MARY B CREAN (NPI# 1285864256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285864256 |
Entity Type | Individual |
Full Name | MARY B CREAN |
Other Name | MARY B FITZMAURICE |
Credential | APRN |
Practice Address |
12251 S. 80th Avenue Palos Heights IL 60463 |
Mailing Address |
12251 S. 80th Avenue Suite 1630 Palos Heights IL 60463 |
Practice Telephone | 6302571111 |
Practice Fax Number | 7089235018 |
Mailing Telephone | 7089235173 |
Mailing Fax Number | 7089235018 |
Enumeration Date | 2009-07-23 |
Last Update Date | 2020-08-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 041273204 | IL | Nursing Service Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
277000511 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942436720 | Mary R Crean | Speech-Language Pathologist | 267 Grant St, Bridgeport, CT 06610-2805 | 2009-06-06 |
Street Address |
12251 S. 80TH AVENUE |
City | PALOS HEIGHTS |
State | IL |
Zip Code | 60463 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184699118 | Palos Community Hospital | Psychiatric Unit | 12251 S. 80th Avenue, Psychiatric Unit, Palos Heights, IL 60463 | 2006-02-22 |
1639307168 | Rosemary Atta-fynn | Internal Medicine | 12251 S. 80th Avenue, Palos Heights, IL 60463 | 2009-06-23 |
1053553859 | Chaher Hussain Alhandalous | Internal Medicine | 12251 S. 80th Avenue, Palos Heights, IL 60463 | 2009-03-25 |
1487838546 | Beatrice Marie Correa | Internal Medicine | 12251 S. 80th Avenue, Palos Heights, IL 60463 | 2007-12-26 |
1659320950 | Romal I Gandhi | Internal Medicine | 12251 S. 80th Avenue, Palos Heights, IL 60463 | 2006-05-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
Find all providers in zip 60463 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659822443 | Hyeju Jang | Nurse Practitioner | 12910 S Seneca Rd, Palos Heights, IL 60463-2170 | 2016-10-18 |
1548803802 | Katarzyna Stopka | Nurse Practitioner | 7804 W College Dr Ste 1n, Palos Heights, IL 60463-1499 | 2019-10-18 |
1437617057 | A Hopeful Mind Inc | Nurse Practitioner | 11952 S Harlem Ave Ste 200a, Palos Heights, IL 60463-1390 | 2019-03-04 |
1073863148 | Susan Katello | Nurse Practitioner | 12251 S. 80th Ave, Palos Heights, IL 60463-0930 | 2012-09-14 |
1770893158 | Charlene Bielecki | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2010-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851998553 | Melissa Litwin | Nurse Practitioner | 9127 Burlington Ave, Brookfield, IL 60513-1939 | 2020-10-06 |
1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
1518506625 | Lila Macalinga Rivera | Nurse Practitioner | 17w335 16th St, Oakbrook Terrace, IL 60181-4030 | 2020-01-06 |
1922642495 | Christine Nacar | Nurse Practitioner | 1232 Le Moyne Ave, Romeoville, IL 60446-4180 | 2019-10-29 |
1144871344 | Wensheng Tracy Wu | Nurse Practitioner | 1555 Barrington Rd Ste 1200, Hoffman Estates, IL 60169-5036 | 2019-09-27 |
1881245314 | Mkbb LLC | Nurse Practitioner | 1212 E Algonquin Rd, Algonquin, IL 60102-5446 | 2019-09-25 |
1225681455 | Jinu Joss | Nurse Practitioner | 9939 N Warren Oval, Niles, IL 60714-1044 | 2019-07-17 |
1659830057 | Ginger Dean | Nurse Practitioner | 2843 Chicago Rd, South Chicago Heights, IL 60411-4736 | 2019-03-15 |
1770048910 | Amanda K Honchell I | Nurse Practitioner | 401 W Madison St, Mount Carroll, IL 61053-9485 | 2019-02-01 |
1548725799 | Grace Nwaka Wabomnor | Nurse Practitioner | 17 E Grandview Dr, South Holland, IL 60473-1099 | 2019-02-01 |
Find all providers with the same taxonomy |
City | PALOS HEIGHTS |
Zip Code | 60463 |
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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.