DELFANITA ELLEN WARREN (NPI# 1609416304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609416304 |
| Entity Type | Individual |
| Full Name | DELFANITA ELLEN WARREN |
| Credential | HAIR LOSS SPECIALIST |
| Practice Address |
16060 Oak Park Ave Ste 151 Tinley Park IL 60477-1626 |
| Mailing Address |
412 Crandon Ave Calumet City IL 60409-2202 |
| Practice Telephone | 7083161630 |
| Mailing Telephone | 7082996046 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
16060 OAK PARK AVE STE 151 |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1780066456 | Tinley Park Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 18210 S. Lagrange Rd, Suite 101, Tinley Park, IL 60487-7722 | 2015-06-18 |
| 1770759185 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 16701 S Harlem Ave, Tinley Park, IL 60477 | 2008-05-06 |
| 1114018785 | Fitzsimmons Surgical Supply Inc | Durable Medical Equipment & Medical Supplies | 8000 186th St, Tinley Park, IL 60487-9215 | 2006-09-27 |
| 1376555748 | Vandenberg Med-tech Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 6813 167th St, Tinley Park, IL 60477-2501 | 2006-08-13 |
| 1285641217 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 16675 Oak Park Ave, Tinley Park, IL 60477-1754 | 2006-08-02 |
| 1235144486 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8400 171st St, Tinley Park, IL 60487-2287 | 2006-07-29 |
| 1851313563 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 7300 191st St, Tinley Park, IL 60487-9361 | 2006-07-24 |
| 1265488654 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 17113 Harlem Ave, Tinley Park, IL 60477 | 2006-05-26 |
| 1609474832 | Cso Dme-med, LLC | Durable Medical Equipment & Medical Supplies | 7543 183rd St, Tinley Park, IL 60477-6208 | 2020-10-10 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
Please comment or provide details below to improve the information on DELFANITA ELLEN WARREN.
| 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.