NEILA PETROVIC (NPI# 1912545542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912545542 |
Entity Type | Individual |
Full Name | NEILA PETROVIC |
Practice Address |
603 E Diehl Rd Ste 123 Naperville IL 60563-4908 |
Mailing Address |
21600 Oxnard St Woodland Hills CA 91367-4976 |
Practice Telephone | 3318260226 |
Mailing Telephone | 8183452345 |
Enumeration Date | 2019-12-13 |
Last Update Date | 2019-12-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
P361-6200-1698 | IL | Allopathic & Osteopathic Physicians |
Street Address |
603 E DIEHL RD STE 123 |
City | NAPERVILLE |
State | IL |
Zip Code | 60563-4908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215239967 | Marissa Nichole Cline | Behavioral Analyst | 603 E Diehl Rd Ste 123, Naperville, IL 60563-4908 | 2010-12-01 |
1356940100 | Rachael N Tupper | Behavior Technician | 603 E Diehl Rd Ste 123, Naperville, IL 60563-4908 | 2020-10-22 |
1033717756 | Sara Elizabeth O'hare | Behavior Technician | 603 E Diehl Rd Ste 123, Naperville, IL 60563-4908 | 2020-10-14 |
1730715491 | Emma Walsh | Behavioral Analyst | 603 E Diehl Rd Ste 123, Naperville, IL 60563-4908 | 2020-03-13 |
1831723675 | Katherine Ann Hutton | Behavior Technician | 603 E Diehl Rd Ste 123, Naperville, IL 60563-4908 | 2020-03-02 |
1083245609 | Haniya Fatima | Behavior Technician | 603 E Diehl Rd Ste 123, Naperville, IL 60563-4908 | 2020-02-01 |
1225668791 | Sahana Reddy | Behavior Technician | 603 E Diehl Rd Ste 123, Naperville, IL 60563-4908 | 2020-01-23 |
1831739143 | Shahan Sherwani | Behavior Technician | 603 E Diehl Rd Ste 123, Naperville, IL 60563-4908 | 2020-01-14 |
1073152658 | Jordan Elmer | Behavioral Analyst | 603 E Diehl Rd Ste 123, Naperville, IL 60563-4908 | 2019-12-31 |
1609419902 | Olivia Ann Holtzinger | Behavioral Analyst | 603 E Diehl Rd Ste 123, Naperville, IL 60563-4908 | 2019-10-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
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Taxonomy Code | 2080P0006X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Developmental – Behavioral Pediatrics |
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720625601 | Shane Rafferty | Pediatrics | 4852 N Rockwell St Apt 2, Chicago, IL 60625-6521 | 2019-12-10 |
1376930750 | Prudence Hartwell | Pediatrics | 5841 S Maryland Ave # Mc0900, Chicago, IL 60637 | 2015-04-23 |
1962841122 | Jessica Katz Edison | Pediatrics | 1555 Barrington Rd Lowr Level, Hoffman Estates, IL 60169-1019 | 2013-06-21 |
1942598891 | Sotiria E. Moschovis | Pediatrics | 6127 N. Leader Ave., Chicago, IL 60646 | 2011-07-13 |
1326335514 | Evora Juanita Brent | Pediatrics | 1000 Central St., Suite 800, Evanston, IL 60201-1780 | 2011-07-07 |
1720142995 | Peter Joseph Smith Sr. | Pediatrics | 950 E. 61st Street, Ssc, Suite 207, Chicago, IL 60637 | 2006-12-21 |
1619948411 | University of Illinois | Pediatrics | Regional Development Center, 507 E Armstrong, Peoria, IL 61603 | 2006-01-30 |
1538637905 | Isabel Krynski | Pediatrics | 740 Quail Ridge Dr, Westmont, IL 60559-6148 | 2018-11-05 |
1134644834 | Shevia Morris | Pediatrics | 5116 N Nordica Ave, Chicago, IL 60656-3606 | 2017-08-03 |
1982066957 | Maria Gabriela Balsa Guerrero | Pediatrics | 5841 S Maryland Ave # Mc8016, Chicago, IL 60637-1443 | 2016-03-28 |
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City | NAPERVILLE |
Zip Code | 60563 |
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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.