Mr. Daniel Robert Mead
Nurse Practitioner (Adult Health)

Address: 1540 W Chicago Ave, Chicago, IL 60642-5236
Phone: 7734236400

Mr. Daniel Robert Mead (NPI# 1093253718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1093253718
Entity Type Individual
Full Name Mr. Daniel Robert Mead
Credential MSN, APRN, NP-C
Gender Male
Practice Address 1540 W Chicago Ave
Chicago
IL 60642-5236
Practice Telephone 7734236400
Mailing Address 1465 W Winnemac Ave
Apt 1w
Chicago
IL 60640-2894
Mailing Telephone 6167992371
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2017-02-01
Last Update Date 2017-02-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LA2200X Nurse Practitioner · Adult Health Physician Assistants & Advanced Practice Nursing Providers 209015562 IL

Providers with the same name

NPI Name Taxonomy Address Enumeration
1225593726 Daniel Woodward Mead Nurse Practitioner 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 2019-02-08
1194741454 Daniel H. Mead Physician Assistant 713 Troy Schenectady Rd, Suite 224, Latham, NY 12110-2490 2006-07-13

Physician Overview

NPI 1093253718
PAC ID by PECOS 8022389618
Professional Enrollment ID I20180215000849
Full Name Daniel Mead
Organization Legal Name SHIFA NEPHROLOGY ASSOCIATES LLC
Phone Number 7734236400
Gender M
Medical School UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 6305028390
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1992249585 Karen Panganiban Nurse Practitioner 4605 N Elston Ave, 3a, Chicago, IL 60630-4373 2016-12-15
1043769268 Michelle Moore Nurse Practitioner 458 N May St, Chicago, IL 60642-5819 2016-09-29
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Office Location

Street Address 1540 W CHICAGO AVE
City CHICAGO
State IL
Zip Code 60642-5236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538775846 Lashaunda Jones-green Nurse Practitioner 1540 W Chicago Ave, Chicago, IL 60642-5236 2020-09-22
1659980092 Alhaji Saidu Sesay Nurse Practitioner 1540 W Chicago Ave, Chicago, IL 60642-5236 2020-07-30
1174030811 Christina Michelle Lattner Internal Medicine 1540 W Chicago Ave, Chicago, IL 60642-5236 2018-01-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134612542 Lauren Gregorcy Social Worker 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 2018-06-11
1811409030 Athletico Ltd Physical Therapist 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 2017-10-27
1346759693 Rachel Sherron Counselor 938 N Elston, #1, Chicago, IL 60642 2017-09-28
1639612831 Empathic Resonance, LLC Psychiatry & Neurology 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 2016-11-21
1053867317 D Jamieson Brady Dentist 1249 N Greenview Ave Apt 1, Chicago, IL 60642 2016-08-28
1548646508 Kathryn Lee Massage Therapist 742 N Ada St, Unit 1, Chicago, IL 60642 2015-07-31
1497149694 Neda Bahrani Family Medicine 1460 N Halsted St Ste 401, Chicago, IL 60642 2015-03-25
1326439431 Sarah Perez Counselor 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 2015-02-11
1780097105 Michael Sotiriou Dermatology 1765 N Elston Ave Ste 110, Chicago, IL 60642 2014-06-03
1285067876 Tyler Pere Choate Speech-Language Pathologist 400 N. May Street, Chicago, IL 60642 2013-08-19
Find all providers in zip 60642

Competitor

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City CHICAGO
Zip Code 60642

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Dataset Information

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.