MS. VIVIAN PAN (NPI# 1750721049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750721049 |
| Entity Type | Individual |
| Full Name | MS. VIVIAN PAN |
| Credential | C.G.C. |
| Practice Address |
5841 S Maryland Ave Chicago IL 60637-1447 |
| Practice Telephone | 7738345348 |
| Practice Fax Number | 7737025160 |
| Mailing Telephone | 7738345348 |
| Mailing Fax Number | 7737025160 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 170300000X | Genetic Counselor, MS | 74000062A | IN | Other Service Providers |
| Y | 170300000X | Genetic Counselor, MS | 247000040 | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740494509 | Vivian Pan | Acupuncturist | 10816 Oak Mountain Pl, Shadow Hills, CA 91040-1269 | 2007-05-10 |
| 1619503679 | Vivian Pan | Occupational Therapist | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-03-20 |
| 1508039108 | Vivian Pan | Student in an Organized Health Care Education/Training Program | 462 First Avenue, New York, NY 10016 | 2008-04-04 |
| Street Address |
5841 S MARYLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887296 | Rita Lynn Mcgill | Internal Medicine | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2005-08-09 |
| 1447851472 | Basirat Sulaiman | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-11-05 |
| 1982204061 | Martha Daniela Gorski | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-10-28 |
| 1841807179 | Jason Bugno | Pharmacist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-30 |
| 1942816798 | Emily Mancewicz | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-17 |
| 1841805546 | Anayeli Locascio | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-10 |
| 1336752856 | Rachel Barsella | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-25 |
| 1982215620 | Jennifer Risner | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-16 |
| 1134739857 | Moshe Bedziner | Physician Assistant | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-06 |
| 1427676899 | Brittney Blackwell | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280069 | Christine Marie Drogan | Genetic Counselor, MS | 5841 S Maryland Ave Rm G-109, Chicago, IL 60637-1443 | 2020-06-22 |
| 1497243786 | Anna Katya Brossart | Genetic Counselor, MS | 3000 N Halsted St Ste 209, Chicago, IL 60657-5190 | 2018-04-23 |
| 1720507486 | Rachel Hickey | Genetic Counselor, MS | 155 E Superior St Ofc 312a, Chicago, IL 60611-2911 | 2017-09-13 |
| 1477000941 | Rikki Gaber | Genetic Counselor, MS | 900 W Nelson, G9108, Chicago, IL 60657 | 2016-09-01 |
| 1003275017 | Sarah Walterman | Genetic Counselor, MS | 250 E Superior St Ste 5-2221, Chicago, IL 60611 | 2016-02-18 |
| 1225401334 | Lisa Kinsley | Genetic Counselor, MS | 300 E Superior St, Tarry 13-729, Chicago, IL 60611-3010 | 2015-11-11 |
| 1942630256 | Jeanine Schulze | Genetic Counselor, MS | 225 E Chicago Ave # 59, Chicago, IL 60611-2991 | 2013-11-22 |
| 1699044792 | Christin Hoell | Genetic Counselor, MS | 676 N Saint Clair St Ste 1260, Chicago, IL 60611-3085 | 2011-12-19 |
| 1669708004 | Catherine Long | Genetic Counselor, MS | 3043 W Washington Ave, #3, Chicago, IL 60612 | 2009-10-20 |
| 1760612790 | Melody Ann Perpich | Genetic Counselor, MS | 3630 N Greenview Ave # 1, Chicago, IL 60613-3608 | 2009-07-24 |
| Find all providers in CHICAGO | ||||
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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.