KELLY MULARKEY (NPI# 1295247559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295247559 |
| Entity Type | Individual |
| Full Name | KELLY MULARKEY |
| Credential | PA-C |
| Practice Address |
200 S Greenleaf St Gurnee IL 60031-3398 |
| Mailing Address |
2650 Warrenville Rd Ste 280 Downers Grove IL 60515-2075 |
| Practice Telephone | 8472446060 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085006418 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 S GREENLEAF ST |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-3398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168620 | Uzoma Okoli | Psychiatry & Neurology | 200 S Greenleaf St, Suite J, Gurnee, IL 60031-3398 | 2005-07-20 |
| 1891005476 | Frank C Sun Md PC | Obstetrics & Gynecology | 200 S Greenleaf St, Suite L, Gurnee, IL 60031-3398 | 2010-10-15 |
| 1154640571 | Chicago Medical Clinic LLC | Internal Medicine | 200 S Greenleaf St, Suite A, Gurnee, IL 60031-3398 | 2010-05-25 |
| 1356504278 | Lambros Tsonis | Surgery | 200 S Greenleaf St, Suite A, Gurnee, IL 60031-3398 | 2008-07-10 |
| 1902069677 | Eun Sun Paik | Psychiatry & Neurology | 200 S Greenleaf St, Suite A, Gurnee, IL 60031-3398 | 2008-07-03 |
| 1548428071 | Rest Assured Sleep Centers, LLC | Sleep Specialist, PhD | 200 S Greenleaf St, J, Gurnee, IL 60031-3398 | 2008-05-30 |
| 1760502306 | Amera Manzoor Rahman | Psychiatric Hospital | 200 S Greenleaf St, Gurnee, IL 60031-3398 | 2007-03-29 |
| 1366510281 | Albino Tirao Bismonte | Pediatrics | 200 S Greenleaf St, Suite E, Gurnee, IL 60031 | 2006-11-30 |
| 1306937289 | Waukegan Clinic Corp | Internal Medicine | 200 S Greenleaf St, Suite A, Gurnee, IL 60031-3398 | 2006-09-27 |
| 1407966989 | James Walter Macrowski | Dentist | 200 S Greenleaf St, Suite I, Gurnee, IL 60031-3398 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386639961 | Charla Aimee Hagel | Physician Assistant | 1068 Suffolk Ct, Gurnee, IL 60031-5605 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
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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.