JOHN ALEXANDER PUCKER (NPI# 1265709018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265709018 |
| Entity Type | Individual |
| Full Name | JOHN ALEXANDER PUCKER |
| Credential | APN |
| Practice Address |
836 W Wellington Ave Nelson Bldg. Professional Development 1st Floor Chicago IL 60657-5147 |
| Practice Telephone | 7732967295 |
| Practice Fax Number | 7732968909 |
| Mailing Telephone | 7732967295 |
| Mailing Fax Number | 7732968909 |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
209.007589 | IL | Nursing Service Providers |
| Street Address |
836 W WELLINGTON AVE NELSON BLDG. PROFESSIONAL DEVELOPMENT 1ST FLOOR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-5147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073596904 | William Norman Werner | Internal Medicine | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2005-11-23 |
| 1124629605 | Haroon Ali | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-11-03 |
| 1700491032 | Ahmed Mostafa | Surgery | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-09-14 |
| 1598379604 | Natalie Merrick | Social Worker | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-09-04 |
| 1184235392 | Pooja Singh | Internal Medicine | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-08-11 |
| 1528677135 | Oubada Alkowatli | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-07-29 |
| 1841809571 | Saumya Agrawal | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-07-29 |
| 1376152900 | Abdelgalil Mukhtar | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-07-29 |
| 1962010603 | Jamie Berray | Dietitian, Registered | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-07-20 |
| 1942818620 | Ali Doruk Yalcintepe | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174180285 | Sandra Michelle Weeks | Registered Nurse | 1750 N Meade Ave, Chicago, IL 60639-3910 | 2019-05-23 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1114364312 | Rommel Ramel Yarcia | Registered Nurse | 100 E 14th St Apt 807, Chicago, IL 60605-3666 | 2013-05-28 |
| 1740809797 | Nicholas Donald Charmelo | Registered Nurse | 5645 W Addison St, Chicago, IL 60634-2881 | 2020-04-09 |
| 1962049551 | Swedish Covenant Management Services, Inc | Registered Nurse | 5145 N California Ave, Chicago, IL 60625-3661 | 2019-12-03 |
| 1730683228 | Jeffrey Hiltrop | Registered Nurse | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2018-03-20 |
| 1285172643 | Cailian Mo | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2017-02-06 |
| 1013365360 | Larry James Maturin Jr. | Registered Nurse | 990 W Fullerton Ave, Chicago, IL 60614-2458 | 2016-05-27 |
| 1710172564 | Margaret Kay Stelle-betman | Registered Nurse | 6039 W Belmont Ave, Chicago, IL 60634-5116 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567348 | Victoria Banda | Registered Nurse | 600 Thames Pkwy Apt 1b, Park Ridge, IL 60068-3662 | 2020-08-05 |
| 1336772052 | Monica Melanie Rauch | Registered Nurse | 1111 Holly Ct Apt 317, Oak Park, IL 60301-1019 | 2020-02-20 |
| 1568012292 | Marta N Gonzalez | Registered Nurse | 2102 183rd St, Homewood, IL 60430-3231 | 2019-09-15 |
| 1477018927 | Jacob Benjamin Blount | Registered Nurse | 1224 Reynolds Dr, Charleston, IL 61920-2436 | 2019-02-08 |
| 1003308347 | Elizabeth Ann Floyd | Registered Nurse | 1701 Glenbridge Rd, Bloomington, IL 61704-8710 | 2018-06-02 |
| 1174020788 | Emily M Bicanic | Registered Nurse | 870 N Milwaukee Ave Ste 100, Vernon Hills, IL 60061-1521 | 2018-04-10 |
| 1033625025 | Jessica Taylor | Registered Nurse | 44 W Center Ave, Lake Bluff, IL 60044-2408 | 2017-12-28 |
| 1912352089 | Jennifer Dunlop | Registered Nurse | 3635 S Harlem Ave, Berwyn, IL 60402-3212 | 2016-04-26 |
| 1043676448 | Karen M Brann | Registered Nurse | 8600 W 168th St, Orland Park, IL 60462-5724 | 2016-01-14 |
| 1972975480 | Joan Okojie | Registered Nurse | 1299 Robin Dr, Carol Stream, IL 60188-4834 | 2015-10-23 |
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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.