JOSH MALLAN (NPI# 1811141740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811141740 |
| Entity Type | Individual |
| Full Name | JOSH MALLAN |
| Practice Address |
1444 W Granville Ave Apt 3 Chicago IL 60660-1800 |
| Practice Telephone | 7732948200 |
| Mailing Telephone | 7732948200 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers |
| Street Address |
1444 W GRANVILLE AVE APT 3 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672280 | Alexis Shelton | Behavior Technician | 6317 N Broadway, Chicago, IL 60660 | 2019-11-03 |
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1417492224 | Aynur Fataliyeva | Non-emergency Medical Transport (VAN) | 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 | 2017-01-03 |
| 1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1295134112 | Brent E Agran, Dds, LLC | Dentist | 5820 N. Clark St., 1s, Chicago, IL 60660 | 2014-08-15 |
| 1538573258 | Emily Eaton | Student in an Organized Health Care Education/Training Program | 5643 N. Magnolia Ave, Chicago, IL 60660 | 2014-06-20 |
| 1538572664 | Rozina Altaf Virani | Nurse Practitioner | 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 | 2014-06-05 |
| 1548673866 | Emily Mckernan | Social Worker | 5710 N Broadway Ave, Chicago, IL 60660 | 2014-06-04 |
| 1679902324 | Christopher Burgess | Psychologist | 1554 W Hollywood, #storefront, Chicago, IL 60660 | 2013-11-04 |
| Find all providers in zip 60660 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114431798 | Independent Living Solutions, Inc. | Contractor | 6327 N Pulaski Rd, Chicago, IL 60646-4511 | 2017-11-19 |
| 1811435779 | Corey Mitchell | Contractor | 4528 S Evans Ave, Chicago, IL 60653-3521 | 2017-02-10 |
| 1033464565 | Viola Nikita Hunter | Contractor | 176 North Laporte Ave, Chicago, IL 60644-3510 | 2012-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897986 | Cr Vaughn Inc | Contractor | 600 Dunn Ln, Goreville, IL 62939-2487 | 2020-03-25 |
| 1306476692 | Wanake Schaeffer | Contractor | 705 Brittany Sq Apt 2, Grayslake, IL 60030-1356 | 2020-01-25 |
| 1033695325 | Keith Phillips | Contractor | 22 Veterans Dr, Harrisburg, IL 62946-3320 | 2018-07-19 |
| 1386157618 | John Michael Beckwith | Contractor | 1508 W Anthony Dr, Champaign, IL 61821-1191 | 2017-11-08 |
| 1700321775 | Alan Stirling | Contractor | 447 S Center Ave, Bradley, IL 60915-2113 | 2016-12-30 |
| 1780133397 | David Adams | Contractor | 308 Willards Ferry Rd, Jonesboro, IL 62952-1113 | 2016-09-23 |
| 1689128894 | Timothy Scott Barton Jr. | Contractor | 3039 Golf Ter, Apt 12, Danville, IL 61832-1230 | 2016-08-05 |
| 1437520913 | Rebecca Backhus | Contractor | 206 W Wall St Apt 1, Morrison, IL 61270-2300 | 2015-10-09 |
| 1912277690 | Home Services Direct, LLC | Contractor | 811 Rohlwing Rd, Rolling Meadows, IL 60008-1035 | 2012-01-11 |
| 1912292780 | Chris Ciaschini | Contractor | 401 S. Gary Ave, Suite 1, Roselle, IL 60172 | 2011-06-09 |
| 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.