MANAVI BHAGWAT
Student in an Organized Health Care Education/Training Program

Address: 1717 W Congress Pkwy, Chicago, IL 60612-3809

MANAVI BHAGWAT (NPI# 1114506722) 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) 1114506722
Entity Type Individual
Full Name MANAVI BHAGWAT
Gender Female
Practice Address 1717 W Congress Pkwy
Chicago
IL 60612-3809
Practice Telephone 3129425269
Mailing Address 1717 W Congress Pkwy
Chicago
IL 60612-3809
Certification Date 2021-04-01
Enumeration Date 2021-04-02
Last Update Date 2021-04-02
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 1717 W CONGRESS PKWY
City CHICAGO
State IL
Zip Code 60612-3809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528564374 Asad Khan Internal Medicine - Cardiovascular Disease 1717 W Congress Pkwy, Chicago, IL 60612-3809 2018-04-02
1811304751 Fadi Abou Obeid Internal Medicine 1717 W Congress Pkwy, Chicago, IL 60612-3809 2014-07-11
1689109282 Jennifer Broess Internal Medicine 1717 W Congress Pkwy Ste 10, Chicago, IL 60612-3809 2017-04-21
1700318631 Umair Savani Internal Medicine 1717 W Congress Pkwy Ste 10, Chicago, IL 60612-3809 2017-03-30
1801455993 Parul Arora Nurse Practitioner - Gerontology 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 2019-06-11
1164957064 Shannon Xiang Li Internal Medicine 1717 W Congress Pkwy Ste 317, Chicago, IL 60612-3809 2017-04-28
1477087872 Aaron Kunamalla Internal Medicine - Cardiovascular Disease 1717 W Congress Pkwy Ste 317, Chicago, IL 60612-3809 2017-04-12
1790131779 Laith Ayman Ibrahim Derbas Internal Medicine 1717 W Congress Pkwy Ste 317, Chicago, IL 60612-3809 2016-05-10
1285049197 Nidhi Madan Internal Medicine - Cardiovascular Disease 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 2014-06-30

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1891375986 Elizabeth Grace Behre Student in an Organized Health Care Education/Training Program 1645 W. Jackson Blvd. Suite 200, Chicago, IL 60612 2021-04-12
1649874561 Kimberly Krupa Tadros Pharmacist Vamc Outpatient Pharmacy, 820 S Damen Ave, Chicago, IL 60612 2020-11-23
1093325763 Zahra Mostafa Al Khuridah Student in an Organized Health Care Education/Training Program University of Illinois Hospital, 1740 W. Taylor St., Chicago, IL 60612 2020-08-06
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-Konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1215554852 Leah D'Souza Internal Medicine 500 South Paulina Street, Ground Floor Atrium 013, Chicago, IL 60612 2020-06-30
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
Find all providers in zip 60612

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
1154902575 Natalie Lemon Student in an Organized Health Care Education/Training Program 842 N Wood St Apt 3, Chicago, IL 60622-5056 2021-04-16
1083295489 Emily Symes Student in an Organized Health Care Education/Training Program 5841 S. Maryland Ave., Mc3083 Rm. S329, Chicago, IL 60637-1443 2021-04-16
1568043289 Yejoon Kim Student in an Organized Health Care Education/Training Program 4000 W Diversey Ave Apt 330, Chicago, IL 60639-2196 2021-04-15
1932780772 Artemis Gogos Student in an Organized Health Care Education/Training Program 800 S Wood St, Chicago, IL 60612-4325 2021-04-14
1558942367 Hung Thanh Le Student in an Organized Health Care Education/Training Program 801 S Paulina St Rm 119d, Chicago, IL 60612-7210 2021-04-14
1104407998 Leah Kristine Anderson Student in an Organized Health Care Education/Training Program 600 S Paulina St Ste 524, Chicago, IL 60612-3806 2021-04-14
1891375986 Elizabeth Grace Behre Student in an Organized Health Care Education/Training Program 1645 W. Jackson Blvd. Suite 200, Chicago, IL 60612 2021-04-12
1205416682 Aaditi Guruprasad Naik Student in an Organized Health Care Education/Training Program 924 E 57th St Ste 104, Chicago, IL 60637-1455 2021-04-10
1043890510 Rebecca Alison Foreman Student in an Organized Health Care Education/Training Program 1620 W Harrison St Ste 454, Chicago, IL 60612-3801 2021-04-09
1689254302 Connor Comstock Student in an Organized Health Care Education/Training Program 1750 W Harrison St Ste 744, Chicago, IL 60612-3825 2021-04-08
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60612

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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.