JENNIFER J ROGULIC (NPI# 1457881682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457881682 |
| Entity Type | Individual |
| Full Name | JENNIFER J ROGULIC |
| Other Name | JENNIFER J GOORSKY |
| Credential | FNP-C |
| Practice Address |
3461 Momentum Pl Chicago IL 60689-0001 |
| Mailing Address |
3461 Momentum Pl Chicago IL 60689-5334 |
| Practice Telephone | (847) 624-3781 |
| Practice Fax Number | 8478166945 |
| Mailing Telephone | 8476243781 |
| Mailing Fax Number | 8478166945 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 171911-30 | WI | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 041.381690 | IL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.016154 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3461 MOMENTUM PL |
| City | CHICAGO |
| State | IL |
| Zip Code | 60689-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851812788 | Jessica Sefton | Physician Assistant | 3461 Momentum Pl, Chicago, IL 60689-0001 | 2017-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568457604 | Robert J Houser | Physician Assistant | 3565 Momentum Pl, Chicago, IL 60689 | 2005-09-14 |
| 1851833420 | Meghan Kelly | Physician Assistant | 2513 Momentum Pl, Chicago, IL 60689 | 2016-11-14 |
| 1124401179 | Omni Youth Services, Inc. | Clinic/Center | 1111 W Lake Cook Rd, Buffalo Grove, IL 60689 | 2015-07-08 |
| 1417195421 | Robin A Williams | Dietitian, Registered | 2063 Momentum Pl, Chicago, IL 60689-0001 | 2009-01-29 |
| 1073535845 | Gary Gray Physical Therapy Clinic Inc. | Occupational Therapist | 2408 Momentum Pl, Chicago, IL 60689-0001 | 2006-07-24 |
| 1023064144 | Eastern Iowa Therapeutics PC | Physical Therapist | 2406 Momentum Pl, Chicago, IL 60689-0001 | 2006-05-26 |
| 1306873377 | Pri Diagnostics, LLC. | Clinic/Center | 1456 Momentum Pl, Chicago, IL 60689-5314 | 2006-06-27 |
| 1376651489 | Matrix LLC | Skilled Nursing Facility | 1603 Momentum Pl, Chicago, IL 60689-5316 | 2006-08-28 |
| 1588118285 | Elishba Sinha | Nurse Practitioner | 2447 Momentum Pl, Chicago, IL 60689-5325 | 2016-08-10 |
| 1699174730 | Munson Medical Center | Physician Assistant | 2513 Momentum Pl, Chicago, IL 60689-5325 | 2014-08-14 |
| Find all providers in zip 60689 | ||||
| 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.