ESTEBAN MIRANDA
Student in an Organized Health Care Education/Training Program

Address: 3134 N Clark St, Chicago, IL 60657-4414

ESTEBAN MIRANDA (NPI# 1013595289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013595289
Entity Type Individual
Full Name ESTEBAN MIRANDA
Gender Male
Credential MD
Practice Address 3134 N Clark St
Chicago
IL 60657-4414
Practice Telephone 3127664949
Practice Fax Number 3127664925
Mailing Address 3134 N Clark St
Chicago
IL 60657-4414
Mailing Telephone 3127664949
Mailing Fax Number 3127664925
Certification Date 2021-03-29
Enumeration Date 2021-03-30
Last Update Date 2021-03-30
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 3134 N CLARK ST
City CHICAGO
State IL
Zip Code 60657-4414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811575947 Nicholas Spero Student in an Organized Health Care Education/Training Program 3134 N Clark St, Chicago, IL 60657-4414 2021-03-30
1346827060 Maheen Fatima Rahman Student in an Organized Health Care Education/Training Program 3134 N Clark St, Chicago, IL 60657-4414 2021-03-27
1699354944 Andrew Shearn Student in an Organized Health Care Education/Training Program 3134 N Clark St, Chicago, IL 60657-4414 2021-04-05
1356921373 Isimenmen Tiwalola Okekumata Student in an Organized Health Care Education/Training Program 3134 N Clark St, Chicago, IL 60657-4414 2021-04-13
1013545672 Alejandro Fierro Internal Medicine 3134 N Clark St, Chicago, IL 60657-4414 2020-03-30
1821522376 Troy Joseph Mensen Family Medicine 3134 N Clark St, Chicago, IL 60657-4414 2017-04-11
1881213791 Izza Saeed Internal Medicine 3134 N Clark St, Chicago, IL 60657-4414 2020-04-10
1871176461 Lauren Michelle Hayes Midwife 3134 N Clark St, Chicago, IL 60657-4414 2021-04-30
1063090595 Stephanie Heeyeon Kim Student in an Organized Health Care Education/Training Program 3134 N Clark St, Chicago, IL 60657-4414 2021-03-29
1598343360 Christine J Pak Student in an Organized Health Care Education/Training Program 3134 N Clark St, Chicago, IL 60657-4414 2021-03-31
Find all in the same location

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1952809451 Josie M Abogast General Practice 3219 N. Clark St., Chicago, IL 60657 2018-01-30
1821613175 Samridhi Khatri Internal Medicine 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 2020-06-12
1316457542 Rise Through Learning Co. Psychologist - School 3159 N Seminary Ave Apt 307, Chicago, IL 60657 2017-10-02
1457997561 Jasleen Mohini Singh Physician Assistant - Medical 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 2019-11-24
1487116240 Conrad Petersen Dermatology Sc Dermatology 2845 N Sheridan, Chicago, IL 60657 2019-04-02
1154984755 Illinois Kidney Care Pllc Internal Medicine - Nephrology 3023 N Clark St #302, Chicago, IL 60657 2019-04-18
1063920916 Wellness Revolution Lakeview LLC · The Wellness Revolution Chiropractic and Acupuncture Center Chiropractor 3259 N Ashland Ave, Chicago, IL 60657 2018-01-12
1992359277 Joseph Michael Rochford IIi Counselor - Mental Health 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 2019-07-25
1235711730 Abdul-Kareem Opeoluwa Lukan Student in an Organized Health Care Education/Training Program 3134 N Clarke St., Chicago, IL 60657 2021-04-23
1235653783 Lazaros Pavlidis Surgery 836 West Wellington Avenue, Chicago, IL 60657 2017-07-26
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427632140 Sue Bin Park Student in an Organized Health Care Education/Training Program 801 S Paulina St Rm 304g, Chicago, IL 60612-7210 2021-05-09
1003490194 Nicholas Rigler Student in an Organized Health Care Education/Training Program 600 S Paulina St Ste 403, Chicago, IL 60612-3806 2021-05-06
1033793195 Idanis Perez-Alvarez Student in an Organized Health Care Education/Training Program 1275 W Harrison St, Professional Building-Suite 425, Chicago, IL 60612 2021-05-05
1851974125 Kayla Schmittau Student in an Organized Health Care Education/Training Program 600 S Paulina St Ste 430, Chicago, IL 60612-3806 2021-05-04
1821671447 Erin Klukas Student in an Organized Health Care Education/Training Program 3241 S Michigan Ave # 373, Chicago, IL 60616-4201 2021-05-02
1518540285 Lisa Ann Rawle Student in an Organized Health Care Education/Training Program Uic Pediatric Dentistry Residency Rm 256d (mc 850), 801 S. Paulina St., Chicago, IL 60613 2021-04-30
1316520216 Francisco Schlottmann Pozzi Student in an Organized Health Care Education/Training Program 1740 W Taylor St., University of Illinois Hospital, Chicago, IL 60612 2021-04-29
1932782877 Benjamin Stoltenberg Student in an Organized Health Care Education/Training Program University of Illinois Hospital, 1740 W. Taylor Street, Chicago, IL 60612 2021-04-29
1104409168 Stella Lee Student in an Organized Health Care Education/Training Program 3057 W Cermak Rd, Chicago, IL 60623-3548 2021-04-28
1043892524 Jhonatan Marte Student in an Organized Health Care Education/Training Program 5841 S Maryland Ave # Mc3077, Chicago, IL 60637-1443 2021-04-24
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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.