MRS. GINA MARIE PALM


Address: 6631 N Bosworth Ave, Chicago, IL 60626-4223
Phone: 7737615035

MRS. GINA MARIE PALM (NPI# 1033148275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033148275
Entity Type Individual
Full Name MRS. GINA MARIE PALM
Credential APN
Practice Address 6631 N Bosworth Ave
Chicago
IL 60626-4223
Practice Telephone 7737615035
Practice Fax Number 7737615005
Mailing Telephone 7737615035
Mailing Fax Number 7737615005
Enumeration Date 2006-07-01
Last Update Date 2012-05-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
209004482 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6631 N BOSWORTH AVE
City CHICAGO
State IL
Zip Code 60626-4223

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912450370 Valerie Guerra Social Worker 6631 N Bosworth Ave, Chicago, IL 60626-4223 2016-08-02
1972955680 Heartland International Health Center Clinic/Center 6631 N Bosworth Ave, Chicago, IL 60626-4223 2016-07-06
1841697612 Anne Bendik Nurse Practitioner 6631 N Bosworth Ave, Chicago, IL 60626-4223 2014-11-22
1053731588 Advocate Health and Hospitals Corporation Local Education Agency (LEA) 6631 N Bosworth Ave, Chicago, IL 60626-4223 2014-04-23
1043381486 Access Community Health Network Clinic/Center 6631 N Bosworth Ave, Chicago, IL 60626-4223 2006-11-09

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1891203477 Natalie Cerda Specialist/Technologist 6526 North Winthrop, Chicago, IL 60626 2018-01-17
1841709136 Jennifer Browse Speech-Language Pathologist 7101 N. Greenview, Chicago, IL 60626 2017-09-29
1922526292 Bill Johnson Psychologist 1712 W Estes Avenue Unit 109, Chicago, IL 60626 2017-09-06
1326580333 Zackary Charles Davis Specialist/Technologist 6526 N. Winthrop Avenue, Chicago, IL 60626 2016-11-08
1053772913 Devon Migues Counselor 6710 N Hermitage Ave, 1, Chicago, IL 60626 2016-03-18
1457718124 Carol L. Marshall Social Worker 7231 1/2 N. Sheridan Rd, Chicago, IL 60626 2016-01-26
1972948206 Donna Darcell Smith Counselor 1401 West Jarvis Ave., #2e, Chicago, IL 60626 2013-04-30
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669937231 Colleen Ann Larkin Nurse Practitioner 10939 S Troy St, Chicago, IL 60655-2211 2019-02-07
1487160586 Meghan Doepke Sullivan Nurse Practitioner 1030 N Clark St Ste 400, Chicago, IL 60610-5468 2017-12-27
1366955940 Debra Chana Goldstein Nurse Practitioner 2732 W Chase Ave, Chicago, IL 60645-1313 2017-11-06
1588189260 Larissa Marie Schulze Nurse Practitioner 737 N Michigan Ave Ste 820, Chicago, IL 60611-6659 2017-08-03
1164887295 Meredith Murphy Mcintee Nurse Practitioner 5841 S Maryland Ave # Mc4065, Chicago, IL 60637-1443 2015-12-16
1215345442 Tara Seider Nurse Practitioner 2707 W Ainslie St, Unit #3, Chicago, IL 60625-2715 2014-07-31
1447697982 Emily Thurn Nurse Practitioner 225 E Chicago Ave Box 29, Chicago, IL 60611-2605 2013-05-23
1518231505 Julianne Deschler Bertalmio Nurse Practitioner 1460 N. Halsted Street, Suite 402, Chicago, IL 60642 2012-03-08
1932478765 Julie Elizabeth Martin Nurse Practitioner 225 E Chicago, 4 Ne, Chicago, IL 60611-2605 2011-12-22
1245532480 Alexandra Wilson Benz Nurse Practitioner 225 E Chicago Ave # 93, Chicago, IL 60611-2991 2010-11-20
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Competitor

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City CHICAGO
Zip Code 60626

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Dataset Information

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.

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