NORTHWEST AMBUCARE (NPI# 1811965635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811965635 |
| Entity Type | Organization |
| Organization Name | NORTHWEST AMBUCARE |
| Practice Address |
4040 W Peterson Ave Chicago IL 60646-6019 |
| Practice Telephone | 7732670554 |
| Practice Fax Number | 7732676258 |
| Mailing Telephone | 7732670554 |
| Mailing Fax Number | 7732676258 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TEGAN AUGUSTINE THIMESCH (PRESIDENT) |
| Authorized Official Telephone | 7732670554 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| Street Address |
4040 W PETERSON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60646-6019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023268901 | Dr Tegan A Timesh Footcare Clinic P.C. | Podiatrist | 4040 W Peterson Ave, Chicago, IL 60646-6019 | 2008-09-26 |
| 1376511287 | Tegan Augustine Thimesch I | Podiatrist | 4040 W Peterson Ave, Chicago, IL 60646-6019 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801312087 | Manal Ibrahim | Dentist | 6228 N Keystone Ave, Chicago, IL 60646 | 2017-08-18 |
| 1750820742 | Kaitlin O'brien | Student in an Organized Health Care Education/Training Program | 5801 N Pulaski, Chicago, IL 60646 | 2017-02-23 |
| 1659810646 | Sofia Trani | Student in an Organized Health Care Education/Training Program | 5801 N. Pulaski Rd, Chicago, IL 60646 | 2017-02-23 |
| 1487191151 | Ronald E. Rysztogi | Naprapath | 5704 N. Austin, Chicago, IL 60646 | 2017-01-19 |
| 1417403148 | Joyful Dental Care | Clinic/Center | 6314 N. Cicero Avenue, Chicago, IL 60646 | 2016-09-01 |
| 1164889754 | Physicians At Call | Family Medicine | 5901 N. Cicero Ave, Ste 207, Chicago, IL 60646 | 2016-01-27 |
| 1245610617 | Arlett Payne | Physician Assistant | 5906 N Milwaukee, Chicago, IL 60646 | 2015-06-01 |
| 1811375843 | North River Mental Health Center | Community/Behavioral Health | 5801 North Pulaski Road, Chicago, IL 60646 | 2015-05-11 |
| 1003157298 | Family Choice Home Health | Homemaker | 5933 N Milwaukee Avenue, Chicago, IL 60646 | 2013-03-13 |
| 1235479593 | Antonina Skapars Trinkuns | Psychiatry & Neurology | 6404 N. Tahoma Ave., Chicago, IL 60646 | 2013-02-25 |
| Find all providers in zip 60646 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399509 | G3 Medical LLC | Clinic/Center | 8751 S Greenwood Ave Ste 100, Chicago, IL 60619-7051 | 2020-08-31 |
| 1528610771 | Young Foot and Ankle | Clinic/Center | 1932 W Crystal St # 1, Chicago, IL 60622-3132 | 2019-07-09 |
| 1457423683 | Park Medical & Surgical Plaza | Clinic/Center | 2621 N Halsted St, Chicago, IL 60614-2301 | 2006-11-14 |
| 1841389830 | Logan Square Foot Center | Clinic/Center | 2831 N Milwaukee Ave., Chicago, IL 60618-7403 | 2006-10-11 |
| 1366083032 | Ramin Ghazizadeh | Clinic/Center | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2019-10-03 |
| 1285107540 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2019-01-09 |
| 1073921193 | Dr. Jeremy Schwartz Dpm LLC | Clinic/Center | 525 W Hawthorne Pl, #3003, Chicago, IL 60657-2907 | 2014-08-01 |
| 1508031295 | Crawford Surgicare | Clinic/Center | 6441 S Pulaski Rd, Chicago, IL 60629-5148 | 2008-04-24 |
| 1427245141 | Charlotte M. Covello, Dpm,llc | Clinic/Center | 30 N Michigan Ave, Suite 720, Chicago, IL 60602-3809 | 2007-09-26 |
| 1548381825 | Podiatry Center, Sc | Clinic/Center | 30 N Michigan Ave, Suite 1129, Chicago, IL 60602-3402 | 2007-04-03 |
| 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.