Individual provider Active NPI

Ioanna Vateva, M.D.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1598839201
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036103559 Issued in IL
Practice address
7035 W Grand Ave
Chicago, IL 60707-2143
Phone
(773) 385-8033
Fax
(773) 385-8035
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036103559 IL Primary

Addresses

Primary practice location

7035 W Grand Ave
Chicago, IL 60707-2143

Mailing address

7035 W Grand Ave
Chicago, IL 60707-2143
Phone (773) 385-8033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036103559ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Empatia Care LTD SC PastSince Nov 8, 2015 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598839201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072143",
            "telephone_number": "773-385-8033",
            "fax_number": "773-385-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072143",
            "telephone_number": "773-385-8033",
            "fax_number": "773-385-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATEVA",
        "first_name": "IOANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036103559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.