DR. DARRELL R LATVA (NPI# 1902890395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902890395 |
| Entity Type | Individual |
| Full Name | DR. DARRELL R LATVA |
| Credential | DPM |
| Practice Address |
1108 S Kedzie Ave Chicago IL 60612-3935 |
| Mailing Address |
3537 Paysphere Cir Chicago IL 60674-0035 |
| Practice Telephone | 7737222712 |
| Mailing Telephone | 7087862900 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2012-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
016-003092 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 016-003092-3 | 05 |
| Street Address |
1108 S KEDZIE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437532827 | Neringa Kunigonis | Podiatrist | 1108 S Kedzie Ave, Chicago, IL 60612-3935 | 2015-07-02 |
| 1639552029 | Lijo John | Podiatrist | 1108 S Kedzie Ave, Chicago, IL 60612-3935 | 2015-07-02 |
| 1225125677 | Mount Sinai Community Foundation | Durable Medical Equipment & Medical Supplies | 1108 S Kedzie Ave, Chicago, IL 60612-3935 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902269301 | Jillian Cabai | Podiatrist | 3000 N Halsted St Ste 606, Chicago, IL 60657-6456 | 2016-04-01 |
| 1710279641 | Prpodiatry, LLC | Podiatrist | 433 W Briar Pl, Unit 7b, Chicago, IL 60657-4752 | 2011-05-11 |
| 1659577575 | Pam Eernisse Dpm Sc | Podiatrist | 680 N Lake Shore Dr # 1305, Chicago, IL 60611-4546 | 2007-06-26 |
| 1205868551 | Angela Pezzuto | Podiatrist | 1424 E. 53rd St., Ste.301, Mitchell Foot and Ankle, Chicago, IL 60615 | 2006-07-07 |
| 1740259365 | Douglas A Diekevers | Podiatrist | 3000 Halsted St, Suite 525, Chicago, IL 60603-5902 | 2006-03-16 |
| 1851385553 | Sloan V Metz | Podiatrist | 3700 W 26th St, Chicago, IL 60623-3824 | 2005-09-08 |
| 1063810778 | Foot First Podiatry Centers Vpc | Podiatrist | 30 S Michigan Ave, Suite 302, Chicago, IL 60603-3211 | 2014-12-11 |
| 1942632856 | Jeffrey Moy | Podiatrist | 3632 N Western Ave, Chicago, IL 60618-4715 | 2013-08-01 |
| 1780960831 | Charles Caplis Dpm Sc | Podiatrist | 30 N Michigan Ave, Suite 720, Chicago, IL 60602-3402 | 2011-11-02 |
| 1417116609 | Alameda Foot Centers, PC | Podiatrist | 3000 N Halsted St, Suite 611, Chicago, IL 60657-5188 | 2008-06-03 |
| 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.