KEVIN MCDONOUGH (NPI# 1679097380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679097380 |
| Entity Type | Individual |
| Full Name | KEVIN MCDONOUGH |
| Credential | APN |
| Practice Address |
1653 W Congress Pkwy Chicago IL 60612-3833 |
| Mailing Address |
4600 Belmont Rd Downers Grove IL 60515-2501 |
| Practice Telephone | 3129425693 |
| Mailing Telephone | 6308876600 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209016226 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518073337 | Kevin Joseph Mcdonough | Pediatrics | 511 22nd St, Union City, NJ 07087-3500 | 2006-08-22 |
| 1750921409 | Kevin Adam Mcdonough | Counselor | 275 North St, Harrison, NY 10528-1140 | 2020-01-10 |
| 1760958789 | Kevin Patrick Mcdonough II | Pharmacist | 240 N Main St, Spring Valley, NY 10977-4020 | 2018-10-17 |
| Street Address |
1653 W CONGRESS PKWY |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272154 | Beth Nachtsheim Bolick | Nurse Practitioner | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2005-08-15 |
| 1558986844 | Eric Polich | Emergency Medicine | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-06-11 |
| 1811511363 | Jessica Shiming Dai | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-06-01 |
| 1013530179 | Megan Karolyn Marshalla | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-05-24 |
| 1265053359 | Lauren Elaine Falk | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-04-30 |
| 1003437260 | Sonali Gupta | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-04-29 |
| 1265053631 | Amalia Namath | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-04-27 |
| 1164059325 | Colleen M Bray | Occupational Therapist | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-03-26 |
| 1225665425 | Sabina Irene Cashin | Radiology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-03-26 |
| 1467089011 | Jelena Brdarski | Occupational Therapist | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
| 1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
| 1750882742 | Racheal Coleman | Nurse Practitioner | 1725 W Harrison St Ste 1121, Chicago, IL 60612-3841 | 2018-02-24 |
| 1942725890 | Alissa L Faletti | Nurse Practitioner | 100 E Walton St Apt 39a, Chicago, IL 60611-1426 | 2017-08-11 |
| 1417483348 | Stephanie Denise Orr | Nurse Practitioner | 5115 S University Ave Apt 3, Chicago, IL 60615-3961 | 2017-05-11 |
| 1255870796 | Thaddeus Trejo | Nurse Practitioner | 4211 N Pulaski Rd, Chicago, IL 60641-2331 | 2017-02-16 |
| 1124570742 | Angela Fiorelli | Nurse Practitioner | 1942 W Cortland St, Chicago, IL 60622-1040 | 2016-10-31 |
| 1023481744 | Michelle Audrey Calvario | Nurse Practitioner | 250 E Superior St Ste 5-2322, Chicago, IL 60611-2914 | 2015-11-03 |
| 1104294834 | Elizabeth Mclaughlin | Nurse Practitioner | 5315 N Lockwood Ave, Chicago, IL 60630-1409 | 2015-09-11 |
| Find all providers in CHICAGO | ||||
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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.