TARA ANN BEHNKE (NPI# 1598204760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598204760 |
| Entity Type | Individual |
| Full Name | TARA ANN BEHNKE |
| Credential | PA-C |
| Practice Address |
2650 Ridge Ave. Walgreen 2507 Evanston IL 60201-1718 |
| Practice Telephone | 8475701271 |
| Practice Fax Number | 8475702930 |
| Mailing Telephone | 8475701271 |
| Mailing Fax Number | 8475702930 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085-006118 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2650 RIDGE AVE. WALGREEN 2507 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407841414 | Sidney P. Regalado | Radiology | 2650 Ridge Ave., Department of Radiology, Evanston, IL 60201-1718 | 2005-09-15 |
| 1417554130 | Stephanie Rene Gerberding | Social Worker | 2650 Ridge Ave., Dept. of Psychiatry, Evanston, IL 60202-1011 | 2020-10-06 |
| 1376196006 | Brenna Selena Leiker | Physician Assistant | 2650 Ridge Ave., Emergency Medicine, Evanston, IL 60201-1718 | 2019-07-22 |
| 1225598022 | Lindsey Weder Zimmerman | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave., Department of Anesthesia, Evanston, IL 60201-1718 | 2019-03-20 |
| 1265996631 | Madeline S. Lubenow | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave., Department of Anesthesia, Evanston, IL 60201-1718 | 2019-01-30 |
| 1295203768 | Gayathri S. Moorthy | Registered Nurse | 2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201-1718 | 2018-11-02 |
| 1700385077 | Glenna M Daugherty | Nurse Practitioner | 2650 Ridge Ave., Emergency Medicine, Evanston, IL 60201-1718 | 2018-02-01 |
| 1164942066 | Danijela Dokic | Internal Medicine | 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 | 2017-06-21 |
| 1417487612 | Julie Elaine Rzeszutko | Internal Medicine | 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 | 2017-06-20 |
| 1144757154 | Bukurije Alijoski | Nurse Practitioner | 2650 Ridge Ave., Palliative Care, Evanston, IL 60201-1718 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523988 | Audrey Callahan | Physician Assistant | 2650 Ridge Ave Rm G9036, Evanston, IL 60201-1700 | 2020-03-20 |
| 1457986366 | Sabrina Santana | Physician Assistant | 2533 Jackson Ave Apt 2e, Evanston, IL 60201-2356 | 2020-03-11 |
| 1467950154 | Kaylun Grandy | Physician Assistant | 1952 Harrison Drive, Evanston, WY 82930-3241 | 2018-01-27 |
| 1679769913 | Derek G Hoopes | Physician Assistant | 170 Arrowhead Dr Ste 3, Evanston, WY 82930-9307 | 2007-09-20 |
| 1083656979 | Jennifer E Miller | Physician Assistant | 1704 Maple Ave Ste 100, Evanston, IL 60201-3134 | 2006-06-12 |
| 1790307387 | Brett Dixon | Physician Assistant | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-05-18 |
| 1942838586 | Denisa Yzeiraj | Physician Assistant | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-03-30 |
| 1427684281 | Christopher Smreczak | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-03-12 |
| 1215586821 | Ashley Tucker | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2019-09-06 |
| 1013565423 | Alexis Carroll | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2019-08-28 |
| Find all providers in EVANSTON | ||||
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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.