EILEEN MARY JUREVIS (NPI# 1538658547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538658547 |
| Entity Type | Individual |
| Full Name | EILEEN MARY JUREVIS |
| Practice Address |
31 W 155th St Harvey IL 60426-3556 |
| Practice Telephone | 7085965177 |
| Practice Fax Number | 7085695518 |
| Mailing Telephone | 7085965177 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
041204760 | IL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | REGISTERED PROFESSIONAL NURSE | 041204760 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 713 E 142nd St, Dolton, IL 604191062 | 7085965177 | |
| 19767 Torrence Ave, Lynwood, IL 604117624 | 7085965177 |
| Street Address |
31 W 155TH ST |
| City | HARVEY |
| State | IL |
| Zip Code | 60426-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831199124 | Lisa K Wright | Pediatrics | 31 W 155th St, Harvey, IL 60426-3556 | 2005-07-28 |
| 1730739384 | Dawanda Davis | Counselor | 31 W 155th St, Harvey, IL 60426-3556 | 2019-09-16 |
| 1164084133 | Regina Channell Ruffin | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2019-06-30 |
| 1982176400 | Diana Funmilola Wells | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2018-12-21 |
| 1205311750 | Lashunda Denise Hill | Dental Hygienist | 31 W 155th St, Harvey, IL 60426-3556 | 2018-10-01 |
| 1013406180 | Mia Webster-cross | Registered Nurse | 31 W 155th St, Harvey, IL 60426-3556 | 2018-05-04 |
| 1003303769 | Maira Ochoa | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2018-04-18 |
| 1043755697 | Beryl Armstrong | Counselor | 31 W 155th St, Harvey, IL 60426-3556 | 2017-01-05 |
| 1053855908 | Stephanie Liggons | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2016-12-12 |
| 1619324605 | Aishat Mobosola Adebisi | Obstetrics & Gynecology | 31 W 155th St, Harvey, IL 60426-3556 | 2016-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508485954 | Melissa M Ptak | Registered Nurse | 605 W Central Rd Ste 101, Arlington Heights, IL 60005-2389 | 2020-04-15 |
| 1790260552 | Highland Park Cvs, L.L.C. | Registered Nurse | 800 Carlyle Ave, Belleville, IL 62221-5509 | 2018-09-27 |
| 1770035636 | Highland Park Cvs, L.l.c | Registered Nurse | 10405 N Centerway Dr, Peoria, IL 61615-1233 | 2016-10-26 |
| 1114384583 | Debra Newbolds | Registered Nurse | 117 Weisbrook Ln, Carterville, IL 62918-2320 | 2016-01-15 |
| 1093022360 | Andrea Gebhart | Registered Nurse | 3722 S. Harlem Ave., Suite 202, Riverside, IL 60546 | 2010-09-08 |
| 1013148295 | Clara May Miller | Registered Nurse | 1025 Bonnie Brae Pl, River Forest, IL 60305-1513 | 2009-08-05 |
| 1801007422 | Elyssa Joy Springer | Registered Nurse | 251 E Huron, Northwestern Memorial Hospital # 4-508, Chicago, IL 60611 | 2007-05-25 |
| 1245390285 | Highland Park Cvs, L.L.C. | Registered Nurse | 2642 Charles St, Rockford, IL 61108-1671 | 2006-12-11 |
| 1548296890 | Highland Park Cvs, L.L.C. | Registered Nurse | 1129 W Broadway, Centralia, IL 62801-5353 | 2006-06-25 |
| 1376579623 | Highland Park Cvs, L.L.C. | Registered Nurse | 109 N Mattis Ave, Champaign, IL 61821-3059 | 2006-06-25 |
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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.