MS. KELLY JAYNE MAKOWSKY


Address: 1775 Dempster St, Park Ridge, IL 60068-1143
Phone: 8477236280

MS. KELLY JAYNE MAKOWSKY (NPI# 1255792529) 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) 1255792529
Entity Type Individual
Full Name MS. KELLY JAYNE MAKOWSKY
Credential MSN, APN, CPNP
Practice Address 1775 Dempster St
Park Ridge
IL 60068-1143
Practice Telephone 8477236280
Mailing Telephone 8477236280
Enumeration Date 2016-03-15
Last Update Date 2016-03-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
209013168 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1775 DEMPSTER ST
City PARK RIDGE
State IL
Zip Code 60068-1143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386642452 Asya S. Ali Pathology 1775 Dempster St, Park Ridge, IL 60068-1143 2005-07-12
1245847656 Susie Annette Gonzalez Nurse Practitioner 1775 Dempster St, Park Ridge, IL 60068-1143 2020-09-29
1598370231 Maria Staed Dwyer Physical Therapist 1775 Dempster St, Park Ridge, IL 60068-1143 2020-09-10
1851906598 Izabela Koszczuk Physical Therapist 1775 Dempster St, Park Ridge, IL 60068-1143 2020-09-10
1760097406 Mark Andrew Fasick Physical Therapist 1775 Dempster St, Park Ridge, IL 60068-1143 2020-09-10
1962014183 Eric Swanson Nurse Anesthetist, Certified Registered 1775 Dempster St, Park Ridge, IL 60068-1143 2020-08-19
1740804046 Lauren Kay Nurse Practitioner 1775 Dempster St, Park Ridge, IL 60068-1143 2020-06-02
1326660234 Kellyn Bailey Occupational Therapist 1775 Dempster St, Park Ridge, IL 60068-1143 2020-05-13
1659992964 Emma Hogaboom Physical Therapist 1775 Dempster St, Park Ridge, IL 60068-1143 2020-04-28
1003436403 Sandra Kroschel Nurse's Aide 1775 Dempster St, Park Ridge, IL 60068-1143 2020-04-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861010720 Caitlin Marie Kompanowski Dentist 412 W. Talcott, Park Ridge, IL 60068 2020-07-08
1972142198 Center for Authentic Living, Inc. Counselor 120 Main Street Suite 200, Park Ridge, IL 60068 2020-01-06
1306312152 Maryann Almores Devilla Physical Medicine & Rehabilitation Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 2018-10-19
1053808857 Landon Ginsberg Student in an Organized Health Care Education/Training Program 1775 Ballard, Park Ridge, IL 60068 2018-04-17
1255828448 Vera W Brink Obstetrics & Gynecology Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 2018-04-13
1205367448 Courtney Heim Psychiatry & Neurology 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 2017-03-21
1720521362 Alexander Mylonas Psychologist 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 2016-11-30
1376090878 Rebecca Rajasekhar Audiologist 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 2016-09-01
1164818449 Mohammad Taha Mustaf Taha Mustafa Sheikh Student in an Organized Health Care Education/Training Program 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 2015-04-13
1518397918 Megan Roberts Speech-Language Pathologist 2240 Campus Dr., Evanston, IL 60068 2013-11-21
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447723796 Blake Kathleen Gomez Nurse Practitioner 1675 Dempster St, Park Ridge, IL 60068-1110 2019-01-09
1336653716 Lindsay June Wargelin Nurse Practitioner 1675 Dempster St, Park Ridge, IL 60068 2017-11-21
1275046815 Colleen Marie O'hearn Nurse Practitioner 1775 Dempster St, Park Ridge, IL 60068-1143 2017-11-06
1912458779 Maria La Rosa Nurse Practitioner 1675 Dempster St, 1st Floor, Park Ridge, IL 60068-1110 2016-10-17
1356719009 Marta Druzbacka Nurse Practitioner 1775 W Dempster St, Park Ridge, IL 60068-1143 2015-09-11
1295112167 Patricia Joan Suchyta Nurse Practitioner 1675 Dempster St, Park Ridge, IL 60068-1110 2015-04-30
1699119180 Karen M Trebels Nurse Practitioner 1675 Dempster St, 3rd Floor, Park Ridge, IL 60068-1110 2013-04-26
1295960664 Wendy Adams Rivard Nurse Practitioner 1675 W Dempster St, Park Ridge, IL 60068-1110 2009-05-28
1548461494 Kathleen A Muglia Nurse Practitioner 1675 Dempster St, Park Ridge, IL 60068-1110 2007-05-29
1811104201 Laura Ann Sawdey Nurse Practitioner 1675 Dempster St, Park Ridge, IL 60068-1110 2007-05-17
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Competitor

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City PARK RIDGE
Zip Code 60068

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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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