MARLIN REYES (NPI# 1164998258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164998258 |
| Entity Type | Individual |
| Full Name | MARLIN REYES |
| Credential | BC |
| Practice Address |
6307 S Stewart Ave # 209 Chicago IL 60621-3116 |
| Mailing Address |
11101 S Leamington Ave Alsip IL 60803-6026 |
| Practice Telephone | 6309063700 |
| Mailing Telephone | 7733923511 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.018096 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023509569 | Marlin Miroslava Reyes | Technician | 8290 W Sahara Ave Ste 260, Las Vegas, NV 89117-8933 | 2018-05-21 |
| Street Address |
6307 S STEWART AVE # 209 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60621-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
| 1275068876 | St. Bernard Hospital Ambulatory Care Clinic | Clinic/Center | 6307 S Stewart, Chicago, IL 60621 | 2017-04-21 |
| 1063954519 | Created2careltd | Secured Medical Transport (VAN) | 5632 S. Emerald Ave, Chicago, IL 60621 | 2016-11-15 |
| 1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
| 1194127787 | Aaa-1 Transportation | Secured Medical Transport (VAN) | 5740 S Emerald Ave, Chicago, IL 60621 | 2014-09-25 |
| 1871893859 | Anuj Jain | Family Medicine | 6508 S Halsted Street, Chicago, IL 60621 | 2010-10-25 |
| 1750538104 | Adolfo M. Maglaya, M.d., S.c. | Internal Medicine | 326 W. 64th St., Chicago, IL 60621 | 2008-08-27 |
| 1083882997 | Englewood Satellite Senior Center | Clinic/Center | 657 W. 63rd St, Chicago, IL 60621 | 2008-02-13 |
| 1295952059 | Carrington Radiology, S.c. | Radiology | St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 | 2007-04-20 |
| 1851427660 | Dilipkumar Parikh Md | Internal Medicine | 324 West 64th St, Suite 216, Chicago, IL 60621 | 2007-02-26 |
| Find all providers in zip 60621 | ||||
| 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.