GINALYN G MENDILLO (NPI# 1881072981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881072981 |
| Entity Type | Individual |
| Full Name | GINALYN G MENDILLO |
| Practice Address |
5221 N Broadway St Chicago IL 60640-2303 |
| Mailing Address |
2506 W Touhy Ave Chicago IL 60645-3150 |
| Practice Telephone | 7733662770 |
| Mailing Telephone | 7733662770 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5221 N BROADWAY ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912976929 | Jennifer Marie Masterson | Physical Therapist | 5221 N Broadway St, Chicago, IL 60640-2303 | 2006-03-14 |
| 1174926497 | Zachary William Fowler | Physical Therapist | 5221 N Broadway St, Chicago, IL 60640-2303 | 2014-10-01 |
| 1790032381 | Eric Giovanini | Physical Therapist | 5221 N Broadway St, Chicago, IL 60640-2303 | 2012-08-14 |
| 1760609002 | Jamie Lynn Meyer | Physical Therapist | 5221 N Broadway St, Chicago, IL 60640-2303 | 2007-04-19 |
| 1306887484 | Andrew Perkins | Physical Therapist | 5221 N Broadway St, Chicago, IL 60640-2303 | 2006-06-09 |
| 1164463139 | Kristin Burda | Physical Therapist | 5221 N Broadway St, Chicago, IL 60640-2303 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| 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 | ||||
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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.