SUMMER GLYNN KELLY (NPI# 1457765075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457765075 |
| Entity Type | Individual |
| Full Name | SUMMER GLYNN KELLY |
| Credential | RN, BSN, IBCLC, LCCE |
| Practice Address |
4828 N Neenah Ave Chicago IL 60656-4018 |
| Practice Telephone | 7733164017 |
| Practice Fax Number | 7733411597 |
| Mailing Telephone | 7733164017 |
| Mailing Fax Number | 7733411597 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
041348560 | IL | Nursing Service Providers |
| N | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
041348560 | IL | Nursing Service Providers |
| Street Address |
4828 N NEENAH AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60656-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306252358 | Windy City Baby LLC | Registered Nurse | 4828 N Neenah Ave, Chicago, IL 60656-4018 | 2014-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356885479 | Daniel Phalin | Physician Assistant | 5666 E. State St, Rockford, IL 60656 | 2016-12-08 |
| 1093083768 | Renalyn Rico | Physical Therapist | Gem Staffing Inc, 5440 N. Cumberland, 101a, Chicago, IL 60656 | 2011-12-08 |
| 1467734582 | Ralph A Cardone | Pharmacist | 7155 W. Foster Place, Chicago, IL 60656 | 2011-09-14 |
| 1326293226 | Richard J Bret | Dentist | 7100 W. Higgins, Chicago, IL 60656 | 2008-11-20 |
| 1588813372 | Ozgul Kadriye Holmgren | Behavioral Analyst | 7634 W Balmoral Ave, Chicago, IL 60656 | 2008-09-16 |
| 1841342375 | Magdi Naguib Gayed | Dentist | 8441 West Lawrence Ave, Chicago, IL 60656 | 2007-01-17 |
| 1225105281 | Frank Capobianco | Internal Medicine | 7046 W Higgins, Chicago, IL 60656 | 2006-11-28 |
| 1730136276 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 4734 N Cumberland Ave, Chicago, IL 60656 | 2006-05-30 |
| 1336195726 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 7342 W Foster Ave, Chicago, IL 60656 | 2006-05-26 |
| 1508149865 | Walgreens | Point of Service | 7155 W. Foster Place, Chicago, IL 60656 | 2011-09-23 |
| Find all providers in zip 60656 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728322 | Nicola Ann Genelly | Registered Nurse | 4545 W Hutchinson St, Chicago, IL 60641-1989 | 2018-01-19 |
| 1164935102 | Jaudon Rogers | Registered Nurse | 1905 W Foster Ave # 2, Chicago, IL 60640-1025 | 2017-11-13 |
| 1821520800 | Elyse Fagan | Registered Nurse | 10430 S Spaulding Ave, Chicago, IL 60655-2427 | 2017-03-29 |
| 1447525449 | Elizabeth Susan Sjoblom | Registered Nurse | 2448 W Bloomingdale Ave, Unit 2w, Chicago, IL 60647-6285 | 2012-03-09 |
| 1235401563 | Gwenan Wilbur | Registered Nurse | 6647 N Talman Ave, Chicago, IL 60645-5008 | 2012-02-01 |
| 1629218227 | Laura Coulter | Registered Nurse | 4538 N Hermitage Ave, Chicago, IL 60640-5304 | 2009-02-23 |
| 1538370994 | Martha Petering Johnson | Registered Nurse | 4138 N Harding Ave, Chicago, IL 60618-1943 | 2007-05-25 |
| 1568680312 | Elizabeth Kelly | Registered Nurse | 4925 N Leavitt St, Chicago, IL 60625-1308 | 2007-04-24 |
| 1194101220 | Third Coast Lactation LLC | Registered Nurse | 4925 N Leavitt St, Chicago, IL 60625-1308 | 2015-07-30 |
| 1306252358 | Windy City Baby LLC | Registered Nurse | 4828 N Neenah Ave, Chicago, IL 60656-4018 | 2014-07-10 |
| 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.