NATHANIEL BO ANDERSON (NPI# 1811181969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811181969 |
| Entity Type | Individual |
| Full Name | NATHANIEL BO ANDERSON |
| Credential | ATC |
| Practice Address |
6560 W Fullerton Ave Chicago IL 60707-3439 |
| Mailing Address |
5047 N Central Park Ave Apt 2b Chicago IL 60625-5540 |
| Practice Telephone | 7737450338 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295239739 | Nathaniel J Anderson | Rehabilitation Practitioner | 504 E Musser St, Carson City, NV 89701-4239 | 2018-03-20 |
| 1336696590 | Nathaniel Anderson | Nurse Practitioner | 266 E Elm St, Yarmouth, ME 04096-7116 | 2016-09-06 |
| Street Address |
6560 W FULLERTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60707-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831281336 | Laura A Williams | Physical Therapist | 6560 W Fullerton Ave, Chicago, IL 60707-3439 | 2006-09-29 |
| 1053948976 | Sherry Gee | Dentist | 6560 W Fullerton Ave, Chicago, IL 60707-3439 | 2020-03-23 |
| 1285085175 | Jeena Priya Krishna | Dentist | 6560 W Fullerton Ave, Unit C106, Chicago, IL 60707-3439 | 2016-06-22 |
| 1194173682 | Xavier Woodson | Dentist | 6560 W Fullerton Ave, Chicago, IL 60707-3439 | 2016-05-25 |
| 1659749612 | Joo Hyoung Park | Dentist | 6560 W Fullerton Ave, Dental Dreams, Chicago, IL 60707-3439 | 2015-09-08 |
| 1528303435 | Windy City Eyes PC | Optometrist | 6560 W Fullerton Ave, Chicago, IL 60707-3439 | 2012-12-04 |
| 1770839565 | Sean Michael O'grady | Dentist | 6560 W Fullerton Ave, Unit C106 Suite T, Chicago, IL 60707-3439 | 2012-07-30 |
| 1598011462 | Gregory Burgess Walsh | Dentist | 6560 W Fullerton Ave, Unit C106 Suite T, Chicago, IL 60707-3439 | 2012-07-30 |
| 1780956235 | Frances Wang | Dentist | 6560 W Fullerton Ave, Chicago, IL 60707-3439 | 2012-01-30 |
| 1669760906 | Mahwesh Razzaq | Dentist | 6560 W Fullerton Ave, Chicago, IL 60707-3439 | 2011-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077408 | Karen Ennis, Slp, Inc. | Speech-Language Pathologist | 1709 73rd Ct, Elmood Park, IL 60707 | 2018-03-19 |
| 1518324995 | Dosha Grant | Registered Nurse | 2317 N Rutherford, Elmwood Park, IL 60707 | 2016-01-15 |
| 1962774794 | Oak Park Dental Group | Dentist | 7034 W. North Ave., Chicago, IL 60707 | 2012-02-09 |
| 1326277005 | Resurrection Services | Internal Medicine | 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 | 2009-07-02 |
| 1134370059 | Mefagui Dental Office P.C. | Dentist | 6913 W. Grand Ave, Chicago, IL 60707 | 2008-10-09 |
| 1821265760 | Carly M. Smith | Chiropractor | 7716 W. North, Elmwood Pk, IL 60707 | 2008-05-09 |
| 1063695096 | Henry J. Hagopian D.d.s. P.C. | Dentist | 7518 W. North Avenue, Elmwood Park, IL 60707 | 2007-12-13 |
| 1386864411 | Brian M Caraba Dds PC | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| 1104041243 | Clinics for Wellness and Neuropathy, LLC | Internal Medicine | 2333 N. Harlem, Chicago, IL 60707 | 2007-04-16 |
| 1972621050 | Sid Anderson | Psychologist | 2408 Westbrook Drive, Elmwood Park, IL 60707 | 2007-03-27 |
| Find all providers in zip 60707 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1881215002 | Sierra Smith | Specialist/Technologist | 6301 S Halsted St, Chicago, IL 60621-2709 | 2020-04-28 |
| 1043830573 | Karla Landeros | Specialist/Technologist | 3533 W 62nd St, Chicago, IL 60629-3703 | 2020-04-24 |
| 1538789607 | Isabel Gonzalez | Specialist/Technologist | 3021 W Ainslie St Apt 1, Chicago, IL 60625-7378 | 2020-04-19 |
| 1679109060 | Nicole Dubro | Specialist/Technologist | 1919 S Wabash Ave Unit 325, Chicago, IL 60616-2061 | 2020-03-17 |
| 1962038604 | Aristidis John Adrahtas | Specialist/Technologist | 2501 W Addison St, Chicago, IL 60618-5902 | 2020-03-13 |
| 1083247969 | Nakia Rene' Jones | Specialist/Technologist | 7934 S Crandon Ave, Chicago, IL 60617-1146 | 2020-02-19 |
| 1841823952 | Jennifer Noonan | Specialist/Technologist | 10522 S Sacramento Ave, Chicago, IL 60655-2031 | 2020-02-17 |
| 1891326740 | Anabel Ruiz | Specialist/Technologist | 2847 N Normandy Ave, Chicago, IL 60634-4816 | 2020-01-29 |
| 1205476645 | Jerry Henley Jr. | Specialist/Technologist | 322 N Leavitt St Unit B, Chicago, IL 60612-1616 | 2020-01-14 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on NATHANIEL BO ANDERSON.
| 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.