MR. ANDREW STEVEN HALLUM (NPI# 1063978476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063978476 |
| Entity Type | Individual |
| Full Name | MR. ANDREW STEVEN HALLUM |
| Credential | FNP-BC |
| Practice Address |
5401 S Wentworth Ave Chicago IL 60609-6300 |
| Mailing Address |
6341 N Oakley Ave Apt 3n Chicago IL 60659-2087 |
| Practice Telephone | 7732686900 |
| Practice Fax Number | 7732683020 |
| Mailing Telephone | 3126476706 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.018675 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5401 S WENTWORTH AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60609-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275511925 | Barbara Ann Zimmerman Minnich | Advanced Practice Midwife | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2006-01-04 |
| 1295291581 | Ellen Christine Seymour | Nurse Practitioner | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2019-02-12 |
| 1932674488 | Visitacion Rosel Gozo | Registered Nurse | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2018-10-11 |
| 1417450867 | Josephine Bostic | Nurse Practitioner | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2018-03-12 |
| 1801326681 | Scott H Coppel | Internal Medicine | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2017-06-14 |
| 1578018792 | David Kerbow | Nurse Practitioner | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2016-08-17 |
| 1497151542 | Charita Smith | Optometrist | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2014-11-17 |
| 1538441456 | Victoria Fu Ji Huang | Pharmacist | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2011-09-16 |
| 1871890343 | William Jacob Williams | Dentist | 5401 S Wentworth Ave, Suite 200, Chicago, IL 60609-6300 | 2011-02-18 |
| 1023299880 | Amy Ramirez | Pediatrics | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2007-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843152 | Healing and Fuerza Therapy LLC | Clinic/Center | 3735 S Wallace St 1r, Chicago, IL 60609 | 2020-05-26 |
| 1306407721 | Athletico Ltd | Physical Therapist | 5336 S State St, Chicago, IL 60609 | 2019-06-26 |
| 1396157939 | Unlimited Resources | Private Vehicle | 8104 S. Kingston, Chicago, IL 60609 | 2014-06-02 |
| 1013215474 | Giles B. Mizock M.d. Ltd. | Obstetrics & Gynecology | 5025 W. Paulina, Methodist Hosp, Chicago, IL 60609 | 2011-03-09 |
| 1164691630 | Alfreda D Beard | Dentist | 5050 So State, Chicago, IL 60609 | 2008-02-28 |
| 1588876510 | Victor P Gutierrez | Chiropractor | 1824 W. 47th St., Chicago, IL 60609 | 2007-05-03 |
| 1619092558 | Highlander Care Center, LLC | Skilled Nursing Facility | 4815 S Western Ave, Chicago, IL 60609 | 2007-03-20 |
| 1437295482 | Rolando A Lara | Internal Medicine | 1708 W 47th St, Chicago, IL 60609 | 2007-01-29 |
| 1497765168 | Judith H Mcdevitt | Nurse Practitioner | 734 W. 47th Street, Ihc South, Chicago, IL 60609 | 2006-08-08 |
| 1790795474 | Lorrita Marie Verhey | Nurse Practitioner | 734 W. 47th Street South, Ihc, Chicago, IL 60609 | 2006-08-08 |
| Find all providers in zip 60609 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
| 1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
| 1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
| 1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
| 1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
| 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.