CRYSTAL MEDINA (NPI# 1689111585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689111585 |
Entity Type | Individual |
Full Name | CRYSTAL MEDINA |
Credential | APN |
Practice Address |
2233 W Division St Chicago IL 60622-8151 |
Mailing Address |
2049 N Bingham St Chicago IL 60647-4031 |
Practice Telephone | 3127703524 |
Mailing Telephone | 7739549215 |
Enumeration Date | 2017-01-30 |
Last Update Date | 2017-01-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014941 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194351767 | Crystal Medina | Community Health Worker | 1634 Lynn St, Owosso, MI 48867-3342 | 2020-03-16 |
1699231464 | Crystal Nichole Medina | Licensed Practical Nurse | 151 N Roadrunner Pkwy Apt 103, Las Cruces, NM 88011-7021 | 2019-02-15 |
1558625947 | Crystal Medina | Internal Medicine | 2 W Fern Ave, Redlands, CA 92373 | 2012-06-29 |
Street Address |
2233 W DIVISION ST |
City | CHICAGO |
State | IL |
Zip Code | 60622-8151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801895263 | Maruti Bhorade, M.d. | Internal Medicine | 2233 W Division St, Chicago, IL 60622-3043 | 2005-07-19 |
1750909396 | Savannah Leigh Paul | Registered Nurse | 2233 W Division St, Chicago, IL 60622-8151 | 2020-07-09 |
1700413648 | Julian Carr Aliber | Physical Therapist | 2233 W Division St, Chicago, IL 60622-8151 | 2020-03-23 |
1598391674 | Vanessa Patkowski | Occupational Therapist | 2233 W Division St, Chicago, IL 60622-8151 | 2020-03-20 |
1013551472 | Work & Pillay Sc | Psychiatry & Neurology | 2233 W Division St, Chicago, IL 60622-8151 | 2019-10-29 |
1861043085 | Andrea Beshalske | Pharmacist | 2233 W Division St, Chicago, IL 60622-8151 | 2019-09-28 |
1982269379 | Jessica M Kunkel | Nurse Anesthetist, Certified Registered | 2233 W Division St, Chicago, IL 60622-8151 | 2019-05-01 |
1427514280 | Megan Hynes | Registered Nurse | 2233 W Division St, Chicago, IL 60622-8151 | 2019-02-18 |
1548724982 | Joel Manalo Ocampo | Nurse Practitioner | 2233 W Division St, Chicago, IL 60622-8151 | 2019-01-30 |
1104390301 | Adriel Geoff Cansino | Registered Nurse | 2233 W Division St, Chicago, IL 60622-8151 | 2019-01-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
Find all providers in zip 60622 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
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 |
1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
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.