MS. TIFFANI MCKENNA (NPI# 1750697447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750697447 |
Entity Type | Individual |
Full Name | MS. TIFFANI MCKENNA |
Credential | APN |
Practice Address |
1725 W Harrison St Suite 010 Chicago IL 60612-3841 |
Mailing Address |
1730 Park St Suite 101 Naperville IL 60563-2688 |
Practice Telephone | 3129426013 |
Practice Fax Number | 3128292024 |
Mailing Telephone | 6307180200 |
Mailing Fax Number | 6307180900 |
Enumeration Date | 2010-08-19 |
Last Update Date | 2010-08-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
209008113 | IL | Nursing Service Providers |
Street Address |
1725 W HARRISON ST SUITE 010 |
City | CHICAGO |
State | IL |
Zip Code | 60612-3841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366446163 | Alvaro A Figueroa | Dentist | 1725 W Harrison St, Ste 425, Chicago, IL 60612-3836 | 2005-06-09 |
1487251096 | Katherine Frigo | Registered Nurse | 1725 W Harrison St, Chicago, IL 60612-3841 | 2020-10-06 |
1568085413 | Jaime Rizzie | Dietitian, Registered | 1725 W Harrison St, Chicago, IL 60612-3841 | 2020-05-27 |
1710507025 | Peter Wu | Pharmacist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2020-04-16 |
1316419047 | Lauren G Markham | Social Worker | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-12-19 |
1366917759 | Anan Hani Shtewe | Neurological Surgery | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-10-11 |
1679057087 | Colleen Tapia | Nurse Practitioner | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-09-20 |
1316435035 | Charalampos Siotos | Plastic Surgery | 1725 W Harrison St, Suite 425, Chicago, IL 60612 | 2018-04-27 |
1427555937 | Brooke Harrar | Physical Therapist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-04-11 |
1356859250 | Esther Kim | Specialist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2018-01-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
Find all providers in zip 60612 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689197147 | Jacqueline Kaye Horne | Registered Nurse | 5104 S Austin Ave, Chicago, IL 60638-1419 | 2017-07-17 |
1255860870 | Mia K Rollyson | Registered Nurse | 5215 N California Ave # 101, Chicago, IL 60625-7014 | 2017-06-07 |
1366982233 | Olumide Oluwole | Registered Nurse | 6943 N Hamilton Ave, Apt 1, Chicago, IL 60645-4856 | 2017-02-27 |
1043752918 | Kathleen Masella | Registered Nurse | 1101 S State St, 603, Chicago, IL 60605-3175 | 2016-11-09 |
1164898631 | Markizh Johnson | Registered Nurse | 3601 S Wells St, 303, Chicago, IL 60609-1867 | 2015-08-19 |
1942557285 | Anna Cicciarelli | Registered Nurse | 5200 Reliable Pkwy, Chicago, IL 60686-0052 | 2012-08-06 |
1386824597 | Marlyn D Hirsch | Registered Nurse | 2565 King Drive, Chicago, IL 60616 | 2007-11-06 |
1285609149 | Patricia M Schultz | Registered Nurse | 1650 W Harrison St, Atrium 430, Chicago, IL 60612-3800 | 2006-02-22 |
1437619418 | Amina Salifu Giwah | Registered Nurse | 820 S Damen Ave, Chicago, IL 60612-3728 | 2019-03-25 |
1275001653 | Jorie L Curry | Registered Nurse | 1901 W Polk St, Admin Bldg 1st Floor, Chicago, IL 60612 | 2018-11-05 |
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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.