MS. REGINA WAN (NPI# 1306117213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306117213 |
Entity Type | Individual |
Full Name | MS. REGINA WAN |
Credential | MSN, NNP-BC |
Practice Address |
2320 E 93rd St Chicago IL 60617-3909 |
Practice Telephone | 7739675097 |
Enumeration Date | 2012-01-24 |
Last Update Date | 2017-03-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
209009357 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2320 E 93RD ST |
City | CHICAGO |
State | IL |
Zip Code | 60617-3909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477545937 | Ken R Richards | Specialist | 2320 E 93rd St, Trinity Hospital, Chicago, IL 60617-3983 | 2005-08-19 |
1972151512 | Lauren Jennifer Wishne | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-08-27 |
1932755105 | Erin Hill | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-08-14 |
1154980001 | Nathan Duane Warner | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-06-12 |
1740749779 | Alec Saadi Colson | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-03-19 |
1710452065 | Sherryl Felice Smith-colbert | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-10-12 |
1497220743 | Kenisha Daniels | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-10-12 |
1396229019 | Amy Elizabeth Spreitzer | Registered Nurse | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-09-18 |
1770072340 | Shawndra L Ferrell | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-05-08 |
1396258513 | Rosie L. Bernard | Registered Nurse | 2320 E 93rd St, Chicago, IL 60617-3909 | 2017-11-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
Find all providers in zip 60617 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699229229 | Christie Gilbart | Nurse Practitioner | 537 W Belmont Ave, #3, Chicago, IL 60657-4677 | 2016-08-11 |
1811124936 | Denise Kirsten | Nurse Practitioner | 1653 W. Congress, Pkwy Nicu, Chicago, IL 60612 | 2009-06-16 |
1356942239 | Sara Mancuso | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-11-05 |
1912516667 | Raymond Vincent Garay | Nurse Practitioner | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-07-29 |
1255965208 | Kelly A Peterson | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-02-28 |
1710510433 | Helen Medina | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-02-20 |
1164053484 | Amber Sara Johnson | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-01-27 |
1275190647 | Hyebin Hailey Lee | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2019-05-21 |
1396200697 | Jennifer Pykosz | Nurse Practitioner | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2019-01-31 |
1134635147 | Margaret Connors | Nurse Practitioner | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2017-12-28 |
Find all providers in CHICAGO |
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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.