ANU VISHWANATH (NPI# 1982816237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982816237 |
| Entity Type | Individual |
| Full Name | ANU VISHWANATH |
| Practice Address |
420 Ne Glen Oak Ave Ste 401 Suite 401 Peoria IL 61603-3168 |
| Mailing Address |
5400 W Sienna Ln Apt 1208 Apt 1208 Peoria IL 61615-7854 |
| Practice Telephone | 3096249844 |
| Practice Fax Number | 3096248884 |
| Mailing Telephone | 3128600315 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2017-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
036.132469 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
420 NE GLEN OAK AVE STE 401 SUITE 401 |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974597 | Timothy P Oconnor | Transplant Surgery | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603 | 2005-10-05 |
| 1962994707 | Michelle Sue Dehne | Nurse Practitioner | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168 | 2018-06-06 |
| 1780060517 | Danae Smith | Nurse Practitioner | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168 | 2015-08-04 |
| 1568848497 | Sarah Adams | Nurse Practitioner | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168 | 2015-08-03 |
| 1225434772 | Tonya Moore | Registered Nurse | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168 | 2014-11-11 |
| 1497172399 | Jill Oberle | Nurse Practitioner | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168 | 2014-03-28 |
| 1629344064 | David Edward Houser | Internal Medicine | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168 | 2012-03-29 |
| 1538325477 | Raji Jacob | Internal Medicine | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168 | 2008-07-30 |
| 1669648309 | Muhammad Waqar Khattak | Internal Medicine | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603 | 2008-05-02 |
| 1124152707 | Alexander J. Alonso | Internal Medicine | 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168 | 2007-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
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| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710955885 | Sue E Sauder | Pediatrics | 507 E Armstrong, Regional Development Center, Peoria, IL 61603 | 2006-03-14 |
| 1528359106 | Mark Daniel Miller | Pediatrics | 530 Ne Glen Oak Ave, Peoria, IL 61637-4699 | 2011-04-29 |
| 1043487192 | Valeria Claudia Benavides Lopez | Pediatrics | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2008-05-08 |
| 1366497539 | Michael Torchinsky | Pediatrics | 530 Ne Glen Oak Ave, Department of Pediatrics, Uic, Peoria, IL 61637 | 2006-05-24 |
| 1073582870 | Joyce Wise | Pediatrics | 507 E Armstrong, Regional Development Center, Peoria, IL 61603 | 2006-03-15 |
| 1114996014 | William Maurer | Pediatrics | Regional Development Center, 507 E Armstrong, Peoria, IL 61603 | 2006-03-15 |
| 1336114636 | Rodney Lorenz | Pediatrics | 507 E Armstrong Ave, Regional Development Center, Peoria, IL 61603-3201 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396163671 | Mary Mccauley | Pediatrics | 5841 S Maryland Ave # Mc5053, Chicago, IL 60637-1447 | 2014-04-02 |
| 1891137394 | Ahmed Mohamed Torky | Pediatrics | 301 N 8th St Ste 3a169, Springfield, IL 62701-1041 | 2013-07-24 |
| 1790068872 | Stuart Roy Kupfer | Pediatrics | 1 Takeda Pkwy, Deerfield, IL 60015-5713 | 2011-09-24 |
| 1780983163 | Magdalena Dumin | Pediatrics | 1675 Dempster St Fl 2, Park Ridge, IL 60068 | 2011-03-24 |
| 1447261524 | Jennifer Lynn Miller | Pediatrics | 6501 S Promontory Dr, Chicago, IL 60649-1003 | 2006-08-11 |
| 1962939579 | Apoorva Aekka | Pediatrics | 225 E Chicago Ave # 54, Chicago, IL 60611-2991 | 2017-05-12 |
| 1659740033 | Presence Hospitals Prv | Pediatrics | 301 Madison St, Suite 302, Joliet, IL 60435-6549 | 2015-09-16 |
| 1891058830 | Michelle Blanco Lemelman | Pediatrics | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2012-06-22 |
| 1760768121 | Adventist Health Partners, Inc | Pediatrics | 12 Salt Creek Ln, Ste 106, Hinsdale, IL 60521-8605 | 2011-10-31 |
| 1972891216 | Juan Jose Lado | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2011-07-20 |
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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.