ANGIE OLIVER (NPI# 1720563695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720563695 |
| Entity Type | Individual |
| Full Name | ANGIE OLIVER |
| Practice Address |
1276 N Clybourn Ave Chicago IL 60610-2089 |
| Mailing Address |
2710 W 84th Pl Chicago IL 60652-3914 |
| Practice Telephone | 3123371073 |
| Mailing Telephone | 7277444238 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209017774 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1276 N CLYBOURN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610-2089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821079088 | Near North Health Service Corporation | Clinic/Center | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2005-11-07 |
| 1821695487 | Ada Yanci Lemus I | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2020-10-07 |
| 1578127684 | Gerald Santangelo | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610-2003 | 2019-04-24 |
| 1326514365 | Near North Health Service Corporation | Case Management | 1276 N Clybourn Ave, Chicago, IL 60610-2003 | 2018-10-17 |
| 1013499839 | Andrew Koch | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610 | 2018-08-29 |
| 1992284889 | Shaina Herring | Midwife | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2018-08-10 |
| 1164909412 | Sarah Kehinde Nkwocha | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610 | 2018-07-19 |
| 1174014625 | Robert Scott Waller | Psychologist | 1276 N Clybourn Ave, Chicago, IL 60610 | 2018-05-21 |
| 1558864561 | Cynthia L Tran | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2018-03-15 |
| 1326540782 | Celeste Mcfarland | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2018-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021248 | Elizabeth Horan | Nurse Practitioner | 125 S Green St Apt 1005a, Chicago, IL 60607-3717 | 2020-04-07 |
| 1205471083 | Sylvia Coleman | Nurse Practitioner | 20 W Kinzie St Ste 17, Chicago, IL 60654-6393 | 2019-11-15 |
| 1194374637 | Elena Ignatiev | Nurse Practitioner | 1626 W Farwell Ave Apt 3g, Chicago, IL 60626-3641 | 2019-09-07 |
| 1083276703 | Rachel H Prokopf | Nurse Practitioner | 1150 W 15th St Unit 335, Chicago, IL 60608-3691 | 2019-07-02 |
| 1962922062 | Cristina Herico Roy | Nurse Practitioner | 5600 W Addison St # 210, Chicago, IL 60634-4401 | 2017-06-21 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1497203434 | Maria Pullappally Sayi | Nurse Practitioner | 3445 N Central Ave Ste C, Chicago, IL 60634-4420 | 2016-09-20 |
| 1770947368 | Jose Francis Placido Enriquez | Nurse Practitioner | 934 W Cuyler Ave, Unit 1b, Chicago, IL 60613-4363 | 2016-04-08 |
| 1851777619 | Nicole Davis | Nurse Practitioner | 1301 E 47th St # 2, Chicago, IL 60653-4507 | 2015-08-04 |
| 1497155998 | Aneesha Taylor | Nurse Practitioner | 1701 W Monterey Ave Ste 9, Chicago, IL 60643-4257 | 2014-09-03 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on ANGIE OLIVER.
| 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.