CRYSTAL RENEE AANDAHL (NPI# 1316497068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316497068 |
Entity Type | Individual |
Full Name | CRYSTAL RENEE AANDAHL |
Credential | FNP |
Practice Address |
3001 Green Bay Rd North Chicago IL 60064-3048 |
Practice Telephone | 7608450079 |
Mailing Telephone | 2246107776 |
Enumeration Date | 2016-10-06 |
Last Update Date | 2020-04-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 2006019267 | MO | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06190182 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4301 Jones Bridge Rd, Bethesda, MD 208144712 | 7608450079 |
Street Address |
3001 GREEN BAY RD |
City | NORTH CHICAGO |
State | IL |
Zip Code | 60064-3048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386640290 | Shakira Ife Brown | Pharmacist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2005-06-24 |
1023628609 | Michelle Therese Dubil | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-08-07 |
1710504758 | Todd David Johnson | Student in an Organized Health Care Education/Training Program | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-25 |
1033735022 | Piotr Pawel Krolikowski | Internal Medicine | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-25 |
1457977555 | Cortney Muns | Clinical Nurse Specialist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-24 |
1962028241 | Samantha Lynn Tuminaro | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-22 |
1003432485 | Sara Elise Ringle | Registered Nurse | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-22 |
1609492065 | Kaylee Elizabeth Caniff | Pharmacist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-22 |
1821613761 | Ana R Tomlinson | Registered Nurse | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-16 |
1760007702 | William Joel Shumaker | Registered Nurse | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
Find all providers in zip 60064 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457744831 | Bridgett Yvette Epps | Nurse Practitioner | 3002 18th St, North Chicago, IL 60064-1520 | 2015-03-10 |
1700874385 | Rosemary T Trotta | Nurse Practitioner | 3001 Green Bay Rd Bldg 9, North Chicago, IL 60064-3048 | 2005-10-08 |
1205386174 | Steffanie E Meeks | Nurse Practitioner | 3471 Green Bay Rd, North Chicago, IL 60064-3090 | 2016-10-04 |
1710309679 | Glenn Abelbert Coon IIi | Nurse Practitioner | 3001 Green Bay Road, North Chicago, IL 60064 | 2014-01-13 |
1316960537 | Wilma Jean Woollard | Nurse Practitioner | 3001 Green Bay Rd, Dept 111, North Chicago, IL 60064-3048 | 2006-07-26 |
1356365399 | Deborah Ann Safron | Nurse Practitioner | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
Find all providers with the same taxonomy |
City | NORTH CHICAGO |
Zip Code | 60064 |
Please comment or provide details below to improve the information on CRYSTAL RENEE AANDAHL.
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.