ANDREA JEAN WAKIM NPI 1003446212

Student in an Organized Health Care Education/Training Program in Maywood, IL

Individual Female Student in an Organized Health Care Educ...

About ANDREA WAKIM

Andrea Wakim is a provider established in Maywood, Illinois and her medical specialization is student in an organized health care education/training program. The NPI number of Andrea Wakim is 1003446212 and was assigned on January 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated January 2020.

NPI

1003446212

Provider Name ANDREA JEAN WAKIM
Provider Location Address2160 S 1ST AVE MAYWOOD, IL 60153
Provider Mailing Address2160 S 1ST AVE MAYWOOD, IL 60153
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date01-16-2020
Last Update Date01-17-2020

Primary Taxonomy

Taxonomy Code390200000X
ClassificationStudent in an Organized Health Care Education/Training Program
TypeStudent, Health Care
Taxonomy DescriptionAn 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.

Business Address

ANDREA JEAN WAKIM
2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153
Phone: (888) 584-7888

Get Directions

Mailing Address

ANDREA JEAN WAKIM
2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153
Phone:

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013994086 SHELLY LO MD
Individual
Internal Medicine (Hematology & Oncology)2160 S 1ST AVE LUH - NORTH ENT., RM. 7604
MAYWOOD, IL 60153
(708) 216-3304
1033196910 CHRISTINE DUDIAK MD
Individual
Radiology (Diagnostic Radiology)2160 S 1ST AVE MCGAW ENT., RM. 47
MAYWOOD, IL 60153
(708) 216-5221
1114904471 JORGE PARADA MD, MPH
Individual
Internal Medicine (Infectious Disease)2160 S 1ST AVE (LUH-NORTH ENT., RM. 7604)
MAYWOOD, IL 60153
(708) 216-3232
1124005004 VIKRAM C PRABHU MD
Individual
Neurological Surgery2160 S 1ST AVE (MAGUIRE CENTER, RM. 1900)
MAYWOOD, IL 60153
(708) 216-8563
1174525489DR. MICHAEL JM RAFFIN PH.D.
Individual
Audiologist2160 S 1ST AVE
MAYWOOD, IL 60153
(708) 216-3821
1184601452 STUART BRIAN JOHNSON MD
Individual
Internal Medicine (Infectious Disease)2160 S 1ST AVE 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
(708) 216-3232
1184624603 RICHARD W BORROWDALE MD
Individual
Otolaryngology2160 S 1ST AVE MAGUIRE CENTER 1870
MAYWOOD, IL 60153
(708) 216-9183
1215914189 CARYL SALOMON MD
Individual
Radiology (Diagnostic Radiology)2160 S 1ST AVE 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
(708) 216-9000
1306823208 DAVID HECHT MD
Individual
Internal Medicine (Infectious Disease)2160 S 1ST AVE LUH - NORTH ENT. , RM.7604
MAYWOOD, IL 60153
(708) 216-3232
1346227295 KAMIL MUZAFFAR MD
Individual
Otolaryngology2160 S 1ST AVE (9608 ROBERTS RD., HICKORY HILLS, IL. 60457)
MAYWOOD, IL 60153
(708) 233-5333
1386621647 J PAUL OKEEFE MD
Individual
Internal Medicine (Infectious Disease)2160 S 1ST AVE (1950 S. HARLEM AVE., NORTH RIVERSIDE, IL. 60546)
MAYWOOD, IL 60153
(708) 354-9250
1417954868 YING SUN M.S.
Individual
Specialist2160 S 1ST AVE
MAYWOOD, IL 60153
(708) 216-3821
1437151974 KEVIN J EMBACH M.D.
Individual
Internal Medicine2160 S 1ST AVE LOYOLA UNIV. HOSPITAL, ROOM 7604
MAYWOOD, IL 60153
(708) 216-8757
1619954583 KENNETH CRAIG MICETICH MD
Individual
Internal Medicine (Hematology & Oncology)2160 S 1ST AVE (15750 MARION DR., HOMER GLEN, IL. 60491)
MAYWOOD, IL 60153
(708) 645-3400
1649257510 WILLIAM GREENLEE MD
Individual
Radiology (Neuroradiology)2160 S 1ST AVE MCGAW ENT., RM. 47
MAYWOOD, IL 60153
(708) 216-5221
1699752568 SAM MARZO MD
Individual
Otolaryngology (Otology & Neurotology)2160 S 1ST AVE MAGUIRE CENTER 1870
MAYWOOD, IL 60153
(708) 216-9183
1720085103MRS. KATHLEEN E. SCHORE M.S., CCC-A
Individual
Specialist2160 S 1ST AVE LUMC/AUDIOLOGY
MAYWOOD, IL 60153
(708) 206-3821
1861479719 ROBERT HENKIN MD
Individual
Radiology (Nuclear Radiology)2160 S 1ST AVE 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
(708) 216-9000
1952388803 CHINYERE ANEZIOKORO MD
Individual
Internal Medicine (Infectious Disease)2160 S 1ST AVE 101-1740, LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
(708) 216-9000
1992700033MS. SONYA RESCHLY M.S.
Individual
Audiologist2160 S 1ST AVE
MAYWOOD, IL 60153
(708) 216-3821

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.