LIZEL ANN GRANADA (NPI# 1619213618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619213618 |
| Entity Type | Individual |
| Full Name | LIZEL ANN GRANADA |
| Credential | NP-C |
| Practice Address |
2723 Sheridan Road Suite C Zion IL 60099 |
| Practice Telephone | 8473604260 |
| Practice Fax Number | 8473604265 |
| Mailing Telephone | 8473604260 |
| Mailing Fax Number | 8473604265 |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.009631 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2723 SHERIDAN ROAD SUITE C |
| City | ZION |
| State | IL |
| Zip Code | 60099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1295384790 | Loretta Beatrice Colwell | Technician | 3005 Elizabeth Ave, Zion, IL 60099 | 2019-09-06 |
| 1053893164 | Tea Mohn | Psychologist | 3901 W. 21st Street, Zion, IL 60099 | 2018-09-05 |
| 1326540808 | Monica Donald | Specialist/Technologist | 2825 Jethro Ct, Zion, IL 60099 | 2018-03-01 |
| 1265816516 | Igor Wroblewski | Internal Medicine | 2505 26th St, Zion, IL 60099 | 2015-07-16 |
| 1831432996 | Samuel Harrison Cannon Jr. | Nurse Anesthetist, Certified Registered | 3302 Wembley Dr, Zion, IL 60099 | 2013-03-27 |
| 1194070540 | Shana Marie Pagtalunan Ramirez | Physical Therapist | 2404 Joppa Ave., Zion, IL 60099 | 2012-07-20 |
| 1962674978 | Zion Benton Children's Service | Dentist | 1608 W 23rd St, Zion, IL 60099 | 2008-03-31 |
| 1710176110 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 4580 Rt. 173, Zion, IL 60099 | 2007-10-22 |
| 1609067602 | Delain Health Group | Family Medicine | 2456 Sheridan Rd, Zion, IL 60099 | 2007-08-05 |
| Find all providers in zip 60099 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144877077 | Elisa A Demet | Nurse Practitioner | Cancer Treatment Centers of America, 2520 Elisha Avenue, Zion, IL 60099 | 2019-08-26 |
| 1134636228 | Mauricio Valencia | Nurse Practitioner | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-01-10 |
| 1821500398 | Kamilla Krystyna Kawecki | Nurse Practitioner | 2534 Elim Ave, Zion, IL 60099-2661 | 2017-10-24 |
| 1578921532 | Christopher Raasch | Nurse Practitioner | 2520 Elisha Ave, Zion, IL 60099-2676 | 2016-02-05 |
| 1356733760 | Kristen Marie Hilburger | Nurse Practitioner | 2520 Elisha Ave, Zion, IL 60099-2676 | 2015-02-22 |
| 1104214287 | Crisciel Hidalgo | Nurse Practitioner | 2520 Elisha Ave, Zion, IL 60099-2676 | 2014-12-25 |
| 1528475571 | Ninfa Bontes | Nurse Practitioner | 2534 Elim Ave, Zion, IL 60099-2661 | 2014-07-22 |
| 1992145981 | Emily Noell Herbert | Nurse Practitioner | 2520 Elisha Ave, Zion, IL 60099-2676 | 2013-07-05 |
| 1255688305 | Kristin Lyn Wasley | Nurse Practitioner | 2520 Elisha Ave, Zion, IL 60099-2676 | 2012-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
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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.