PAMELA K PHILLIPS (NPI# 1134232044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134232044 |
Entity Type | Individual |
Full Name | PAMELA K PHILLIPS |
Credential | APN |
Practice Address |
4909 W Division St Chicago IL 60651-3161 |
Mailing Address |
7757 W Sunset Dr Elmwood Park IL 60707-1326 |
Practice Telephone | 7739218100 |
Practice Fax Number | 7739214428 |
Mailing Telephone | 7084563927 |
Mailing Fax Number | 7739214428 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2009-01-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209004525 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649510397 | Pamela Mary Phillips | Counselor | 2155 Hidden Ln, Leonard, MI 48367-3226 | 2013-02-17 |
1821247594 | Pamela Kay Phillips | Nurse Practitioner | 947 Scotland Dr Ste 107, Desoto, TX 75115-2095 | 2008-09-17 |
1811482615 | Pamela Phillips | Social Worker | 199 S Central Ave, Columbus, OH 43223-1301 | 2018-06-25 |
1750743605 | Pamela Phillips | Counselor | 650 Poydras St, New Orleans, LA 70130 | 2016-03-21 |
1235430810 | Pamela Phillips | Psychologist | 610 E Southport Rd, Suite 100, Indianapolis, IN 46227-8590 | 2010-11-12 |
1295924249 | Pamela Jo Phillips | Emergency Medicine | 6777 W Maple Rd, W Bloomfield, MI 48322-3013 | 2007-10-16 |
1104946599 | Pamela Susan Phillips | Registered Nurse | 344 Court Street, Huntsville, TN 37756-0000 | 2007-03-30 |
1841382645 | Pamela D Phillips | Pharmacist | 1000 Dutch Ridge Road, Heritage Valley Health System, Beaver, PA 15009 | 2006-09-29 |
1992760698 | Pamela Martin Phillips | Radiology | 1120 Kanawha Blvd E, Charleston, WV 25301-2400 | 2006-04-18 |
1528029303 | Pamela J Phillips | Pediatrics | 8501 Wilshire Blvd, Beverly Hills, CA 90211-3150 | 2006-03-31 |
Street Address |
4909 W DIVISION ST |
City | CHICAGO |
State | IL |
Zip Code | 60651-3161 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316955651 | Rishi Pharmacy Inc | Pharmacy | 4909 W Division St, Chicago, IL 60651-3161 | 2006-08-03 |
1114498052 | Golden Rule Dental LLC | Dentist | 4909 W Division St, Chicago, IL 60651-3161 | 2018-12-17 |
1750745816 | Chicago City Of | Clinical Medical Laboratory | 4909 W Division St, Room 41, Chicago, IL 60651-3161 | 2016-04-05 |
1093102303 | Harmony Family Dental | Dentist | 4909 W Division St, 409, Chicago, IL 60651-3161 | 2015-04-24 |
1518359991 | Rodrigue Tinfang Md Family Health Ltd | Clinic/Center | 4909 W Division St, Suite 503, Chicago, IL 60651-3161 | 2015-02-23 |
1053753699 | Park West Family Dentistry, PC | Dentist | 4909 W Division St, #409, Chicago, IL 60651-3161 | 2013-07-24 |
1356614739 | Claire Marie Delaney | Social Worker | 4909 W Division St, Suite 404, Chicago, IL 60651-3161 | 2012-02-16 |
1124298492 | Circle Family Care | Clinic/Center | 4909 W Division St, Suite 307, Chicago, IL 60651-3161 | 2008-03-03 |
1124226998 | Missy Jean Bundy | Psychologist | 4909 W Division St, Chicago, IL 60651-3161 | 2007-07-03 |
1619024163 | Se Sook Sone-jung | Pediatrics | 4909 W Division St, Chicago, IL 60651-3161 | 2007-01-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215474978 | Kanesha Walker Amaro | Counselor | 5910 W Division, Chicago, IL 60651 | 2017-01-19 |
1639628415 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 3520 West Grand, Chicago, IL 60651 | 2016-09-22 |
1326596321 | Giselle Tisha Wallace | Nurse's Aide | 5809 W Rice, Chgo, IL 60651 | 2016-09-19 |
1811385214 | Jeanette Rodriguez | Social Worker | 1116 N Kedzie Av. Office#257, Association House of Chicago, Chicago, IL 60651 | 2015-01-07 |
1801147475 | Diane Dickens-rogers | Massage Therapist | 5700 W. Chicago Ave., Chicago, IL 60651 | 2012-09-24 |
1891045241 | Association House of Chicago | Residential Treatment Facility, Emotionally Disturbed Children | 1900 North Sawyer Avenue, Chicago, IL 60651 | 2012-09-13 |
1770860983 | Christine C Osborne | Pharmacist | 1541 N.central Ave, Chicago, IL 60651 | 2011-11-16 |
1629206388 | Habilitative Systems Inc | Case Management | 1049 N Drake Ave, Chicago, IL 60651 | 2009-07-01 |
1841428547 | Habilitative Systems, Inc. | Case Management | 4234 W Potomac Ave, Chicago, IL 60651 | 2009-07-01 |
1306074000 | Habilitative Systems, Inc | Case Management | 915 N Massasoit Ave, Chicago, IL 60651 | 2009-07-01 |
Find all providers in zip 60651 |
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.