MS. DEBRA ANN WALCZAK


Address: 1740 W Taylor St, Chicago, IL 60612-7232
Phone: 3129966021

MS. DEBRA ANN WALCZAK (NPI# 1235302167) 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) 1235302167
Entity Type Individual
Full Name MS. DEBRA ANN WALCZAK
Credential CCNS
Practice Address 1740 W Taylor St
Chicago
IL 60612-7232
Mailing Address 5547 S Mcvicker Ave
Chicago
IL 60638-2637
Practice Telephone 3129966021
Practice Fax Number 3129969723
Mailing Telephone 7732841403
Enumeration Date 2008-04-11
Last Update Date 2008-04-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 364S00000X Clinical Nurse Specialist 209006927 IL Physician Assistants & Advanced Practice Nursing Providers
Y 364ST0500X Clinical Nurse Specialist
Specialization: Transplantation
209006927 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1740 W TAYLOR ST
City CHICAGO
State IL
Zip Code 60612-7232

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1467450882 Nestor S Cuasay Radiology 1740 W Taylor St, Chicago, IL 60612-7232 2005-07-09
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1043828601 Alexandra Leora Millman Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-07-20
1457974818 Marian Shehata Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-20
1033731773 Parisa Hassanzadeh Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-16
1922620939 Mohammad El-saied Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1205458213 Michal Gorski Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1710509773 Jaspreet Bahia Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1184246191 Sean Carter Tompkins Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1548882442 Zaid Adel Zayyad Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 364ST0500X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Transplantation

Taxonomy Definition

Definition to come...

Competitor

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City CHICAGO
Zip Code 60612

Improve Information

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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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