SAMANTHA KORNHAUSER (NPI# 1255941928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255941928 |
| Entity Type | Individual |
| Full Name | SAMANTHA KORNHAUSER |
| Credential | NURSE PRACTICIONER |
| Practice Address |
2400 N Ashland Ave Chicago IL 60614-2021 |
| Mailing Address |
1425 W Byron St Apt 3w Chicago IL 60613-2891 |
| Practice Telephone | 7732705600 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209.019888 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2400 N ASHLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306831938 | John The Baptist Houston | Urology | 2400 N Ashland Ave, Suite 200, Chicago, IL 60614-2021 | 2005-09-20 |
| 1659903359 | Emma Raider | Physician Assistant | 2400 N Ashland Ave, Chicago, IL 60614-2021 | 2020-02-10 |
| 1639735608 | Trivedimd LLC | Anesthesiology | 2400 N Ashland Ave, Chicago, IL 60614-2021 | 2019-05-15 |
| 1801305057 | Arin Szuch | Nurse Practitioner | 2400 N Ashland Ave, Chicago, IL 60614-2021 | 2017-09-20 |
| 1033580865 | Michelle Nagel | Physician Assistant | 2400 N Ashland Ave, Chicago, IL 60614-2021 | 2015-10-20 |
| 1114397056 | Innovative Platinum Care, Sc | Family Medicine | 2400 N Ashland Ave, Suite 150, Chicago, IL 60614-2021 | 2015-10-05 |
| 1013306463 | Innovative Express Care | Clinic/Center | 2400 N Ashland Ave, Suite 100, Chicago, IL 60614-2021 | 2015-01-22 |
| 1104237114 | Innovative Express Care, Sc | Clinic/Center | 2400 N Ashland Ave, Chicago, IL 60614-2021 | 2014-05-13 |
| 1790110666 | Jenna Michelle Benoit | Physician Assistant | 2400 N Ashland Ave, Chicago, IL 60614-2021 | 2013-09-10 |
| 1346521770 | Jayme L Sibley | Physician Assistant | 2400 N Ashland Ave, Chicago, IL 60614-2021 | 2011-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021248 | Elizabeth Horan | Nurse Practitioner | 125 S Green St Apt 1005a, Chicago, IL 60607-3717 | 2020-04-07 |
| 1205471083 | Sylvia Coleman | Nurse Practitioner | 20 W Kinzie St Ste 17, Chicago, IL 60654-6393 | 2019-11-15 |
| 1194374637 | Elena Ignatiev | Nurse Practitioner | 1626 W Farwell Ave Apt 3g, Chicago, IL 60626-3641 | 2019-09-07 |
| 1083276703 | Rachel H Prokopf | Nurse Practitioner | 1150 W 15th St Unit 335, Chicago, IL 60608-3691 | 2019-07-02 |
| 1962922062 | Cristina Herico Roy | Nurse Practitioner | 5600 W Addison St # 210, Chicago, IL 60634-4401 | 2017-06-21 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1497203434 | Maria Pullappally Sayi | Nurse Practitioner | 3445 N Central Ave Ste C, Chicago, IL 60634-4420 | 2016-09-20 |
| 1770947368 | Jose Francis Placido Enriquez | Nurse Practitioner | 934 W Cuyler Ave, Unit 1b, Chicago, IL 60613-4363 | 2016-04-08 |
| 1851777619 | Nicole Davis | Nurse Practitioner | 1301 E 47th St # 2, Chicago, IL 60653-4507 | 2015-08-04 |
| 1497155998 | Aneesha Taylor | Nurse Practitioner | 1701 W Monterey Ave Ste 9, Chicago, IL 60643-4257 | 2014-09-03 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on SAMANTHA KORNHAUSER.
| 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.