DR. BIANCA JENKINS (NPI# 1568099380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568099380 |
| Entity Type | Individual |
| Full Name | DR. BIANCA JENKINS |
| Credential | MD |
| Practice Address |
251 E Huron St Chicago IL 60611-2908 |
| Mailing Address |
2750 W North Ave Chicago IL 60647-5247 |
| Practice Telephone | 3126663494 |
| Mailing Telephone | 3126663494 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
125.076810 | IL | Allopathic & Osteopathic Physicians |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
125.076810 | IL | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
125.076810 | IL | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
125.076810 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
125.076810 | IL | Allopathic & Osteopathic Physicians |
| N | 207QS1201X |
Family Medicine Specialization: Sleep Medicine |
125.076810 | IL | Allopathic & Osteopathic Physicians |
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
125.076810 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583564 | Bianca R Jenkins | Speech-Language Pathologist | 204 Harnett Ct, Clarksville, TN 37043-2065 | 2020-09-16 |
| Street Address |
251 E HURON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538169636 | George Chiampas | Emergency Medicine | 251 E Huron St, Chicago, IL 60611-2908 | 2005-07-29 |
| 1316544067 | Valerie E Musolf | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-2908 | 2020-10-06 |
| 1326645193 | Colleen Nash | Registered Nurse | 251 E Huron St, Chicago, IL 60611-2908 | 2020-10-05 |
| 1841807286 | Sara Schussler | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-3055 | 2020-09-29 |
| 1679188114 | James Andrew Wong | Registered Nurse | 251 E Huron St, Chicago, IL 60611-3055 | 2020-09-11 |
| 1740895218 | Ryan Twilley | Registered Nurse | 251 E Huron St, Chicago, IL 60611-3055 | 2020-09-11 |
| 1245845031 | Austin Tucker | Registered Nurse | 251 E Huron St, Chicago, IL 60611-2908 | 2020-09-09 |
| 1144834656 | Alana Telfer | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-2908 | 2020-09-02 |
| 1386257277 | Ashley Elizabeth Mathews | Student in an Organized Health Care Education/Training Program | 251 E Huron St, Chicago, IL 60611-3055 | 2020-08-28 |
| 1982216776 | Thwisha Sabloak | Student in an Organized Health Care Education/Training Program | 251 E Huron St, Chicago, IL 60611-2908 | 2020-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1447666318 | M & F Medical Services, Ltd | Family Medicine | 5642 N Christiana Ave, Chicago, IL 60659-4555 | 2014-07-10 |
| 1457767774 | Rambha Radhakrishnan | Family Medicine | 2645 W Peterson Ave, Chicago, IL 60659-4017 | 2014-07-08 |
| 1730444639 | Iqbal S Husain | Family Medicine | 6936 N Chicora Ave, Chicago, IL 60646-1508 | 2012-07-07 |
| 1033480413 | Healthworks Integrative Medical Clinic | Family Medicine | 1165 N Clark St Ste 608, Chicago, IL 60610-7848 | 2012-01-18 |
| 1518123843 | Nastane Le Bec | Family Medicine | 6225 S Kenwood Ave Apt 1s, Chicago, IL 60637-3766 | 2008-08-06 |
| 1639372410 | Albert R Rosanova Jr Ltd | Family Medicine | 5510 W Montrose Ave, Chicago, IL 60641-1330 | 2007-06-07 |
| 1386860997 | Mariya Dmytriv-kapeniak | Family Medicine | 2540 W Chicago Ave, Chicago, IL 60622-5019 | 2007-04-18 |
| 1255462578 | Roberto Diaz | Family Medicine | 1805 S Ashland Ave, Chicago, IL 60608-2805 | 2007-03-08 |
| 1386784346 | Carroll Edward Smith | Family Medicine | 4215 S King Dr, Chicago, IL 60653-2663 | 2007-02-07 |
| 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.