SHEENA MBACHU (NPI# 1225423841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225423841 |
| Entity Type | Individual |
| Full Name | SHEENA MBACHU |
| Practice Address |
2650 Ridge Ave Evanston IL 60201-1700 |
| Mailing Address |
848 W Lakeside Pl Apt 3r Chicago IL 60640-6649 |
| Practice Telephone | 9523931845 |
| Mailing Telephone | 9523931845 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | R7062 | TX | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 01079902A | IN | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 036144136 | IL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 01079902A | IN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | R7062 | TX | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 036144136 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2650 Ridge Ave, Evanston, IL 602011700 | 9523931845 |
| Street Address |
2650 RIDGE AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476545 | Steven C Smart | Internal Medicine | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2005-06-09 |
| 1609477744 | Nicole Jeanine Strode | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-11-04 |
| 1609475243 | Fredrich Francis Raz | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-24 |
| 1548869209 | Ross Phillips | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-22 |
| 1760081673 | Lauren Elizabeth Todorova | Dietitian, Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-21 |
| 1245839364 | Christine B Lawlor | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-20 |
| 1386242956 | Jessica Elaine Rogers | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-15 |
| 1376141226 | Amanda Hemple | Registered Nurse | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-13 |
| 1710584297 | Natalia W Izquierdo | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-07 |
| 1558975078 | Lauren Grandi | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851920524 | Sahens Mezidor | General Practice | 228 Ridge Ave Apt G, Evanston, IL 60202-6409 | 2020-04-05 |
| 1407368749 | Edward Raul Casas | General Practice | 1603 Orrington Ave Ste 1600, Evanston, IL 60201-5064 | 2017-10-26 |
| 1194796409 | Gregory Allen Gergans | General Practice | 2221 Grant St, Evanston, IL 60201-2503 | 2006-01-27 |
| 1386918092 | Resurrection Services | General Practice | 2500 Ridge Ave, Suite 210, Evanston, IL 60201-2455 | 2012-02-27 |
| 1962776856 | Resurrection Services | General Practice | 800 Austin St, Suite 501 West Tower, Evanston, IL 60202-3439 | 2012-02-24 |
| 1851660393 | Edward Fx Hughes | General Practice | 810 Lincoln St, Evanston, IL 60201-2405 | 2011-12-28 |
| 1316011562 | State of Wyoming | General Practice | 831 State Highway 150 S, Evanston, WY 82930-5340 | 2006-11-20 |
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| 1306465786 | Brightlife Regenerative Medical Clinic Lombard Sc | General Practice | 442 E Roosevelt Rd, Lombard, IL 60148-4630 | 2020-04-15 |
| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
| 1598302077 | Enhance Medical LLC | General Practice | 1193 N Gary Ave, Carol Stream, IL 60188-9423 | 2019-12-04 |
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| 1982189395 | Saint Louis Home Health Care Inc | General Practice | 739 E Independence Dr, Palatine, IL 60074-1959 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
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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.