KENYATTA EVANS-SNULLIGAN (NPI# 1194008425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194008425 |
| Entity Type | Individual |
| Full Name | KENYATTA EVANS-SNULLIGAN |
| Other Name | KENYATTA EVANS |
| Credential | N.P. |
| Practice Address |
1100 W Cermak Rd Cuite C119 Chicago IL 60608-4500 |
| Practice Telephone | 3122432223 |
| Practice Fax Number | 3122432227 |
| Mailing Telephone | 3122432223 |
| Mailing Fax Number | 3122432227 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
041361698 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IL STATE LICENSE | 041361698 | 01 |
| Street Address |
1100 W CERMAK RD CUITE C119 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790736601 | Kimberly A Williams | Family Medicine | 1100 W Cermak Rd, Suite C119, Chicago, IL 60608-4500 | 2006-05-15 |
| 1396388633 | James Peek | Counselor | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2019-10-18 |
| 1306363445 | Willie Hall | Counselor | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2017-08-29 |
| 1376063628 | Vanessa Robinson Wilkes | Counselor | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2017-06-27 |
| 1568982809 | Andre D Newsome | Clinic/Center | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2017-06-27 |
| 1821535618 | Westcare Illinois, Inc | Clinic/Center | 1100 W Cermak Rd, Suite B414, Chicago, IL 60608-4500 | 2017-01-31 |
| 1518400308 | Crystal Smith | Nurse Practitioner | 1100 W Cermak Rd, Ste. C-119, Chicago, IL 60608-4500 | 2016-11-28 |
| 1013310382 | Umeko Jones | Nurse Practitioner | 1100 W Cermak Rd, Suite C119, Chicago, IL 60608-4500 | 2014-10-01 |
| 1144568072 | Housecall Physicians of Illinois | Nurse Practitioner | 1100 W Cermak Rd, Suite C-500, Chicago, IL 60608-4500 | 2013-01-28 |
| 1669517504 | Jose L Jimenez | Psychologist | 1100 W Cermak Rd, Suite B-305 Unit 1, Chicago, IL 60608-4500 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| 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 |
|---|---|---|---|---|
| 1326354358 | Sheila A Harmon | Clinical Nurse Specialist | 654 East 47th St, Access Booker Family Health Center, Chicago, IL 60653-4224 | 2010-08-27 |
| 1144728155 | Euphemia M Connell | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-01-24 |
| 1114377587 | Jennifer Pollandt | Clinical Nurse Specialist | 1801 W Taylor St, 3rd Floor, Suite C, Chicago, IL 60612-4795 | 2016-06-16 |
| 1023454212 | Nancy Therese Scott | Clinical Nurse Specialist | 5841 S Maryland Avenue, University of Chicago Medicine, Chicago, IL 60637 | 2013-05-15 |
| 1386980118 | Daphne Anne Mcdonald | Clinical Nurse Specialist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2012-12-26 |
| 1689927410 | Ann C. Santino | Clinical Nurse Specialist | 1725 W Harrison St, #740, Chicago, IL 60612-3841 | 2012-10-17 |
| 1104174721 | Theresa A Strzelczyk | Clinical Nurse Specialist | 675 N Saint Clair St, Suite 19-100, Chicago, IL 60611-5975 | 2012-08-29 |
| 1184982753 | Donna Marie Mangruen | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2012-05-02 |
| 1801168661 | Jo-anna Marie Mcgrath | Clinical Nurse Specialist | 675 N Saint Clair St, Suite 19-100, Chicago, IL 60611-5975 | 2012-02-08 |
| 1649569948 | Adaku Ngozika Uzomba | Clinical Nurse Specialist | 1900 West Polk Street, 9th Floor (neurology), Chicago, IL 60612 | 2011-04-07 |
| 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.