MARIELLEN PATRICIA ANTMAN (NPI# 1235271941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235271941 |
| Entity Type | Individual |
| Full Name | MARIELLEN PATRICIA ANTMAN |
| Credential | APN-CNP |
| Practice Address |
800 N Westmoreland Rd Suite 205 Lake Forest IL 60045-1673 |
| Mailing Address |
251 E Huron St Chicago IL 60611-2908 |
| Practice Telephone | 8477358550 |
| Practice Fax Number | 8475358590 |
| Mailing Telephone | 8477358550 |
| Mailing Fax Number | 8475358590 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2016-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041202000 | IL | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 209005116 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209.005116 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN LOC 15 | IL6305003 | 01 |
| IL | MEDICARE PTAN LOC 16 | IL6304003 | 01 |
| IL | NPI GROUP PRACTICE | 1720371669 | 01 |
| IL | RRMC PTAN | P01058711 | 01 |
| Street Address |
800 N WESTMORELAND RD SUITE 205 |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628859 | John William Benge | Internal Medicine | 800 N Westmoreland Rd, Suite 102, Lake Forest, IL 60045-1673 | 2005-09-09 |
| 1154891083 | Kathryn Vitale | Clinical Nurse Specialist | 800 N Westmoreland Rd, Lake Forest, IL 60045-1673 | 2018-12-04 |
| 1295100485 | Parkside Psychological Services, LLC | Psychologist | 800 N Westmoreland Rd, Suite 202, Lake Forest, IL 60045-1673 | 2015-12-14 |
| 1407296171 | Jennifer E Bernstein | Podiatrist | 800 N Westmoreland Rd, Suite 200, Lake Forest, IL 60045-1673 | 2013-06-26 |
| 1376891549 | Kristen Coleman | Nurse Practitioner | 800 N Westmoreland Rd, Lake Forest, IL 60045-1673 | 2012-08-20 |
| 1265746705 | Brooke Ann Folkrod | Speech-Language Pathologist | 800 N Westmoreland Rd, 201, Lake Forest, IL 60045-1673 | 2010-07-26 |
| 1528290277 | Tomi L Ashaye | Psychiatry & Neurology | 800 N Westmoreland Rd, Suite102, Lake Forest, IL 60045-1673 | 2009-08-13 |
| 1629211651 | Heather A. Downes, M.d., P.C., L.L.C. | Dermatology | 800 N Westmoreland Rd, Suite 100-b, Lake Forest, IL 60045-1673 | 2009-04-06 |
| 1720244304 | Patrick Alexander Sugrue | Neurological Surgery | 800 N Westmoreland Rd, Suite 102, Lake Forest, IL 60045-1673 | 2008-08-01 |
| 1912040429 | Anat Lansky | Internal Medicine | 800 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045-1673 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306189725 | Margaret M Oswald | Nurse Practitioner | 660 N Westmoreland Rd Ste 100, Lake Forest, IL 60045-1659 | 2013-04-03 |
| 1376891549 | Kristen Coleman | Nurse Practitioner | 800 N Westmoreland Rd, Lake Forest, IL 60045-1673 | 2012-08-20 |
| 1295014892 | Kathy Jeanne Salinger | Nurse Practitioner | 555 N Sheridan Rd, Lake Forest, IL 60045-2338 | 2011-08-12 |
| 1639397391 | Doris E Spicer | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2007-04-20 |
| 1205890878 | Jennifer Ciccone | Nurse Practitioner | 1100 Pembridge Dr, Lake Forest, IL 60045-4228 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998553 | Melissa Litwin | Nurse Practitioner | 9127 Burlington Ave, Brookfield, IL 60513-1939 | 2020-10-06 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1518506625 | Lila Macalinga Rivera | Nurse Practitioner | 17w335 16th St, Oakbrook Terrace, IL 60181-4030 | 2020-01-06 |
| 1922642495 | Christine Nacar | Nurse Practitioner | 1232 Le Moyne Ave, Romeoville, IL 60446-4180 | 2019-10-29 |
| 1144871344 | Wensheng Tracy Wu | Nurse Practitioner | 1555 Barrington Rd Ste 1200, Hoffman Estates, IL 60169-5036 | 2019-09-27 |
| 1881245314 | Mkbb LLC | Nurse Practitioner | 1212 E Algonquin Rd, Algonquin, IL 60102-5446 | 2019-09-25 |
| 1225681455 | Jinu Joss | Nurse Practitioner | 9939 N Warren Oval, Niles, IL 60714-1044 | 2019-07-17 |
| 1659830057 | Ginger Dean | Nurse Practitioner | 2843 Chicago Rd, South Chicago Heights, IL 60411-4736 | 2019-03-15 |
| 1770048910 | Amanda K Honchell I | Nurse Practitioner | 401 W Madison St, Mount Carroll, IL 61053-9485 | 2019-02-01 |
| 1548725799 | Grace Nwaka Wabomnor | Nurse Practitioner | 17 E Grandview Dr, South Holland, IL 60473-1099 | 2019-02-01 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
Please comment or provide details below to improve the information on MARIELLEN PATRICIA ANTMAN.
| 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.