MARY B. WELLS (NPI# 1740335975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740335975 |
Entity Type | Individual |
Full Name | MARY B. WELLS |
Credential | RN, MSN, LMT, AGNP-C |
Practice Address |
11231 Distinctive Dr Orland Park IL 60467-9458 |
Practice Telephone | 8004619533 |
Mailing Telephone | 8004619533 |
Enumeration Date | 2007-01-25 |
Last Update Date | 2017-01-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209012826 | IL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209012826 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609348606 | Mary Margaret Wells | Developmental Therapist | 9233 Lakewind Ct, Indianapolis, IN 46256-9355 | 2019-01-02 |
1629520523 | Mary Wells | Registered Nurse | 682 Fiske Rd, Barton, VT 05822-9395 | 2016-10-26 |
1720498744 | Mary Alexia Wells | Speech-Language Pathologist | 3117 Alvey Park Drive W, Owensboro, KS 42303 | 2014-04-29 |
1538508296 | Mary Huerter Wells | Internal Medicine | 8303 Dodge St Ste 250, Omaha, NE 68114-4108 | 2013-06-17 |
1336418433 | Mary Elizabeth Wells | Speech-Language Pathologist | 4 Yacht Club Dr, # 5, Daphne, AL 36526-7193 | 2011-12-19 |
1356622906 | Mary Elizabeth Wells | Registered Nurse | 97 Markie Dr W, Rochester, NY 14606-4551 | 2011-09-08 |
1710135819 | Mary Alicia Wells | Veterinarian | 4642 Lebanon Road, Hermitage, TN 37076-1316 | 2008-09-03 |
1538337514 | Mary Ellen Wells | Licensed Practical Nurse | 20 Leigh Street, Huntington, NY 11743 | 2008-02-13 |
1093851610 | Mary Melinda Wells | Optometrist | 23591 El Toro Road, Ste 145, Lake Forest, CA 92630 | 2007-01-30 |
1285709774 | Mary E Wells | Nurse Practitioner | 849 E Industry St, Giddings, TX 78942-4301 | 2006-11-21 |
Street Address |
11231 DISTINCTIVE DR |
City | ORLAND PARK |
State | IL |
Zip Code | 60467-9458 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649228701 | Nathan R Jaisingh | Registered Nurse | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2006-05-04 |
1578030151 | Amanda Kay Amiti | Psychiatry & Neurology | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2018-10-31 |
1740701036 | Gina Smith | Counselor | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2017-06-28 |
1225493364 | Gail D Lemon | Registered Nurse | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2015-12-16 |
1578812202 | Mary Fisk | Counselor | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2012-09-10 |
1114298148 | Michelle Mannino-purkey | Marriage & Family Therapist | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2012-01-23 |
1336472943 | Michelle Renee Myers | Clinical Neuropsychologist | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2009-09-14 |
1457528747 | Amy Pawlowski | Social Worker | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2008-05-15 |
1013118413 | Benchmark Psychiatric Services, Ltd. | Nurse Practitioner | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2007-05-31 |
1598870016 | Lucinda Jeanne Clark | Nurse Practitioner | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2006-08-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
Find all providers in zip 60467 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679856702 | Catherine Ann O'grady | Nurse Practitioner | 14561 West Ave, Orland Park, IL 60462-6301 | 2011-09-26 |
1982824074 | Suzanne Stanford | Nurse Practitioner | 14900 Crystal Springs Ct, Orland Park, IL 60467-9101 | 2007-04-30 |
1437248002 | Betty Jean Hockenberry | Nurse Practitioner | 14647 Maplecreek Dr, Orland Park, IL 60467-7202 | 2006-10-12 |
1407381296 | Kimberly Joan Grzesik | Nurse Practitioner | 16450 S 97th Ave, Orland Park, IL 60467-5587 | 2017-04-28 |
1760436109 | Cheryl Ann Boss | Nurse Practitioner | 15300 West Ave, Suite 122 South, Orland Park, IL 60462-4600 | 2006-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851998553 | Melissa Litwin | Nurse Practitioner | 9127 Burlington Ave, Brookfield, IL 60513-1939 | 2020-10-06 |
1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
1518506625 | Lila Macalinga Rivera | Nurse Practitioner | 17w335 16th St, Oakbrook Terrace, IL 60181-4030 | 2020-01-06 |
1922642495 | Christine Nacar | Nurse Practitioner | 1232 Le Moyne Ave, Romeoville, IL 60446-4180 | 2019-10-29 |
1144871344 | Wensheng Tracy Wu | Nurse Practitioner | 1555 Barrington Rd Ste 1200, Hoffman Estates, IL 60169-5036 | 2019-09-27 |
1881245314 | Mkbb LLC | Nurse Practitioner | 1212 E Algonquin Rd, Algonquin, IL 60102-5446 | 2019-09-25 |
1225681455 | Jinu Joss | Nurse Practitioner | 9939 N Warren Oval, Niles, IL 60714-1044 | 2019-07-17 |
1659830057 | Ginger Dean | Nurse Practitioner | 2843 Chicago Rd, South Chicago Heights, IL 60411-4736 | 2019-03-15 |
1770048910 | Amanda K Honchell I | Nurse Practitioner | 401 W Madison St, Mount Carroll, IL 61053-9485 | 2019-02-01 |
1548725799 | Grace Nwaka Wabomnor | Nurse Practitioner | 17 E Grandview Dr, South Holland, IL 60473-1099 | 2019-02-01 |
Find all providers with the same taxonomy |
City | ORLAND PARK |
Zip Code | 60467 |
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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.