JAY DECLARADOR (NPI# 1417460502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417460502 |
| Entity Type | Individual |
| Full Name | JAY DECLARADOR |
| Practice Address |
332 S Michigan Ave Chicago IL 60604-4434 |
| Mailing Address |
5450 Astor Ln Apt 418 Rolling Meadows IL 60008-4116 |
| Practice Telephone | 8886604425 |
| Mailing Telephone | 8472597173 |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2017-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209016591 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
332 S MICHIGAN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60604-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699094979 | Steven K White | Family Medicine | 332 S Michigan Ave, Suite 1032-w702, Chicago, IL 60604-4434 | 2010-05-25 |
| 1750993168 | Propel Psychotherapy, Pllc | Clinic/Center | 332 S Michigan Ave, Lower Level - P807, Chicago, IL 60604 | 2020-08-18 |
| 1053966606 | Jessica Rae Delgado | Nurse Practitioner | 332 S Michigan Ave, Chicago, IL 60604-4434 | 2019-08-09 |
| 1285287003 | Emily Anne Tinley | Social Worker | 332 S Michigan Ave, Chicago, IL 60604-4434 | 2019-07-21 |
| 1376000513 | Sme Illinois PC | General Practice | 332 S Michigan Ave, Chicago, IL 60604-4434 | 2019-02-25 |
| 1639634876 | Carmen G Perez | Social Worker | 332 S Michigan Ave, Chicago, IL 60604-4434 | 2019-02-01 |
| 1881168151 | Lisa Gail Anger | Nurse Practitioner | 332 S Michigan Ave, Chicago, IL 60604-4434 | 2019-01-19 |
| 1033646773 | Mary Ann Avila-cantore | Registered Nurse | 332 S Michigan Ave, 1100, Chicago, IL 60604-4434 | 2017-05-12 |
| 1760939623 | The Moodo Insurance Group | Supports Brokerage | 332 S Michigan Ave, Ste 1032, Chicago, IL 60604-4434 | 2016-09-07 |
| 1700233269 | Christopher Wells Winters | Social Worker | 332 S Michigan Ave, Suite 1024, Chicago, IL 60604-4434 | 2016-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750853719 | Michael Cramer | Nurse Practitioner | 322 S. Michigan Ave, Suite 1100, Chicago, IL 60604 | 2018-12-31 |
| 1174079883 | Cardinal Technical Sc | Specialist | 208 Lasalle Street, Suite 214, Chicago, IL 60604 | 2016-09-01 |
| 1427412436 | Your Choice Homecare, Inc. | Home Health | 332 S. Michigan Ave., Suite 1032-y43, Chicago, IL 60604 | 2016-04-06 |
| 1548634843 | Catherine Ranieri | Counselor | 53 W Jackson Blvd Ste 1625, Chicago, IL 60604 | 2015-11-24 |
| 1356710701 | Otis Peeples | Counselor | 134 N Lasalle Suite 400, Chicago, IL 60604 | 2015-09-16 |
| 1124495916 | Te You Moore | Counselor | 53 W Jackson Blvd Ste 1360, Chicago, IL 60604 | 2015-08-27 |
| 1992187686 | Kathryn Weaver | Psychiatry & Neurology | 343 South Dearborn Street Apt # 304, Chicago, IL 60604 | 2015-06-18 |
| 1700162583 | Tracy Bisterfeldt | Psychologist | 53 W. Jackson Blvd., Unit 635, Chicago, IL 60604 | 2011-10-25 |
| 1619201084 | Jennifer Gurski | Social Worker | 53 W. Jackson Blvd, Chicago, IL 60604 | 2009-10-01 |
| 1578736252 | Richard A Reschke | Naprapath | 141 W. Jackson Boulevard, Suite 2170, Chicago, IL 60604 | 2008-04-02 |
| Find all providers in zip 60604 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1073125431 | Faith M Langtiw | Nurse Practitioner | 2704 W Catalpa Ave, Chicago, IL 60625-3216 | 2020-08-18 |
| 1871114025 | Quickcare, Pllc | Nurse Practitioner | 6419 W Touhy Ave Apt 4a, Chicago, IL 60646-1040 | 2020-04-29 |
| 1376170894 | Julia Jekli | Nurse Practitioner | 365 N Halsted St Apt 3009, Chicago, IL 60661-1379 | 2020-03-25 |
| 1821623281 | Rina Delapena | Nurse Practitioner | 5630 N Sheridan Rd Apt 319, Chicago, IL 60660-4810 | 2020-03-06 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1962032813 | Sonia Ivelis Fernandez | Nurse Practitioner | 6129 N Campbell Ave Apt 1, Chicago, IL 60659-2809 | 2020-01-20 |
| 1164060257 | Julie Ann Daniels | Nurse Practitioner | 5808 W Eddy St, Chicago, IL 60634-4351 | 2019-12-19 |
| 1720625593 | Bogdana Gryniv | Nurse Practitioner | 5758 S Maryland Ave Ste 5a, Chicago, IL 60637-1426 | 2019-11-29 |
| 1023669835 | Carlette Bailey | Nurse Practitioner | 6700 S Oglesby Ave Apt 1204, Chicago, IL 60649-1373 | 2019-09-23 |
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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.