MRS. DORENE YVONNE JORDAN (NPI# 1417284456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417284456 |
| Entity Type | Individual |
| Full Name | MRS. DORENE YVONNE JORDAN |
| Credential | F.N.P. |
| Practice Address |
5600 W Fullerton Ave Chicago IL 60639-2305 |
| Practice Telephone | 2242250279 |
| Practice Fax Number | 2242250384 |
| Mailing Telephone | 2242250279 |
| Mailing Fax Number | 2242250384 |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2017-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.002868 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5600 W FULLERTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60639-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104831403 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5600 W Fullerton Ave, Chicago, IL 60639-2305 | 2006-07-29 |
| 1043794381 | Klaudia Kupinska | Pharmacist | 5600 W Fullerton Ave, Chicago, IL 60639-2305 | 2018-09-22 |
| 1982972881 | Walgreens | Pharmacist | 5600 W Fullerton Ave, Chicago, IL 60639-2305 | 2011-12-06 |
| 1689957854 | Thuan Ngoc Thi Vu Le | Pharmacist | 5600 W Fullerton Ave, Chicago, IL 60639-2305 | 2011-09-23 |
| 1528349545 | Suzy Park | Pharmacist | 5600 W Fullerton Ave, Chicago, IL 60639-2305 | 2011-09-03 |
| 1629359740 | Matthew Aaron Hallenburg | Pharmacist | 5600 W Fullerton Ave, Chicago, IL 60639-2305 | 2011-09-02 |
| 1528349529 | Sarfaraz Patel | Pharmacist | 5600 W Fullerton Ave, Chicago, IL 60639-2305 | 2011-09-02 |
| 1093095531 | Quynhlien Thi Ngo | Pharmacist | 5600 W Fullerton Ave, Chicago, IL 60639-2305 | 2011-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1568012375 | Ellen E Cox | Physical Therapist | 4369 W Diversey Ave, Chicago, IL 60639 | 2019-09-13 |
| 1306379268 | Michael Duarte | Family Medicine | 4417 W Diversey Ave, Chicago, IL 60639 | 2017-04-07 |
| 1013464593 | Ismile Dental | Dentist | 4953 West Fullerton Ave, Chicago, IL 60639 | 2016-09-01 |
| 1952773566 | Flor Cortes | Pharmacist | 4626 W Diversey, Chicago, IL 60639 | 2015-10-22 |
| 1205178654 | The Head Injury Center for Prevention and Community | Case Management | 1732 N. Narragansett Ave, Chicago, IL 60639 | 2013-03-25 |
| 1013299262 | Aamer Arboleda | Pharmacist | 1606 N. Mobile Ave., Chicago, IL 60639 | 2011-09-14 |
| 1295037927 | Mary Veronica Galiotto | Pharmacist | 2920 N Narragansett, Chicago, IL 60639 | 2010-12-01 |
| 1295067478 | Galileo Optical Co. | Eyewear Supplier (Equipment, not the service) | 5759 W. Fullerton, Chicago, IL 60639 | 2010-02-12 |
| 1831424548 | Sonrisa Family Dental At The Hall, P.C. | Dentist | 4608 A & B West Diversey Avenue, Chicago, IL 60639 | 2009-10-14 |
| Find all providers in zip 60639 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
| 1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
| 1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
| 1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
| 1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
| 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.