MISS LEAH MARIE COLLIGAN (NPI# 1568848547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568848547 |
| Entity Type | Individual |
| Full Name | MISS LEAH MARIE COLLIGAN |
| Credential | MSN, APN, CPNP-PC |
| Practice Address |
2525 S Michigan Ave Chicago IL 60616-2332 |
| Mailing Address |
225 E Chicago Ave Chicago IL 60611-2991 |
| Practice Telephone | 3125672000 |
| Mailing Telephone | 3122277410 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R209399 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 225 E Chicago Ave, Chicago, IL 606112991 | 3122277410 |
| Street Address |
2525 S MICHIGAN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60616-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215937628 | Bassam Osman | Psychiatry & Neurology | 2525 S Michigan Ave, Chicago, IL 60616-2333 | 2005-07-28 |
| 1821699794 | Gabrielle Klugman | Speech-Language Pathologist | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-11-05 |
| 1588278766 | Omar Hegazy | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-09-03 |
| 1326657651 | Stevan Oluic | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-07-22 |
| 1821616947 | Peter Pyagay | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-07-07 |
| 1225655665 | Elliot A Petropoulos | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-07-01 |
| 1053931758 | Kristiina Carol Miller | Student in an Organized Health Care Education/Training Program | 2525 S Michigan Ave, Chicago, IL 60616 | 2020-04-22 |
| 1316567365 | Nikita Grama | Podiatrist | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-04-20 |
| 1073132031 | David Fares Nassif Hana | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-04-10 |
| 1932728961 | Maria Geraldinesneha Devanesan | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
| 1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
| 1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
| 1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
| 1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
| 1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
| 1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
| 1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
| 1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
| Find all providers in zip 60616 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1487160586 | Meghan Doepke Sullivan | Nurse Practitioner | 1030 N Clark St Ste 400, Chicago, IL 60610-5468 | 2017-12-27 |
| 1366955940 | Debra Chana Goldstein | Nurse Practitioner | 2732 W Chase Ave, Chicago, IL 60645-1313 | 2017-11-06 |
| 1588189260 | Larissa Marie Schulze | Nurse Practitioner | 737 N Michigan Ave Ste 820, Chicago, IL 60611-6659 | 2017-08-03 |
| 1164887295 | Meredith Murphy Mcintee | Nurse Practitioner | 5841 S Maryland Ave # Mc4065, Chicago, IL 60637-1443 | 2015-12-16 |
| 1215345442 | Tara Seider | Nurse Practitioner | 2707 W Ainslie St, Unit #3, Chicago, IL 60625-2715 | 2014-07-31 |
| 1447697982 | Emily Thurn | Nurse Practitioner | 225 E Chicago Ave Box 29, Chicago, IL 60611-2605 | 2013-05-23 |
| 1518231505 | Julianne Deschler Bertalmio | Nurse Practitioner | 1460 N. Halsted Street, Suite 402, Chicago, IL 60642 | 2012-03-08 |
| 1932478765 | Julie Elizabeth Martin | Nurse Practitioner | 225 E Chicago, 4 Ne, Chicago, IL 60611-2605 | 2011-12-22 |
| 1245532480 | Alexandra Wilson Benz | Nurse Practitioner | 225 E Chicago Ave # 93, Chicago, IL 60611-2991 | 2010-11-20 |
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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.