Tabitha Ann Poorvu, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

247000044 Issued in IL

Practice address

680 N Lake Shore Dr
Suite 1230
Chicago, IL 60611-4546

Phone

(312) 477-2978

Fax

(312) 981-4404

NPI assigned

Jan 4, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tabitha Ann Abrazinski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400284800000",
    "number": "1366789786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S CLARK ST",
            "address_2": "APT 2512",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051743",
            "telephone_number": "774-239-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "SUITE 1230",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-477-2978",
            "fax_number": "312-981-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORVU",
        "first_name": "TABITHA",
        "middle_name": "ANN",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2014-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "IL",
            "license": "247000044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "ABRAZINSKI",
            "middle_name": "ANN",
            "credential": "MS, CGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chithra Poongkunran, M.D.
• Taylor Alexander Poor, M.D./PH.D.
• Gregory Poore, PHD
• Elisabeth Poorman, M.D.
• Jennifer Sain Poortinga, PHARMD, BCOP
• Tincy Poovathur
• Pop RN
• Justina Pop
• Lavinel Bill Popa
• Sonya Popal, DC

• Genetic Counselor (M.S.) in Chicago, IL
• Providers in Chicago, IL by specialty
• Genetic Counselor (M.S.) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.