LAURIE PEERCY (NPI# 1003365842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003365842 |
| Entity Type | Individual |
| Full Name | LAURIE PEERCY |
| Credential | DNP, AGNP |
| Practice Address |
3433 W Madison St Chicago IL 60624-2895 |
| Mailing Address |
Po Box 746721 Atlanta GA 30374-6721 |
| Practice Telephone | 7732422299 |
| Practice Fax Number | 7738301920 |
| Mailing Telephone | 3127339730 |
| Mailing Fax Number | 7738668014 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209014109 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209014109 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1111 Superior St, Suite 104, Melrose Park, IL 601604138 | 7084862700 | 7084862702 |
| Street Address |
3433 W MADISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60624-2895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558441808 | Thomas Gavagan | Family Medicine | 3433 W Madison St, Chicago, IL 60624-2895 | 2006-10-17 |
| 1265951792 | Hebah Arroyo | Nurse Practitioner | 3433 W Madison St, Chicago, IL 60624-2895 | 2017-09-15 |
| 1487170213 | Avani G Patel | Nurse Practitioner | 3433 W Madison St, Chicago, IL 60624-2895 | 2017-08-14 |
| 1427589134 | Margaux Dechambre | Family Medicine | 3433 W Madison St, Chicago, IL 60624-2895 | 2017-03-23 |
| 1386099315 | Erin Vaughan | Nurse Practitioner | 3433 W Madison St, Chicago, IL 60624-2895 | 2016-04-27 |
| 1811307614 | Barbara J Hardt | Nurse Practitioner | 3433 W Madison St, Chicago, IL 60624-2895 | 2014-05-01 |
| 1659620029 | James Gabriel Hodges | Internal Medicine | 3433 W Madison St, Chicago, IL 60624-2895 | 2012-08-31 |
| 1427324201 | Jasmine Marie Walton | Family Medicine | 3433 W Madison St, Chicago, IL 60624-2895 | 2012-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
| 1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
| 1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
| 1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
| 1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
| 1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
| 1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
| 1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
| 1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
| Find all providers in zip 60624 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
| 1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
| 1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
| 1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
| 1780129742 | Darice Linares | Nurse Practitioner | 830 S Wood St, Chicago, IL 60612-4325 | 2016-12-30 |
| 1942262134 | Donna Myers | Nurse Practitioner | 833 W Chicago Ave, #305, Chicago, IL 60622-5449 | 2006-04-04 |
| 1457324311 | Lidia Andruszyn | Nurse Practitioner | 6493 N Northwest Hwy Apt 411, Chicago, IL 60631-1893 | 2006-02-10 |
| 1609499060 | Kelly A Quaine | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-05-20 |
| 1942857081 | Dana Brenneman | Nurse Practitioner | 1740 W Taylor St, Chicago, IL 60612-7232 | 2019-08-22 |
| Find all providers in CHICAGO | ||||
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| 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.