 |
| 1346878923 | Nadija Mara Rieser | Emergency Medicine | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-03-30 |
| 1033747811 | Agnieszka Joanna Radziszewska | Emergency Medicine | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-03-29 |
| 1548898323 | Maha Khalid | Emergency Medicine | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-03-29 |
| 1205464088 | Princess Donna Okoli | Emergency Medicine | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-03-29 |
| 1255969085 | Nicholas Sytsma | Emergency Medicine | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-03-28 |
| 1992333728 | Emily Hoover | Emergency Medicine | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-03-28 |
| 1922636893 | Jacob Nathaniel Mattox | Emergency Medicine | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-03-27 |
| Find all providers in OAK LAWN | ||||
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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.