COLLEEN MARIE O'HEARN (NPI# 1275046815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275046815 |
| Entity Type | Individual |
| Full Name | COLLEEN MARIE O'HEARN |
| Practice Address |
1775 Dempster St Park Ridge IL 60068-1143 |
| Mailing Address |
333 Chatelaine Ct Willowbrook IL 60527-3126 |
| Practice Telephone | 8477232210 |
| Mailing Telephone | 6303232853 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209015133 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1775 DEMPSTER ST |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1143 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| 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 |
| 1912458779 | Maria La Rosa | Nurse Practitioner | 1675 Dempster St, 1st Floor, Park Ridge, IL 60068-1110 | 2016-10-17 |
| 1255792529 | Kelly Jayne Makowsky | Nurse Practitioner | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2016-03-15 |
| 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 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.