DIANE B. ZIMMERMAN (NPI# 1699874511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699874511 |
| Entity Type | Individual |
| Full Name | DIANE B. ZIMMERMAN |
| Credential | PA |
| Practice Address |
103 S Greenleaf St Suite J Gurnee IL 60031-3380 |
| Practice Telephone | 8475998899 |
| Practice Fax Number | 8475998897 |
| Mailing Telephone | 8475998899 |
| Mailing Fax Number | 8475998897 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205183506 | Diane Zimmerman | Psychologist | 823 Walnut Shade Rd, Woodside, DE 19980 | 2012-08-07 |
| 1225311244 | Diane Tessier Zimmerman | Physical Therapist | 38 West Church St, Fairport, NY 14450 | 2011-09-26 |
| 1619186400 | Diane Marie Zimmerman | Dentist | 3200 Lexington Ave N, Shoreview, MN 55126-8135 | 2007-05-21 |
| 1124651807 | Diane Zimmerman | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-02-20 |
| 1467537464 | Diane Louise Zimmerman | Psychologist | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2006-10-26 |
| 1548282866 | Diane M Zimmerman | Advanced Practice Midwife | 601 Walnut St, Suite 925, Philadelphia, PA 19106-3323 | 2006-07-24 |
| 1720042807 | Diane Zimmerman | Physician Assistant | 508 Fulton St, Durham, NC 27705-3875 | 2006-04-14 |
| Street Address |
103 S GREENLEAF ST SUITE J |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-3380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959329 | Mathangi R Sekharan | Internal Medicine | 103 S Greenleaf St, Suite A, Gurnee, IL 60031-3380 | 2005-08-17 |
| 1093237596 | Joshua Nathan Riegelhaupt | Podiatrist | 103 S Greenleaf St, Ste B, Gurnee, IL 60031-3380 | 2017-07-17 |
| 1932539459 | Robert A. Hozman Md Sc | Internal Medicine | 103 S Greenleaf St, Suite J, Gurnee, IL 60031-3380 | 2013-11-19 |
| 1720203789 | Nickole A. Dooley | Family Medicine | 103 S Greenleaf St, Suite J, Gurnee, IL 60031-3380 | 2007-04-16 |
| 1639218944 | John Edward Stuparitz | Dentist | 103 S Greenleaf St, Suite K, Gurnee, IL 60031-3380 | 2007-02-05 |
| 1356495030 | Benjamin A Dubin | Specialist | 103 S Greenleaf St, Suite J, Gurnee, IL 60031-3380 | 2007-01-22 |
| 1659310753 | Nicholas J Nikitas | Family Medicine | 103 S Greenleaf St, Suite J, Gurnee, IL 60031-3380 | 2006-06-05 |
| 1558316281 | Samuel Solomon | Specialist | 103 S Greenleaf St, Suite J, Gurnee, IL 60031-3380 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773288 | Megan Gregory Kahue | Physician Assistant | 1425 N Hunt Club Rd Ste 100, Gurnee, IL 60031-2632 | 2019-04-23 |
| 1497997787 | Praveena Ann Thomas | Physician Assistant | 1445 N Hunt Club Rd Ste 201, Gurnee, IL 60031-2603 | 2009-04-01 |
| 1073779088 | Ron-gran Pineda Apilado | Physician Assistant | 15 Tower Ct, Suite 100, Gurnee, IL 60031-3336 | 2008-07-30 |
| 1972663466 | Rosalva Acosta | Physician Assistant | 1425 N Hunt Club Rd Ste 100, Gurnee, IL 60031-2632 | 2006-12-12 |
| 1740389493 | Sandra N Denman | Physician Assistant | 36100 N Brookside Dr, Suite 203, Gurnee, IL 60031-4571 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| 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.