MAGIC M. ALLEN (NPI# 1376080630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376080630 |
| Entity Type | Individual |
| Full Name | MAGIC M. ALLEN |
| Credential | AGACNP-BC |
| Practice Address |
700 E Ogden Ave Ste 202 Westmont IL 60559-1398 |
| Practice Telephone | 6307899785 |
| Practice Fax Number | 6307899798 |
| Mailing Telephone | 6307899785 |
| Mailing Fax Number | 6307899798 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2018-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209015500 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4440 W 95th St, Oak Lawn, IL 604532600 | 6309916896 |
| Street Address |
700 E OGDEN AVE STE 202 |
| City | WESTMONT |
| State | IL |
| Zip Code | 60559-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922113976 | Imtiaz Arain | Specialist | 700 E Ogden Ave Ste 202, Westmont, IL 60559 | 2006-08-20 |
| 1417444373 | Darrell Arevalo | Nurse Practitioner | 700 E Ogden Ave Ste 202, Westmont, IL 60559 | 2018-04-17 |
| 1679074041 | Brittiany Elise Lay | Nurse Practitioner | 700 E Ogden Ave Ste 202, Westmont, IL 60559-1296 | 2018-02-21 |
| 1942709688 | Jason T Cropsey | Nurse Practitioner | 700 E Ogden Ave Ste 202, Westmont, IL 60559-1296 | 2018-02-08 |
| 1346750767 | Michael Dean Ahart | Nurse Practitioner | 700 E Ogden Ave Ste 202, Westmont, IL 60559-1398 | 2017-10-11 |
| 1467971515 | Yogitaben Deepakkumar Patel | Nurse Practitioner | 700 E Ogden Ave Ste 202, Westmont, IL 60559-1296 | 2017-09-10 |
| 1790208668 | Uchenna Bridget Ezenekwe | Nurse Practitioner | 700 E Ogden Ave Ste 202, Westmont, IL 60559-1296 | 2017-07-21 |
| 1447771860 | Rohini Attavane | Nurse Practitioner | 700 E Ogden Ave Ste 202, Westmont, IL 60559-1296 | 2017-07-06 |
| 1578092805 | Andrzej Zeglen | Internal Medicine | 700 E Ogden Ave Ste 202, Westmont, IL 60559-1296 | 2017-06-09 |
| 1588100952 | Christina Grote | Nurse Practitioner | 700 E Ogden Ave Ste 202, Westmont, IL 60559-1398 | 2017-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1528672581 | Kera C Evans | Counselor | 414 Plaza Dr. Suite 301, Westmont, IL 60559 | 2020-09-06 |
| 1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
| 1689192163 | Jeannie Marie Gorman | Nutritionist | 310 W. Burlington Ave, Westmont, IL 60559 | 2017-09-05 |
| 1326563248 | Bethany Juby | Psychologist | 825 N Cass Ave Ste 112, Westmont, IL 60559 | 2017-08-11 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1841690898 | Kimberly Libby | Physical Therapist | 801 N Cass Ave Ste 100, Westmont, IL 60559 | 2014-08-27 |
| 1083036792 | Deborah Carsten | Counselor | 460 Quail Ridge Drive, Westmont, IL 60559 | 2014-01-15 |
| Find all providers in zip 60559 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679074041 | Brittiany Elise Lay | Nurse Practitioner | 700 E Ogden Ave Ste 202, Westmont, IL 60559-1296 | 2018-02-21 |
| 1912450941 | Jennifer Cavett | Nurse Practitioner | 700 E Ogden Ave Ste 202, Westmont, IL 60559-1296 | 2016-07-26 |
| 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 |
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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.