LIJUN HE (NPI# 1619300977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619300977 |
| Entity Type | Individual |
| Full Name | LIJUN HE |
| Credential | N.P. |
| Practice Address |
2025 S Chicago St Joliet IL 60436-3172 |
| Practice Telephone | 8157262200 |
| Practice Fax Number | 3145368783 |
| Mailing Telephone | 8157262200 |
| Mailing Fax Number | 3145368783 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209015309 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 209015309 | 05 |
| Street Address |
2025 S CHICAGO ST |
| City | JOLIET |
| State | IL |
| Zip Code | 60436-3172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407846298 | Kalpana Tushar Shah | Dentist | 2025 S Chicago St, Joliet, IL 60436-3172 | 2005-10-24 |
| 1295218238 | Lisa M Smith | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2018-09-14 |
| 1619480696 | Mutengwana Kasapu-mwaba | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2017-11-13 |
| 1437672656 | Laboratory Corporation of America | Clinical Medical Laboratory | 2025 S Chicago St, Joliet, IL 60436-3172 | 2017-07-19 |
| 1689118143 | Karen Shahan | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2016-12-16 |
| 1023488475 | Sumar Abushaqra | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2015-09-29 |
| 1538546791 | Mustafa Aladin | Internal Medicine | 2025 S Chicago St, Joliet, IL 60436-3172 | 2015-04-27 |
| 1003216557 | Jennifer M Panning | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2014-09-02 |
| 1710287818 | Paula Jean Hall | Dietitian, Registered | 2025 S Chicago St, 1051 Essington Rd., Joliet, IL 60436-3172 | 2010-10-24 |
| 1215248067 | Niraj Yatin Shah | Internal Medicine | 2025 S Chicago St, Joliet, IL 60436-3172 | 2010-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431345 | Tiffanie Mcnair | Nurse's Aide | 306 Romayne Ave, Joliet, IL 60436 | 2017-07-28 |
| 1366964215 | Pamela Coney | Licensed Practical Nurse | 916 Prairie Path Ln, Joliet, IL 60436 | 2017-07-12 |
| 1104375815 | Cynthia Sylvia | Licensed Practical Nurse | 211 S. Hunter Ave, Joliet, IL 60436 | 2016-09-23 |
| 1760804629 | Center for Disability Services | Day Training, Developmentally Disabled Services | 311 S Reed St, Joliet, IL 60436 | 2014-01-13 |
| 1215247093 | Sadra Rae West | Developmental Therapist | 807 Thorn Creek Drive, Joliet, IL 60436 | 2010-10-14 |
| 1033360136 | Tonya Hagenbaumer | Dietitian, Registered | 2025 S. Chicago Street, Joliet, IL 60436 | 2008-10-07 |
| 1699966051 | Kul Sood | General Practice | 95 S Chicago St, Joliet, IL 60436 | 2007-08-09 |
| 1053410407 | Yatin M Shah Md Sc | Medical Genetics, Ph.D. Medical Genetics | 2025 S Chicago Street, Joliet, IL 60436 | 2006-09-22 |
| 1821103755 | Victoria L Mancke | Nurse Practitioner | 2025s Chicago St, Joliet, IL 60436 | 2006-08-20 |
| 1790750412 | Maria L Ramirez | Occupational Therapist | 709 Margaret St, Rockdale, IL 60436 | 2006-02-17 |
| Find all providers in zip 60436 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090308 | Lisa Trevino | Nurse Practitioner | 301 Madison St Ste 240, Joliet, IL 60435-6549 | 2019-12-10 |
| 1194355685 | Jerry Shelby | Nurse Practitioner | 301 Madison St, Joliet, IL 60435-6549 | 2020-01-23 |
| 1386207306 | Wanda Matthews | Nurse Practitioner | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2019-04-16 |
| 1881150860 | Sarah Dean | Nurse Practitioner | 1051 Essington Rd, Joliet, IL 60435-2801 | 2019-02-14 |
| 1235603713 | Jennifer M Alamillo | Nurse Practitioner | 333 Madison St, Joliet, IL 60435-8200 | 2019-01-17 |
| 1891277646 | Amber Marie Vladika | Nurse Practitioner | 333 Madison St, Joliet, IL 60435-8200 | 2018-08-29 |
| 1992286868 | Christopher Michael Gloude | Nurse Practitioner | 301 Madison St Ste 207, Joliet, IL 60435 | 2018-08-28 |
| 1114417391 | Tamara Baird | Nurse Practitioner | 333 Madison St, Joliet, IL 60435-8200 | 2018-05-14 |
| 1033623129 | Maureen Ann Gorszczyk | Nurse Practitioner | 250 Water Stone Cir, Joliet, IL 60431-8313 | 2017-11-28 |
| 1033621024 | Stacey Rogers | Nurse Practitioner | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2017-10-30 |
| Find all providers in JOLIET | ||||
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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.