MRS. ANN MORET


Address: 675 W North Ave, Ste 210, Melrose Park, IL 60160-1634
Phone: 7084505094

MRS. ANN MORET (NPI# 1154378578) 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) 1154378578
Entity Type Individual
Full Name MRS. ANN MORET
Credential R.N. MSN C-CNS
Practice Address 675 W North Ave
Ste 210
Melrose Park
IL 60160-1634
Practice Telephone 7084505094
Practice Fax Number 7083440508
Mailing Telephone 7084505094
Mailing Fax Number 7083440508
Enumeration Date 2006-05-30
Last Update Date 2008-06-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
209003424 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL RAILROAD MEDICARE GROUP PTAN NUMBER CC1592 01
IL RAILROAD MEDICARE PROVIDER ID NUMBER P00168872 01
IL MEDICARE GROUP NUMBER 209712 01
IL MEDICARE INDIVIDUAL PROVIDER NUMBER K11962 01
IL MEDICARE GROUP PTAN NUMBER 961280 01
IL NPI GROUP NUMBER FOR CONSULTANTS IN CARDIOVASCULAR MEDICINE, S.C 1164530713 01
IL BLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER 31602469 01

Office Location

Street Address 675 W NORTH AVE
STE 210
City MELROSE PARK
State IL
Zip Code 60160-1634

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235134727 Brad Anstadt Ophthalmology 675 W North Ave, Ste 107, Melrose Park, IL 60160-1622 2005-06-20
1578920484 Dupage Medical Group, Ltd. Prosthetic/Orthotic Supplier 675 W North Ave, Melrose Park, IL 60160-1634 2016-01-22
1356733034 Jessica Lynn Dye Physician Assistant 675 W North Ave, Suite 607, Melrose Park, IL 60160-1634 2015-03-04
1861893463 Paige D Formsma Audiologist 675 W North Ave, Suite 110, Melrose Park, IL 60160-1634 2014-09-15
1083014047 Jennifer Morales Psychologist 675 W North Ave, Ste 306, Melrose Park, IL 60160-1634 2014-08-27
1538577754 Elizabeth Bojarskyj Pharmacist 675 W North Ave, Melrose Park, IL 60160-1634 2014-07-31
1780091538 Bryan David Erce Dentist 675 W North Ave, Suite 307, Melrose Park, IL 60160-1634 2014-07-14
1740619246 Merissa Mann Physician Assistant 675 W North Ave, Suite 402, Melrose Park, IL 60160-1634 2013-11-05
1770916074 Yonatan Rosenblum Psychologist 675 W North Ave, Suite 306, Melrose Park, IL 60160-1634 2013-08-10
1538509666 Hai Solomon M.d.s.c. Obstetrics & Gynecology 675 W North Ave, Suite 512, Melrose Park, IL 60160-1634 2013-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295217651 Kairsten Thies Registered Nurse 1225 W. Lake St., Melrose Park, IL 60160 2018-09-02
1780195701 Julia Mccann-khludenev Nurse Practitioner 153 1/2 Broadway Ave., Melrose Park, IL 60160 2017-10-17
1629595749 Katarzyna Teresa Buksa Speech-Language Pathologist 906 Walton St., Melrose Park, IL 60160 2017-08-29
1972955102 Erika Lazaro Counselor 1414 Main Street, Melrose Park, IL 60160 2016-07-12
1811344096 Margaret Ann Kress Nurse Practitioner 675 W North Ave Ste 402, Melrose Park, IL 60160 2016-05-18
1942578703 Rachna Shah Md Sc Internal Medicine 675 West North Ave, #310, Melrose Park, IL 60160 2011-12-08
1033486741 Stephanie Lamonica Pharmacist 850 West North Ave, T0837, Melrose Park, IL 60160 2011-11-23
1285913384 Melinda Vazquez Social Worker 1414 Main, Melrose Park, IL 60160 2011-08-08
1629373212 Advanced Wellness Clinics Internal Medicine 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 2011-01-13
1508188525 Guillermo Fernando Mora Family Medicine 1111 W Superior, Suite #306, Melrose Park, IL 60160 2010-02-17
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Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City MELROSE PARK
Zip Code 60160

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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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