TARGET CLINIC (NPI# 1023448644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023448644 |
| Entity Type | Organization |
| Organization Name | TARGET CLINIC |
| Practice Address |
1154 S Clark St Chicago IL 60605-2159 |
| Mailing Address |
4733 N Clark St Apt 2n Chicago IL 60640-7555 |
| Practice Telephone | 3122126300 |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-19 |
| Authorized Official Name | ELIZABETH MARIE JACOBSMA (NURSE PRACTITIONER) |
| Authorized Official Telephone | 5635053837 |
| Authorized Official Credential | APN, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 209010998 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447648506 | Target Clinic | Nurse Practitioner | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2014-12-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Target Clinic Medical Associates Virginia LLC | 1000 Nicollet Mall, Tps 1797, Minneapolis, Minnesota 55403 |
| Street Address |
1154 S CLARK ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60605-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598787202 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1154 S Clark St, Chicago, IL 60605-2159 | 2006-07-24 |
| 1518470509 | Jacqueline Paige Arant | Nurse Practitioner | 1154 S Clark St, Chicago, IL 60605-2159 | 2017-11-13 |
| 1215398862 | Amanda Hiestand | Nurse Practitioner | 1154 S Clark St, Chicago, IL 60605-2159 | 2016-03-10 |
| 1639546062 | Christine M Mckay | Nurse Practitioner | 1154 S Clark St, Chicago, IL 60605-2159 | 2015-09-02 |
| 1619352168 | Rena Mammoo | Nurse Practitioner | 1154 S Clark St, Chicago, IL 60605 | 2015-07-27 |
| 1598167215 | Karmen K Ho | Pharmacist | 1154 S Clark St, Chicago, IL 60605-2159 | 2014-09-25 |
| 1528490190 | Keonya Gillespie | Nurse Practitioner | 1154 S Clark St, Chicago, IL 60605-2159 | 2013-08-06 |
| 1821367095 | Mindy Qiu | Pharmacist | 1154 S Clark St, Chicago, IL 60605-2159 | 2011-12-18 |
| 1982971552 | Andrew T Starkman | Pharmacist | 1154 S Clark St, Chicago, IL 60605-2159 | 2011-11-25 |
| 1255626818 | Katheryn Niemeyer | Pharmacist | 1154 S Clark St, Chicago, IL 60605-2159 | 2011-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074219 | Kheri Dunkins | Counselor | 1136 S Delano Ct, Suite B201, Chicago, IL 60605 | 2020-08-22 |
| 1134739196 | Erin Odonnell | Physical Therapist | 1255 Soputh State Street, Unit 6, Chicago, IL 60605 | 2020-08-05 |
| 1225658032 | Rita Haber | Speech-Language Pathologist | 1255 S Michigan Avenue, 207, Chicago, IL 60605 | 2020-04-21 |
| 1285288753 | My Travel Guy, Inc. | Transportation Broker | 1300 S. Wabash Ave. Suite # 205, Chicago, IL 60605 | 2019-08-01 |
| 1699230417 | Iesha Marsh | Home Health Aide | 820 S Park Terrance, Apt813, Chicago, IL 60605 | 2019-02-06 |
| 1538633482 | Sara Miller | Counselor | 401 S. Lasalle St. Suite 800h, Chicago, IL 60605 | 2019-01-14 |
| 1992203798 | Lorna Johnson | Nurse Practitioner | 1740 W Taylor St., 764e Uih, Mc 509, Chicago, IL 60605 | 2018-01-26 |
| 1790226207 | Undine and Associates | Social Worker | 410 S. Michigan Ave, Ste 943, Chicago, IL 60605 | 2017-03-16 |
| 1659811529 | Paul Parpart | Occupational Therapist | 1235 S Prairie, Chicago, IL 60605 | 2017-02-27 |
| 1144679879 | Osco Drug | Ambulance | 1529 S State St 6e, Chicago, IL 60605 | 2016-06-03 |
| Find all providers in zip 60605 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1649817768 | Rising Root Nutrition LLC | Clinic/Center | 2835 N Sheffield Ave Ste 511, Chicago, IL 60657-5081 | 2019-12-09 |
| 1487203642 | Jennifer Scherbauer | Clinic/Center | 4036 N Ashland Ave Apt 1w, Chicago, IL 60613-2534 | 2019-09-10 |
| 1194380147 | Colmed Clinic Ltd | Clinic/Center | 3615 N Ashland Ave Apt 1n, Chicago, IL 60613-4742 | 2019-05-06 |
| 1831662931 | Ova Institute LLC | Clinic/Center | 401 N Michigan Ave Ste 1800, Chicago, IL 60611-4225 | 2019-01-10 |
| 1972080992 | Family Care Sc | Clinic/Center | 2320 W Peterson Ave Fl 6, Chicago, IL 60659-5242 | 2018-07-23 |
| 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.