TERESA A MITCHELL


Address: 4646 N Marine Dr, Chicago, IL 60640
Phone: 7738788700

TERESA A MITCHELL (NPI# 1386914653) 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) 1386914653
Entity Type Individual
Full Name TERESA A MITCHELL
Other Name TERESA A FRANKLIN
Credential CRNA
Practice Address 4646 N Marine Dr
Chicago
IL 60640
Mailing Address 11781 Lee Jackson Memorial Hwy
Suite 550
Fairfax
VA 22033-3309
Practice Telephone 7738788700
Practice Fax Number 7087830920
Mailing Telephone 5717775106
Mailing Fax Number 7037669725
Enumeration Date 2012-01-04
Last Update Date 2015-11-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN333932 OH Nursing Service Providers
N 163W00000X Registered Nurse 041391968 IL Nursing Service Providers
Y 367500000X Nurse Anesthetist, Certified Registered 209009365 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AANA NUMBER 089586 01

Other Providers TERESA MITCHELL

NPI Name Taxonomy Address Enumeration
1427473982 Teresa Marie Mitchell Pharmacist 402 10th St Se Ste 700, Cedar Rapids, IA 52403-2459 2014-02-20
1801958137 Teresa Lanette Mitchell Pharmacist 7544 N Turkey Rd, Camilla, GA 31730-5500 2006-12-14
1992738868 Teresa Ann Mitchell Physical Therapist 701 N Weinbach Ave, Suite 310, Evansville, IN 47711-5990 2006-07-07
1255516688 Teresa Rochelle Mitchell Counselor 10025 Los Ranchitos Rd, Lakeside, CA 92040-2723 2008-01-03
1336221001 Teresa M Mitchell Counselor 230 W Maple Ave, Enid, OK 73701-4012 2006-10-20
1225003197 Teresa Kandah Mitchell Pediatrics 271 Carew Street, Springfield, MA 01104 2006-02-22

Office Location

Street Address 4646 N MARINE DR
City CHICAGO
State IL
Zip Code 60640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407850969 Peter A Hancock Podiatrist 4646 N Marine Dr, Ste C-6500, Chicago, IL 60640-5759 2005-06-11
1881200368 Chandan Singh Sapkota Internal Medicine 4646 N Marine Dr, Chicago, IL 60640-5759 2020-09-19
1538771316 Ayesha Saleem Student in an Organized Health Care Education/Training Program 4646 N Marine Dr, Chicago, IL 60640-5759 2020-08-21
1831701978 Allina Ghimire Internal Medicine 4646 N Marine Dr, Chicago, IL 60640-5759 2020-08-19
1154932291 Ayomide Ireti Sotomi-foluso Internal Medicine 4646 N Marine Dr, Chicago, IL 60640-5759 2020-08-12
1427669860 Yadana Oo Internal Medicine 4646 N Marine Dr, Chicago, IL 60640-5759 2020-08-10
1467062190 Seyma Eroglu Internal Medicine 4646 N Marine Dr, Chicago, IL 60640-5759 2020-08-07
1003426743 Carlos Andres Rueda Mantilla Internal Medicine 4646 N Marine Dr, Chicago, IL 60640-5759 2020-08-07
1609486968 Ahmet Ersin Yassa Internal Medicine 4646 N Marine Dr, Chicago, IL 60640-5759 2020-08-03
1861000630 Mustafa Ali Samejo Internal Medicine 4646 N Marine Dr, Chicago, IL 60640-5759 2020-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336754233 Rci (wrs), LLC. Clinic/Center 5221-23 North Broadway, Chicago, IL 60640 2020-09-09
1548871916 Borici Counseling LLC Counselor 4731 N Paulina St, Chicago, IL 60640 2020-08-11
1306319173 Gerardo Garcia Physician Assistant Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 2019-01-04
1386121283 Aea Optical Ventures, LLC Clinic/Center 4814 N Clark St, Chicago, IL 60640 2018-07-24
1023503885 Lauren Vassiliades Internal Medicine Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 2018-06-25
1477061620 Yesenia Vargas Nurse Practitioner 1025 W Sunnyside, Chicago, IL 60640 2018-01-22
1932622206 Jasleen Kaur Brar Internal Medicine 4646 N. Marine Dr., Chicago, IL 60640 2017-07-19
1750802849 Umer Mukhtar Internal Medicine 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 2017-06-29
1184144081 Ellie Navidson Registered Nurse 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 2017-06-21
1962932558 Jennifer Stridh Marriage & Family Therapist 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 2017-06-15
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639797525 Crna Stat Inc Nurse Anesthetist, Certified Registered 4534 S Lake Park Ave, Chicago, IL 60653-4510 2020-07-08
1508480153 Scott Allsup Nurse Anesthetist, Certified Registered 1337 W Early Ave Apt 1, Chicago, IL 60660-5465 2020-05-29
1194352286 Decelle Jewel Manuel Enriquez Nurse Anesthetist, Certified Registered 251 E Huron St Ste F5-704, Chicago, IL 60611-2908 2020-03-26
1689130247 Sheri Rylko Nurse Anesthetist, Certified Registered 1653 W. Congress Pkwy. Jelke 7, Chicago, IL 60612 2019-02-19
1265939623 Gaelle Name Pierre Nurse Anesthetist, Certified Registered 1740 W Taylor St, Chicago, Il 60612, Chicago, IL 60612 2018-04-11
1669910741 Joan Kircher Nurse Anesthetist, Certified Registered 910 W Huron St Unit 1405, Chicago, IL 60642-5980 2017-02-08
1841742475 Minnie Cherlin Zhou Nurse Anesthetist, Certified Registered 1740 W. Taylor Street, 3200 W. U of Illinois Hospital, Department of Anesthesiology, Mc515, Chicago, IL 60612 2016-10-31
1285189274 Mishawna Bohner Nurse Anesthetist, Certified Registered 4907 N Washtenaw Ave, Apt 3, Chicago, IL 60625-2793 2016-08-18
1013378280 Dawn J Cook Nurse Anesthetist, Certified Registered 2626 N Lakeview Ave Apt 1409, Chicago, IL 60614-1812 2016-03-15
1912375635 Laurie Conavay Nurse Anesthetist, Certified Registered 1740 W. Taylor St., Department of Anesthesia Suite 3200, Chicago, IL 60612 2015-09-11
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City CHICAGO
Zip Code 60640

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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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