KIM TAVAJIAN (NPI# 1306291687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306291687 |
| Entity Type | Individual |
| Full Name | KIM TAVAJIAN |
| Credential | AGACNP-DNP |
| Practice Address |
25 North Winfield Road Winfield IL 60190-1295 |
| Practice Telephone | 6309332113 |
| Practice Fax Number | 6309334520 |
| Mailing Telephone | 6309332113 |
| Mailing Fax Number | 6309334520 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209014079 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
25 NORTH WINFIELD ROAD |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190-1295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272634 | Katalin Z. Russay | Anesthesiology | 25 North Winfield Road, Winfield, IL 60190 | 2005-08-10 |
| 1063829372 | Bryan Fill | Registered Nurse | 25 North Winfield Road, Cdh-flr 4-north Tower, Winfield, IL 60190-1295 | 2014-07-18 |
| 1023429065 | Izabela Agnieszka Holanday | Physician Assistant | 25 North Winfield Road, Winfield, IL 60190-1295 | 2014-05-13 |
| 1265850705 | Sara Cherny | Genetic Counselor, MS | 25 North Winfield Road, Winfield, IL 60190 | 2014-04-02 |
| 1376960872 | Patricia Lynn Brown | Nurse Practitioner | 25 North Winfield Road, Suite 103, Winfield, IL 60190-1295 | 2014-03-21 |
| 1851734040 | John Patrick Reid | Internal Medicine | 25 North Winfield Road, Winfield, IL 60190 | 2013-04-08 |
| 1407196561 | Joan Lorraine Matthews | Physician Assistant | 25 North Winfield Road, Suite 405, Winfield, IL 60190 | 2013-02-26 |
| 1326396854 | Nicole Marie Bettin | Physical Therapist | 25 North Winfield Road, Suite 506, Winfield, IL 60190 | 2012-08-15 |
| 1770838450 | Jenna Szybowicz | Speech-Language Pathologist | 25 North Winfield Road, Rehabilitation Services, Winfield, IL 60190-1295 | 2012-07-18 |
| 1649525361 | Elizabeth L Binder | Occupational Therapist | 25 North Winfield Road, Winfield, IL 60190 | 2012-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
| Find all providers in zip 60190 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831403419 | Yvonne Tumbali | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2010-08-05 |
| 1114259587 | Jennifer Ann Fox | Nurse Practitioner | 25 N Winfield Rd, Suite 500, Winfield, IL 60190-1295 | 2010-02-09 |
| 1558520692 | Kathryn J Lubben | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2008-06-04 |
| 1679584817 | Patricia Phelps | Nurse Practitioner | 25 N Winfield Rd, Asp #500, Winfield, IL 60190-1222 | 2006-08-11 |
| 1952353070 | Susan Galanes | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759461 | Sarah Westerman | Nurse Practitioner | 721 Dover Ct, Pingree Grove, IL 60140-9181 | 2020-10-28 |
| 1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
| 1609484591 | Jennifer Kuczero | Nurse Practitioner | 4059 W 89th Pl, Hometown, IL 60456-1202 | 2020-07-16 |
| 1205452489 | Aneta Trybula | Nurse Practitioner | 10604 W 154th Pl, Orland Park, IL 60462-6025 | 2020-06-23 |
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 1588125116 | Sherryl Estorque | Nurse Practitioner | 9033 W Heathwood Cir, Niles, IL 60714-5807 | 2019-03-27 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
| 1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
| 1275024523 | Lateisha Nicole Fort | Nurse Practitioner | 1222 E 170th St, South Holland, IL 60473-3558 | 2018-05-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIM TAVAJIAN.
| 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.