MRS. GINA M MINGA (NPI# 1134460447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134460447 |
| Entity Type | Individual |
| Full Name | MRS. GINA M MINGA |
| Other Name | MISS GINA M SPIEKHOUT |
| Credential | APRN, ACCNS-BC |
| Practice Address |
17800 Kedzie Ave Hazel Crest IL 60429-2029 |
| Mailing Address |
2700 Hawthorne Ln Flossmoor IL 60422-1514 |
| Practice Telephone | 7082133288 |
| Practice Fax Number | 7082132999 |
| Mailing Telephone | 7082133288 |
| Mailing Fax Number | 7082132999 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
209-004769 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17800 KEDZIE AVE |
| City | HAZEL CREST |
| State | IL |
| Zip Code | 60429-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932189206 | Emad Foroohar | Emergency Medicine | 17800 Kedzie Ave, Emergency Department, Hazel Crest, IL 60429-2029 | 2006-01-20 |
| 1396357216 | Katelyn Nicole Konow | Physical Therapist | 17800 Kedzie Ave, Hazel Crest, IL 60429-0989 | 2020-08-21 |
| 1275143539 | Lisa Marie Tomaszewski | Nurse Practitioner | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2020-08-03 |
| 1275151623 | Mallory Clare Storrs | Dietitian, Registered | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2020-07-13 |
| 1750904405 | Mark Daniel Fralix II | Physical Therapist | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2020-05-28 |
| 1699309948 | Monique Montgomery | Physical Therapist | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2020-02-25 |
| 1215567599 | Rasaq Durojaiye | Nurse Practitioner | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2020-01-25 |
| 1124664693 | Lara Eiler | Physical Therapist | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2019-11-20 |
| 1710521349 | Tamara Lynn Powers | Physical Therapist | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2019-11-06 |
| 1235789710 | Abolade Jamiu Olawale | Surgery | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2019-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
| 1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
| 1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
| 1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
| 1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
| 1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
| 1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| Find all providers in zip 60429 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942668355 | Joannne Geralyn Delany | Clinical Nurse Specialist | 13133 Meadowview Ln, Homer Glen, IL 60491-9155 | 2016-02-01 |
| 1033559802 | Shannon L Laesch | Clinical Nurse Specialist | 2005 Jacobssen Dr Ste A, Normal, IL 61761-6288 | 2013-06-26 |
| 1427323898 | Kara Michelle Aalfs | Clinical Nurse Specialist | 6n910 Gilmore Dr, Saint Charles, IL 60175-8314 | 2012-03-18 |
| 1528351962 | Kristi Kae Williams | Clinical Nurse Specialist | 530 Ne Glenoak Avenue Pob Suite 108, Peoria, IL 61603-3117 | 2011-05-18 |
| 1427356336 | Lissa J Diefendorf | Clinical Nurse Specialist | 403 W Corrington Ave, Peoria, IL 61604-2803 | 2011-03-02 |
| 1326354358 | Sheila A Harmon | Clinical Nurse Specialist | 654 East 47th St, Access Booker Family Health Center, Chicago, IL 60653-4224 | 2010-08-27 |
| 1689283723 | Michelle Marie Lovsey | Clinical Nurse Specialist | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2020-07-24 |
| 1053942318 | Mary Sue Dailey | Clinical Nurse Specialist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2020-01-27 |
| 1316448947 | Cheryl A Pahl | Clinical Nurse Specialist | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-02-28 |
| 1144728155 | Euphemia M Connell | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-01-24 |
| Find all providers with the same taxonomy | ||||
| City | HAZEL CREST |
| Zip Code | 60429 |
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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.