MASHA CHIZHIK (NPI# 1841614666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841614666 |
| Entity Type | Individual |
| Full Name | MASHA CHIZHIK |
| Practice Address |
1541 W Devon Ave Chicago IL 60660-1313 |
| Mailing Address |
213 N Racine Ave Chicago IL 60607-1644 |
| Practice Telephone | 7732505222 |
| Mailing Telephone | 3127339730 |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2015-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085004920 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | F400222230 | 01 |
| Street Address |
1541 W DEVON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679503429 | Angela D Rogers | Nurse Practitioner | 1541 W Devon Ave, Chicago, IL 60660-1313 | 2006-07-04 |
| 1174181903 | Katherine Renee Puleo | Nurse Practitioner | 1541 W Devon Ave, Chicago, IL 60660-1313 | 2019-06-05 |
| 1013574656 | Gianna Noelle Martelli | Social Worker | 1541 W Devon Ave, Chicago, IL 60660-1313 | 2019-05-20 |
| 1750888541 | Elfega Gomez | Nurse Practitioner | 1541 W Devon Ave, Chicago, IL 60660-1313 | 2018-04-09 |
| 1740692854 | D2 Dental At Oak Street, P.C. | Dentist | 1541 W Devon Ave, Chicago, IL 60660-1313 | 2014-05-22 |
| 1194164202 | Oak Street Health: Edgewater | Clinic/Center | 1541 W Devon Ave, Chicago, IL 60660-1313 | 2013-06-21 |
| 1033469994 | Christina J Wagener | Nurse Practitioner | 1541 W Devon Ave, Chicago, IL 60660-1313 | 2012-09-18 |
| 1538316641 | Debra Frances Fox | Nurse Practitioner | 1541 W Devon Ave, Chicago, IL 60660-1313 | 2008-08-20 |
| 1326246356 | Natalya Vladimirskiy | Internal Medicine | 1541 W Devon Ave, Chicago, IL 60660-1313 | 2007-07-11 |
| 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 | 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.