DR. DIVAKAR MITHAL (NPI# 1992122410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992122410 |
| Entity Type | Individual |
| Full Name | DR. DIVAKAR MITHAL |
| Credential | M.D., PH.D. |
| Practice Address |
225 E Chicago Ave Dept Of Chicago IL 60611-2991 |
| Mailing Address |
225 E Chicago Ave Chicago IL 60611-2991 |
| Practice Telephone | 3122273550 |
| Practice Fax Number | 3122279450 |
| Mailing Telephone | 3122273550 |
| Mailing Fax Number | 3122279450 |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
036.147516 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
225 E CHICAGO AVE DEPT OF |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053585604 | Jared Ross Green | Radiology | 225 E Chicago Ave Dept Of, Chicago, IL 60611 | 2008-04-15 |
| 1215430020 | Andrew Armstrong Lawson | Pediatrics | 225 E Chicago Ave Dept Of, Chicago, IL 60611-2991 | 2018-03-18 |
| 1326387564 | Carolyn Mulvey Jenks | Otolaryngology | 225 E Chicago Ave Dept Of, Chicago, IL 60611-2991 | 2013-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851558001 | Lubov Romantseva | Psychiatry & Neurology | 1725 W Harrison St Ste 718, Department of Pediatrics, Section of Child Neurology, Chicago, IL 60612-3863 | 2008-05-16 |
| 1356446306 | Leonard D Elkun Md Sc | Psychiatry & Neurology | 411 W Ontario St, Suite 402, Chicago, IL 60610-6945 | 2006-09-14 |
| 1023129145 | Leonard David Elkun | Psychiatry & Neurology | 411 W. Ontario St, Suite 402, Chicago, IL 60610-6945 | 2006-08-31 |
| 1811929003 | Charles Nash Swisher | Psychiatry & Neurology | 2515 N Clark Street, Suite, Chicago, IL 60614 | 2006-07-07 |
| 1578531950 | David G Ritacco | Psychiatry & Neurology | 225 E Chicago Ave # 51, Chicago, IL 60611-2991 | 2006-03-10 |
| 1386639342 | Audrius V Plioplys | Psychiatry & Neurology | 8844 S Pleasant Ave, Chicago, IL 60620-5441 | 2005-09-15 |
| 1720532773 | Adult and Pediatric Neurology | Psychiatry & Neurology | 5318 W Devon Ave, Chicago, IL 60646-4108 | 2016-08-08 |
| 1851785547 | Henry David | Psychiatry & Neurology | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2015-03-20 |
| 1972910404 | David Andrew Bieber | Psychiatry & Neurology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2014-07-16 |
| 1457795858 | Emily Donna Doll | Psychiatry & Neurology | 5841 S Maryland Ave Mc 3055, Chicago, IL 60637-1447 | 2013-04-29 |
| 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.