MELISSA RITZMAN THEODORE (NPI# 1912294083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912294083 |
Entity Type | Individual |
Full Name | MELISSA RITZMAN THEODORE |
Other Name | MELISSA RITZMAN |
Credential | NP |
Practice Address |
4600 N Ravenswood Ave Chicago IL 60640-4510 |
Mailing Address |
2662 N Orchard St Unit 1 Suite 1156 Chicago IL 60614-1518 |
Practice Telephone | 7735616282 |
Practice Fax Number | 7735617612 |
Mailing Telephone | 7732207552 |
Enumeration Date | 2011-07-08 |
Last Update Date | 2013-04-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209-008739 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043771660 | Melissa Theodore | Behavioral Analyst | 833 S Kenwood Ave, Baltimore, MD 21224-3839 | 2019-03-27 |
1609251370 | Melissa Theodore | Physical Therapist | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2015-07-23 |
Street Address |
4600 N RAVENSWOOD AVE |
City | CHICAGO |
State | IL |
Zip Code | 60640-4510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912934985 | Jose Francisco Elizondo | Family Medicine | 4600 N Ravenswood Ave, 2nd Floor, Chicago, IL 60640-4510 | 2006-06-27 |
1790280881 | Lauren Landerholm Miller | Family Medicine | 4600 N Ravenswood Ave, Chicago, IL 60640-4510 | 2018-03-29 |
1669977948 | Eftihia Davelis | Student in an Organized Health Care Education/Training Program | 4600 N Ravenswood Ave, Chicago, IL 60640-4510 | 2018-03-28 |
1669977104 | Zachary James Long | Student in an Organized Health Care Education/Training Program | 4600 N Ravenswood Ave, Chicago, IL 60640-4510 | 2018-03-27 |
1255836631 | Kavitha Krishnan | Student in an Organized Health Care Education/Training Program | 4600 N Ravenswood Ave, Chicago, IL 60640-4510 | 2018-03-27 |
1174028666 | Audrey Sui | Student in an Organized Health Care Education/Training Program | 4600 N Ravenswood Ave, Chicago, IL 60640-4510 | 2018-03-27 |
1578068979 | Aneesh Tyle | Student in an Organized Health Care Education/Training Program | 4600 N Ravenswood Ave, Chicago, IL 60640-4510 | 2018-03-27 |
1720583396 | Alexandra Mitchell | Student in an Organized Health Care Education/Training Program | 4600 N Ravenswood Ave, Chicago, IL 60640-4510 | 2018-03-27 |
1295198372 | Shuang Annie Yao | Family Medicine | 4600 N Ravenswood Ave, Chicago, IL 60640-4510 | 2016-04-05 |
1548630304 | Azra Hubjer | Nurse Practitioner | 4600 N Ravenswood Ave, Chicago, IL 60640-4510 | 2015-10-05 |
Find all providers in the same location |
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 | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
1366926347 | Kimberly Snell Blanchard | Nurse Practitioner | 600 S Paulina St Ste 130, Chicago, IL 60612-3806 | 2018-09-17 |
1942796123 | Elizabeth R Reyna | Nurse Practitioner | 5841 S Maryland Ave # Mc7120, Chicago, IL 60637-1443 | 2018-07-10 |
1518475615 | Kyla Lynn Musser | Nurse Practitioner | 2525 S Michigan Ave Ste 12, Chicago, IL 60616-2315 | 2018-01-11 |
1942717418 | Madiha Khan | Nurse Practitioner | 3000 N Halsted St Ste 623, Chicago, IL 60657 | 2018-01-05 |
1952828980 | Paulina Petrishka | Nurse Practitioner | 1115 N Crosby St # C, Chicago, IL 60610-2405 | 2017-08-30 |
1831639384 | Ivory Rhymes | Nurse Practitioner | 8750 W Bryn Mawr Ave, Chicago, IL 60631-3655 | 2017-03-02 |
1265971204 | Venus Liezl Basnillo- San Diego | Nurse Practitioner | 1628 N Bell Ave, Apt 1, Chicago, IL 60647-5289 | 2017-02-22 |
1093253718 | Daniel Robert Mead | Nurse Practitioner | 1540 W Chicago Ave, Chicago, IL 60642-5236 | 2017-02-01 |
1992249585 | Karen Panganiban | Nurse Practitioner | 4605 N Elston Ave, 3a, Chicago, IL 60630-4373 | 2016-12-15 |
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.