MRS. SARAH G HALM LUTTERODT (NPI# 1891813473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891813473 |
| Entity Type | Individual |
| Full Name | MRS. SARAH G HALM LUTTERODT |
| Credential | APN,CNS |
| Practice Address |
1625 E 75th St Second Floor Chicago IL 60649-3603 |
| Practice Telephone | 7739477800 |
| Mailing Telephone | 7739477800 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2013-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LS0200X |
Nurse Practitioner Specialization: School |
209-005280 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
209-005280 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 209-005280 | 05 |
| Street Address |
1625 E 75TH ST SECOND FLOOR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053350660 | Chad Christian Barrett | Family Medicine | 1625 E 75th St, Chicago, IL 60649-3603 | 2006-06-06 |
| 1629562731 | Thomas Chih-cheng Cheng | Family Medicine | 1625 E 75th St, Chicago, IL 60649-3603 | 2018-06-21 |
| 1407296874 | Usman Iqbal Khan | Family Medicine | 1625 E 75th St, Chicago, IL 60649-3603 | 2013-07-01 |
| 1740567312 | Jackson Park Hospital | General Acute Care Hospital | 1625 E 75th St, 1st Floor, Chicago, IL 60649-3603 | 2011-11-10 |
| 1700161445 | Sandeep Kattar | Student in an Organized Health Care Education/Training Program | 1625 E 75th St, Chicago, IL 60649-3603 | 2011-10-13 |
| 1306854021 | Friedell Clinic, S. C. | Obstetrics & Gynecology | 1625 E 75th St, Chicago, IL 60649-3603 | 2006-08-05 |
| 1063432474 | Ruksana S Nazneen | Family Medicine | 1625 E 75th St, Chicago, IL 60649-3603 | 2006-07-20 |
| 1326066101 | Lakshmi Dodda | Family Medicine | 1625 E 75th St, First Floor, Chicago, IL 60649-3603 | 2006-07-18 |
| 1437192242 | Shirley Montgomery | Pediatrics | 1625 E 75th St, First Floor, Chicago, IL 60649-3603 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| Find all providers in zip 60649 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959864 | Jennifer Marie Nieves | Nurse Practitioner | 34 E Oak St Ste 6, Chicago, IL 60611-1231 | 2020-03-29 |
| 1093340275 | Nicole Price | Nurse Practitioner | 3717 N Ravenswood Ave Ste 213, Chicago, IL 60613-4098 | 2020-03-07 |
| 1497318372 | Rachael Elizabeth Thomas | Nurse Practitioner | 333 S Desplaines St Ste 201, Chicago, IL 60661-5514 | 2019-04-17 |
| 1922499102 | Jenna Rezzardi | Nurse Practitioner | 1827 N Clybourn Ave, Apt 2, Chicago, IL 60614-8951 | 2015-02-10 |
| 1174954069 | Cheryl Mandell | Nurse Practitioner | 1250 N Maplewood Ave, Chicago, IL 60622-2857 | 2013-12-03 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1932409489 | Catherine Shannon Dezynski | Nurse Practitioner | 5215 N California Ave Fl 7, Chicago, IL 60625-7014 | 2010-11-01 |
| 1447477401 | Annette Sue Ramsburg | Nurse Practitioner | 5086 Elston Ave., Chicago, IL 60630 | 2007-04-19 |
| 1962625756 | Evelyn Angel Aztlan-keahey | Nurse Practitioner | 659 W. Washington Blvd, Chicago, IL 60661 | 2007-04-10 |
| 1083793616 | Sally Helene Lemke | Nurse Practitioner | 600 S. Paulina Aac 1080, Rush University Medical Center, Chicago, IL 60612 | 2006-11-03 |
| 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.