KENISHA QUIANA GRANDISON


Address: 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1447
Phone: 7738340475

KENISHA QUIANA GRANDISON (NPI# 1285161075) 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) 1285161075
Entity Type Individual
Full Name KENISHA QUIANA GRANDISON
Credential NP
Practice Address 5841 S Maryland Ave # Mc2115
Chicago
IL 60637-1447
Practice Telephone 7738340475
Practice Fax Number 7737534525
Mailing Telephone 7738340475
Mailing Fax Number 7737534525
Enumeration Date 2017-05-11
Last Update Date 2020-04-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209015880 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5841 S MARYLAND AVE # MC2115
City CHICAGO
State IL
Zip Code 60637-1447

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326211160 Cara Ann Rosenbaum Internal Medicine 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1447 2008-04-11
1043811672 Alexis Small Physician Assistant 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 2020-11-02
1689212169 Jamie Elizabeth Mathews Nurse Practitioner 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 2019-12-16
1366960759 Nina Pagaduan Nurse Practitioner 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 2017-09-06
1194245514 Koosha Paydary Internal Medicine 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 2017-06-27
1982136214 Vishesh Kothary Internal Medicine 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 2017-03-27
1548791437 Dario Martin Villamar Internal Medicine 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 2017-03-23
1336502731 Ajay Major Internal Medicine 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 2016-04-01
1750778924 Carolina Soto Chervin Internal Medicine 5841 S Maryland Ave # Mc2115, Chicago, IL 60637 2015-04-24
1669861449 Michael Joseph Breen Internal Medicine 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 2015-01-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386263234 Pooja Ramnani Pharmacist 5841 S Maryland Ace, Chicago, IL 60637 2020-04-10
1780220079 Tara Coleman Non-emergency Medical Transport (VAN) 808 E. 63rd Street, Suite 135, Chicago, IL 60637 2019-11-21
1366003501 Valerie Silas Case Management 6330 S King Drive, Chicago, IL 60637 2019-06-27
1205391620 Derek Joseph Fiedler Anesthesiology University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 2019-02-11
1821573072 Ugochinyere Ohaja Registered Nurse 5656 South Maryland Avenue, Chicago, IL 60637 2018-10-03
1053899138 Won Hee Oh Physician Assistant 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 2018-08-01
1558854695 Rasidat Adeduntan Internal Medicine 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 2018-06-13
1194235283 Melissa Ann Arangoa Registered Nurse 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 2017-10-03
1558880633 Marni Harris Optometrist 5841 S Maryland Ave # S421, Chicago, IL 60637 2017-09-11
1992235105 Vidya Mahavadi Pediatrics 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 2017-06-20
Find all providers in zip 60637

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700911 Laura Ivette Portillo Nurse Practitioner 2727 N Marmora Ave, Chicago, IL 60639-1219 2020-11-05
1265033385 Carolle M Derradji Nurse Practitioner 3256 W Potomac Ave, Chicago, IL 60651-2411 2020-11-04
1104427293 Katie Michelle O'halloran Nurse Practitioner 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 2020-11-04
1578163515 Deanna Bassette Nurse Practitioner 243 E 31st St Apt 401, Chicago, IL 60616-5212 2020-10-29
1891395745 Vrunda Shah Patel Nurse Practitioner 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 2020-10-29
1881291706 Rita Elue Nurse Practitioner 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 2020-10-04
1558976514 Janice Nicole Kinney Nurse Practitioner 10127 S Harding Ave, Chicago, IL 60655-3748 2020-09-15
1881209278 Monique Graves Nurse Practitioner 4912 W Adams St Apt 2, Chicago, IL 60644-4445 2020-09-11
1194339721 Maureen Iyesogie Diji Nurse Practitioner 4658 S Ellis Ave, Chicago, IL 60653-3625 2020-09-01
1669085395 Emily Calderon Nurse Practitioner 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 2020-08-24
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60637

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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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