MRS. JENNIFER R ELLIS (NPI# 1255470431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255470431 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER R ELLIS |
| Credential | PA |
| Practice Address |
5230 Old Orchard Rd Skokie IL 60077-1034 |
| Mailing Address |
Po Box 4543 Carol Stream IL 60197-4543 |
| Practice Telephone | 8008078787 |
| Practice Fax Number | 8474923045 |
| Mailing Telephone | 8474923040 |
| Mailing Fax Number | 8474923045 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2016-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085001438 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487157277 | Jennifer Ellis | Nurse Practitioner | 16101 Ventura Blvd Ste 333, Encino, CA 91436-2516 | 2018-03-17 |
| 1609286194 | Jennifer Ellis | Clinic/Center | 208 Oriole St., Harrisonville, MO 64701-0000 | 2014-05-06 |
| 1376986745 | Jennifer Shermaine Ellis | Counselor | 273 S 118th East Ave, Tulsa, OK 74128-2224 | 2013-04-16 |
| 1316212913 | Jennifer M Ellis | Counselor | 1816 W Point Pike Ste 209, Lansdale, PA 19446-5696 | 2012-03-14 |
| 1639457997 | Jennifer Lynne Ellis | Pharmacist | 333 Westfield St, Silverton, OR 97381-1936 | 2011-08-03 |
| 1851683775 | Jennifer Ellis | Massage Therapist | 180 S Cherry St, Suite F, Monticello, FL 32344-1929 | 2011-05-11 |
| 1609180819 | Jennifer Jeanne Ellis | Counselor | 7745 Jonagold Dr Se, Grand Rapids, MI 49508-7602 | 2010-07-29 |
| 1952577603 | Jennifer Ellis | Social Worker | 3800 University Ave, Columbus, GA 31907-5609 | 2008-05-02 |
| 1972702819 | Jennifer Lowe Ellis | Preventive Medicine | 1539 Ashland City Rd Ste C, Clarksville, TN 37040-6416 | 2007-07-12 |
| 1083839492 | Jennifer Ellis | Pharmacist | 6111 Ferguson Rd, Oskaloosa, KS 66066-5388 | 2007-04-13 |
| Street Address |
5230 OLD ORCHARD RD |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174069397 | Lizabeth Gold | Dietitian, Registered | 5230 Old Orchard Rd, Skokie, IL 60077-1034 | 2017-01-11 |
| 1881062693 | Katie O'keefe | Dietitian, Registered | 5230 Old Orchard Rd, Skokie, IL 60077-1034 | 2015-09-10 |
| 1710220280 | Eric Christopher Sharer | Nutritionist | 5230 Old Orchard Rd, C/o Block Center for Integrative Ca, Skokie, IL 60077-1034 | 2013-04-02 |
| 1508107814 | Virginia M Hultin | Dietitian, Registered | 5230 Old Orchard Rd, Skokie, IL 60077-1034 | 2013-03-12 |
| 1720328925 | Brian Kamuda | Nurse Practitioner | 5230 Old Orchard Rd, Skokie, IL 60077-1034 | 2013-02-25 |
| 1780723585 | Jacqueline Tobinson Glew | Dietary Manager | 5230 Old Orchard Rd, C/o Block Center for Integrative Cancer Treatment, Skokie, IL 60077-1034 | 2007-02-06 |
| 1538208764 | Keith I Block | Internal Medicine | 5230 Old Orchard Rd, Skokie, IL 60077-1034 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104243989 | Christopher James Broz | Physician Assistant | 4626 Old Orchard Rd, Skokie, IL 60076-1009 | 2014-03-18 |
| 1205138617 | Nausheen Zainab Khan | Physician Assistant | 4453 Main St, Skokie, IL 60076-2030 | 2010-11-18 |
| 1932198322 | Jennifer Centore-lober | Physician Assistant | 9711 Skokie Blvd, Skokie, IL 60077-1384 | 2005-10-18 |
| 1154607711 | Monica Taryn Witte | Physician Assistant | 9600 Gross Point Rd, Skokie, IL 60076-1214 | 2011-10-27 |
| 1205143567 | Justin Robert Anthony | Physician Assistant | 9600 Gross Point Rd, Skokie, IL 60076-1214 | 2010-09-08 |
| 1184869208 | Marina A Birman | Physician Assistant | 4555 Oakton St, Skokie, IL 60076-3178 | 2008-12-03 |
| 1083747257 | Michele Lynn Winiarz | Physician Assistant | 9669 Kenton Ave, Suite 300, Skokie, IL 60076-1266 | 2007-03-14 |
| 1487751624 | Erin Kathleen Melley | Physician Assistant | 9711 Skokie Blvd, Ste. J, Skokie, IL 60077-1384 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| 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.