MS. TELVA TILLEY URBAN (NPI# 1477735884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477735884 |
| Entity Type | Individual |
| Full Name | MS. TELVA TILLEY URBAN |
| Credential | NP |
| Practice Address |
840 W Irving Park Rd Ste 301 Chicago IL 60613-3011 |
| Mailing Address |
Po Box 3276 Evansville IN 47731-3276 |
| Practice Telephone | 7739753269 |
| Practice Fax Number | 7739753270 |
| Mailing Telephone | 8124730181 |
| Mailing Fax Number | 8124735822 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2016-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 209004828 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209-004828 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
840 W IRVING PARK RD STE 301 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508239963 | Tristan Talua | Nurse Practitioner | 840 W Irving Park Rd Ste 301, Chicago, IL 60613-3011 | 2015-11-07 |
| 1306212717 | Cecilia Ann | Nurse Practitioner | 840 W Irving Park Rd Ste 301, Chicago, IL 60613-3011 | 2015-08-19 |
| 1508240185 | Pinkey Patel | Nurse Practitioner | 840 W Irving Park Rd Ste 301, Chicago, IL 60613-3011 | 2015-07-14 |
| 1033507975 | Frances Walker | Registered Nurse | 840 W Irving Park Rd Ste 301, Chicago, IL 60613-3011 | 2014-12-30 |
| 1881099265 | Kristen Taruc | Nurse Practitioner | 840 W Irving Park Rd Ste 301, Chicago, IL 60613-3011 | 2014-10-28 |
| 1528461878 | Aileen Macato | Nurse Practitioner | 840 W Irving Park Rd Ste 301, Chicago, IL 60613-3011 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1366926347 | Kimberly Snell Blanchard | Nurse Practitioner | 600 S Paulina St Ste 130, Chicago, IL 60612-3806 | 2018-09-17 |
| 1942796123 | Elizabeth R Reyna | Nurse Practitioner | 5841 S Maryland Ave # Mc7120, Chicago, IL 60637-1443 | 2018-07-10 |
| 1518475615 | Kyla Lynn Musser | Nurse Practitioner | 2525 S Michigan Ave Ste 12, Chicago, IL 60616-2315 | 2018-01-11 |
| 1942717418 | Madiha Khan | Nurse Practitioner | 3000 N Halsted St Ste 623, Chicago, IL 60657 | 2018-01-05 |
| 1952828980 | Paulina Petrishka | Nurse Practitioner | 1115 N Crosby St # C, Chicago, IL 60610-2405 | 2017-08-30 |
| 1831639384 | Ivory Rhymes | Nurse Practitioner | 8750 W Bryn Mawr Ave, Chicago, IL 60631-3655 | 2017-03-02 |
| 1265971204 | Venus Liezl Basnillo- San Diego | Nurse Practitioner | 1628 N Bell Ave, Apt 1, Chicago, IL 60647-5289 | 2017-02-22 |
| 1093253718 | Daniel Robert Mead | Nurse Practitioner | 1540 W Chicago Ave, Chicago, IL 60642-5236 | 2017-02-01 |
| 1992249585 | Karen Panganiban | Nurse Practitioner | 4605 N Elston Ave, 3a, Chicago, IL 60630-4373 | 2016-12-15 |
| 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.