JILL P PANKUS (NPI# 1750401303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750401303 |
| Entity Type | Individual |
| Full Name | JILL P PANKUS |
| Credential | PNP |
| Practice Address |
124 Harrison St Barrington IL 60010-3007 |
| Mailing Address |
3600 W Fullerton Avenue Chicago IL 60647 |
| Practice Telephone | 8473817618 |
| Practice Fax Number | 8473819198 |
| Mailing Telephone | 7737822800 |
| Mailing Fax Number | 7737825042 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209001706 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | APN LICENSE | 209001706 | 01 |
| IL | RN LICENSE | 309002557 | 01 |
| Street Address |
124 HARRISON ST |
| City | BARRINGTON |
| State | IL |
| Zip Code | 60010-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992194724 | Bridget Burkot | Counselor | 124 Harrison St, Barrington, IL 60010-3007 | 2015-01-16 |
| 1457691073 | Lauriann Balk | Psychologist | 124 Harrison St, Barrington, IL 60010-3007 | 2013-02-19 |
| 1083905095 | Dana Marie Anderson | Nurse Practitioner | 124 Harrison St, Barrington, IL 60010-3007 | 2011-04-25 |
| 1538316161 | Marianne L. Yelvington | Social Worker | 124 Harrison St, Barrington, IL 60010-3007 | 2008-08-26 |
| 1740479955 | Lawrence L. Kerns, M.d. & Associates | Counselor | 124 Harrison St, Barrington, IL 60010-3007 | 2007-10-24 |
| 1558576025 | Pamela Cotton | Psychologist | 124 Harrison St, Barrington, IL 60010-3007 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125425 | Cvs Aoc Services, L.L.C. | Optometrist | 101 South Northwest Highway, Store 7181, Barrington, IL 60010 | 2020-05-07 |
| 1497241707 | Sharon Kay Fu | Counselor | 1000 Hart Rd., Suite 201, Barrington, IL 60010 | 2018-07-10 |
| 1760977219 | Robert Scott Wertke | Student in an Organized Health Care Education/Training Program | 3147, 101 Lions Dr. #100, Barrington, IL 60010 | 2018-06-27 |
| 1548788169 | Integrated Care Inc. | Chiropractor | 22285 N. Pepper Rd. Suite 407, Lake Barrington, IL 60010 | 2017-09-04 |
| 1487174249 | Lucy Buhr | Physician Assistant | 1531 S Grove Ave Suite 101, Barrington, IL 60010 | 2017-06-22 |
| 1386180198 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 1531 S Grove Avenue, Suite 101, Barrington, IL 60010 | 2017-01-18 |
| 1649625872 | Hong Luo | Acupuncturist | 1525 S. Grove Ave, Suite 102, Barrington, IL 60010 | 2016-04-25 |
| 1508239724 | Taylor Sheahen | Counselor | 21925 W. Field Parkway, Suite 215, Deer Park, IL 60010 | 2015-11-10 |
| 1952780413 | Robert W. Davis | Massage Therapist | 110 S. Wynstone Park Drive Suite 105, N. Barrington, IL 60010 | 2015-05-29 |
| 1982082863 | Marilu Garza | Massage Therapist | 110 S. Wynstone Park Drive, Suite 105, N. Barrington, IL 60010 | 2015-05-12 |
| Find all providers in zip 60010 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891065744 | Kathleen Bezdek | Nurse Practitioner | 27790 W Highway 22 Ste 7, Barrington, IL 60010-2395 | 2012-01-10 |
| 1972696003 | Melissa Lapine Curran | Nurse Practitioner | 234 Maple Avenue, Barrington, RI 02806 | 2006-10-02 |
| 1417207788 | Christine Dumont | Nurse Practitioner | 944 Calef Hwy, Barrington, NH 03825-7244 | 2012-09-14 |
| 1932438744 | Martha Ball Pignataro | Nurse Practitioner | 27790 W Highway 22, #36, Barrington, IL 60010-2340 | 2009-12-08 |
| 1225170707 | Patricia Giannoni | Nurse Practitioner | 27790 West Highway 22, Suite 22, Barrington, IL 60010 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
| 1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
| 1508475294 | Diedra M Ahlert | Nurse Practitioner | 1320 Lexington Dr, Collinsville, IL 62234-4348 | 2020-07-28 |
| 1679182802 | Danielle L Shubert | Nurse Practitioner | 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 | 2020-07-23 |
| 1154962900 | Janna Hoppe | Nurse Practitioner | 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 | 2019-10-02 |
| 1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
| 1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
| 1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
| City | BARRINGTON |
| Zip Code | 60010 |
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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.