EMMANUEL BARRON


Address: 3600 W Fullerton Ave, Chicago, IL 60647-2319
Phone: 7737822800

EMMANUEL BARRON (NPI# 1598398034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598398034
Entity Type Individual
Full Name EMMANUEL BARRON
Credential PA-C
Practice Address 3600 W Fullerton Ave
Chicago
IL 60647-2319
Mailing Address 680 N Lake Shore Dr Ste 924
Chicago
IL 60611-8701
Practice Telephone 7737822800
Mailing Telephone 3124755628
Mailing Fax Number 8669545814
Enumeration Date 2020-02-12
Last Update Date 2020-09-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085007419 IL Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
085007419 IL Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
085007419 IL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
680 N Lake Shore Dr Ste 924, Chicago, IL 606118701 3124755628 8669545814

Office Location

Street Address 3600 W FULLERTON AVE
City CHICAGO
State IL
Zip Code 60647-2319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760485379 Jeanne S Findlay Nurse Practitioner 3600 W Fullerton Ave, Chicago, IL 60647-2319 2005-05-27
1497379630 Nora Vela Dental Hygienist 3600 W Fullerton Ave, Chicago, IL 60647-2319 2020-06-03
1255970141 Joann Reyes Nurse Practitioner 3600 W Fullerton Ave, Chicago, IL 60647-2319 2019-12-25
1962049452 Susely Guevara Nurse Practitioner 3600 W Fullerton Ave, Chicago, IL 60647-2319 2019-12-04
1689142051 Laboratory Corporation of America Clinical Medical Laboratory 3600 W Fullerton Ave, Chicago, IL 60647-2319 2018-11-05
1922573112 Infant Welfare Society of Chicago Case Management 3600 W Fullerton Ave, Chicago, IL 60647-2319 2018-10-04
1619476116 Xiomara Nieto Nurse Practitioner 3600 W Fullerton Ave, Chicago, IL 60647-2319 2018-02-09
1063930907 Jessica Espinosa Nurse Practitioner 3600 W Fullerton Ave, Chicago, IL 60647 2017-08-30
1851829287 Marco Antonio Oviedo Counselor 3600 W Fullerton Ave, Chicago, IL 60647-2319 2017-05-30
1033645395 Holly Krawza Social Worker 3600 W Fullerton Ave, Chicago, IL 60647-2319 2017-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164035879 Scott Spine and Health LLC Chiropractor 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 2020-08-24
1003424458 Emily Gleesing Physical Therapist 1923 N Western Ave, Chicago, IL 60647 2020-07-21
1699301358 Marcella Guzman P.C. Dentist 3236 W. Fullerton Ave., Chicago, IL 60647 2020-03-13
1740772342 Envision Unlimited Case Management 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 2018-05-31
1992297535 Envision Unlimited Case Management 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 2018-05-30
1942704580 Team Rehabilitation Il15, LLC Physical Therapist 1923 N Western Avenue, Chicago, IL 60647 2018-03-20
1023517331 Chicago Medical Healthcare Group, S.c. Family Medicine 3648 W Armitage Avenue, Chicago, IL 60647 2018-02-02
1023537693 Erin Frommeyer Physician Assistant 2228 W Dickens Avenue, Chicago, IL 60647 2017-09-15
1457872475 Stefanie Paola Maurtua Behavioral Analyst 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 2017-06-29
1700322922 Lumen Optical Illinois 4, LLC Optometrist 2420 N Elston, Bucktown, IL 60647 2017-01-11
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508470709 Bryan Ying Wong Physician Assistant 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 2020-09-04
1245858117 Emily Victoria Headley Physician Assistant 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 2020-07-08
1548884547 Crystal Afua Amoah Physician Assistant 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 2020-06-04
1841814274 Zubair Aslam Khan Physician Assistant 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 2020-06-01
1659991818 Taylor Nicole Anderson Physician Assistant 25 W Randolph St Apt 603, Chicago, IL 60601-3514 2020-04-17
1720616444 Melanie Doretti Physician Assistant 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 2020-03-29
1154958544 Joerissa Gearlds Physician Assistant 5645 W Addison St Rm 353, Chicago, IL 60634-4403 2020-03-25
1932736816 Taylor Evan Fisher Physician Assistant 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 2020-03-23
1285260844 Krista A Saum Physician Assistant 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 2020-03-16
1386278430 Adara Simonelli Physician Assistant 6317 S Lorel Avenue, Chicago, IL 60638 2020-02-27
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Competitor

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City CHICAGO
Zip Code 60647

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Dataset Information

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.

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