ELLEN CHRISTINE SEYMOUR


Address: 5401 S Wentworth Ave, Chicago, IL 60609-6300
Phone: 7732886900

ELLEN CHRISTINE SEYMOUR (NPI# 1295291581) 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) 1295291581
Entity Type Individual
Full Name ELLEN CHRISTINE SEYMOUR
Credential AGNP-C
Practice Address 5401 S Wentworth Ave
Chicago
IL 60609-6300
Practice Telephone 7732886900
Mailing Telephone 7732886900
Enumeration Date 2019-02-12
Last Update Date 2020-03-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
209.020556041.48 IL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1522 Janes Ave, Saginaw, MI 486011819 9897550316 9897550956

Office Location

Street Address 5401 S WENTWORTH AVE
City CHICAGO
State IL
Zip Code 60609-6300

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NPI Name Taxonomy Address Enumeration
1275511925 Barbara Ann Zimmerman Minnich Advanced Practice Midwife 5401 S Wentworth Ave, Chicago, IL 60609-6300 2006-01-04
1063978476 Andrew Steven Hallum Nurse Practitioner 5401 S Wentworth Ave, Chicago, IL 60609-6300 2019-02-11
1932674488 Visitacion Rosel Gozo Registered Nurse 5401 S Wentworth Ave, Chicago, IL 60609-6300 2018-10-11
1417450867 Josephine Bostic Nurse Practitioner 5401 S Wentworth Ave, Chicago, IL 60609-6300 2018-03-12
1801326681 Scott H Coppel Internal Medicine 5401 S Wentworth Ave, Chicago, IL 60609-6300 2017-06-14
1578018792 David Kerbow Nurse Practitioner 5401 S Wentworth Ave, Chicago, IL 60609-6300 2016-08-17
1497151542 Charita Smith Optometrist 5401 S Wentworth Ave, Chicago, IL 60609-6300 2014-11-17
1538441456 Victoria Fu Ji Huang Pharmacist 5401 S Wentworth Ave, Chicago, IL 60609-6300 2011-09-16
1871890343 William Jacob Williams Dentist 5401 S Wentworth Ave, Suite 200, Chicago, IL 60609-6300 2011-02-18
1023299880 Amy Ramirez Pediatrics 5401 S Wentworth Ave, Chicago, IL 60609-6300 2007-11-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144843152 Healing and Fuerza Therapy LLC Clinic/Center 3735 S Wallace St 1r, Chicago, IL 60609 2020-05-26
1306407721 Athletico Ltd Physical Therapist 5336 S State St, Chicago, IL 60609 2019-06-26
1396157939 Unlimited Resources Private Vehicle 8104 S. Kingston, Chicago, IL 60609 2014-06-02
1013215474 Giles B. Mizock M.d. Ltd. Obstetrics & Gynecology 5025 W. Paulina, Methodist Hosp, Chicago, IL 60609 2011-03-09
1164691630 Alfreda D Beard Dentist 5050 So State, Chicago, IL 60609 2008-02-28
1588876510 Victor P Gutierrez Chiropractor 1824 W. 47th St., Chicago, IL 60609 2007-05-03
1619092558 Highlander Care Center, LLC Skilled Nursing Facility 4815 S Western Ave, Chicago, IL 60609 2007-03-20
1437295482 Rolando A Lara Internal Medicine 1708 W 47th St, Chicago, IL 60609 2007-01-29
1497765168 Judith H Mcdevitt Nurse Practitioner 734 W. 47th Street, Ihc South, Chicago, IL 60609 2006-08-08
1790795474 Lorrita Marie Verhey Nurse Practitioner 734 W. 47th Street South, Ihc, Chicago, IL 60609 2006-08-08
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932724200 Tatyana Menaker Nurse Practitioner 2958 West Devon Ave, Chicago, IL 60659 2020-06-12
1366926347 Kimberly Snell Blanchard Nurse Practitioner 600 S Paulina St Ste 130, Chicago, IL 60612-3806 2018-09-17
1942796123 Elizabeth R Reyna Nurse Practitioner 5841 S Maryland Ave # Mc7120, Chicago, IL 60637-1443 2018-07-10
1518475615 Kyla Lynn Musser Nurse Practitioner 2525 S Michigan Ave Ste 12, Chicago, IL 60616-2315 2018-01-11
1942717418 Madiha Khan Nurse Practitioner 3000 N Halsted St Ste 623, Chicago, IL 60657 2018-01-05
1952828980 Paulina Petrishka Nurse Practitioner 1115 N Crosby St # C, Chicago, IL 60610-2405 2017-08-30
1831639384 Ivory Rhymes Nurse Practitioner 8750 W Bryn Mawr Ave, Chicago, IL 60631-3655 2017-03-02
1265971204 Venus Liezl Basnillo- San Diego Nurse Practitioner 1628 N Bell Ave, Apt 1, Chicago, IL 60647-5289 2017-02-22
1093253718 Daniel Robert Mead Nurse Practitioner 1540 W Chicago Ave, Chicago, IL 60642-5236 2017-02-01
1992249585 Karen Panganiban Nurse Practitioner 4605 N Elston Ave, 3a, Chicago, IL 60630-4373 2016-12-15
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Competitor

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City CHICAGO
Zip Code 60609

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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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