DEANNE C FORNELLI


Address: 1653 W. Congress Parkway, Jelke 7th Floor - General Surgery, Chicago, IL 60612
Phone: 3129426379

DEANNE C FORNELLI (NPI# 1245532928) 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) 1245532928
Entity Type Individual
Full Name DEANNE C FORNELLI
Credential PA-C
Practice Address 1653 W. Congress Parkway
Jelke 7th Floor - General Surgery
Chicago
IL 60612
Practice Telephone 3129426379
Mailing Telephone 3129426379
Enumeration Date 2010-12-01
Last Update Date 2012-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
085.003925 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1653 W. CONGRESS PARKWAY
JELKE 7TH FLOOR - GENERAL SURGERY
City CHICAGO
State IL
Zip Code 60612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568691087 Jennifer Marie Jolley Surgery 1653 W. Congress Parkway, Rush University Medical Center, Chicago, IL 60612 2009-07-06
1750811634 Conor Walsh Internal Medicine 1653 W. Congress Parkway, Rush University Medical Center, Chicago, IL 60612 2017-06-14
1174052674 Erica Kimberly Park Internal Medicine 1653 W. Congress Parkway, Chicago, IL 60612 2017-06-08
1750774923 Ahmadreza Ghasemiesfe Student in an Organized Health Care Education/Training Program 1653 W. Congress Parkway, Chicago, IL 60612 2015-03-12
1518377423 Diana Kaya Radiology 1653 W. Congress Parkway, Rush Hospital, Chicago, IL 60612 2014-04-30
1811251515 Donnamarie Packer Surgery 1653 W. Congress Parkway, Chicago, IL 60612 2012-06-27
1124381058 Jordan Alexander Dale Internal Medicine 1653 W. Congress Parkway, Rush University Medical Center, Chicago, IL 60612 2012-06-15
1912268509 Sheetal Joshipura Internal Medicine 1653 W. Congress Parkway, Chicago, IL 60612 2012-05-31
1538470539 Matthew Stemm Pathology 1653 W. Congress Parkway, Chicago, IL 60612 2010-06-24
1003132879 Rachel Catherine Tercek Psychologist 1653 W. Congress Parkway, Chicago, IL 60612 2010-04-19
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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 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710547625 Nadia Khan Physician Assistant 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 2019-06-13
1962065516 Jorge Mantilla Physician Assistant 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 2019-04-18
1770041949 Laura Ann Ryan Physician Assistant 840 S Wood St Ste 417, Chicago, IL 60612-4325 2019-03-06
1407331184 David Reyes Physician Assistant 2800 N Sheridan Rd Ste 209, Chicago, IL 60657-6157 2018-09-28
1053899138 Won Hee Oh Physician Assistant 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 2018-08-01
1811494917 Nicole Fisch Physician Assistant 7447 W Talcott Ave Ste 512, Chicago, IL 60631-3716 2018-04-06
1477909448 Temidayo Olugbenga Odugbesan Physician Assistant 7016 S Sangamon St, Apt 3s, Chicago, IL 60621-1759 2016-05-10
1689096257 Natalie Elizabeth Warmuth Physician Assistant 830 West Diversey Pkwy., Suite 300, Chicago, IL 60614-8711 2014-01-15
1184062754 Lindsay Christine Jones Physician Assistant 205 East Huron, Northwestern Memorial Hospital Galter 11-140, Chicago, IL 60611 2013-06-05
1366741449 Monica L Fiehler Physician Assistant 3537 Paysphere Cir, Chicago, IL 60674-0001 2011-03-15
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Competitor

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City CHICAGO
Zip Code 60612

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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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