MICHELLE DAWN OVANDO (NPI# 1760676969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760676969 |
| Entity Type | Individual |
| Full Name | MICHELLE DAWN OVANDO |
| Credential | PA-C |
| Practice Address |
18425 W Creek Dr Ste F Tinley Park IL 60477-6767 |
| Practice Telephone | 7084448300 |
| Practice Fax Number | 7084448301 |
| Mailing Telephone | 7084448300 |
| Mailing Fax Number | 7084448301 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085-02017 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18425 W CREEK DR STE F |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-6767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609807114 | Innovative Care Home Health Inc. | Home Health | 18425 W Creek Dr, Suite B, Tinley Park, IL 60477-6768 | 2006-07-05 |
| 1467833814 | Laura Goossens | Social Worker | 18425 W Creek Dr, Suite D, Tinley Park, IL 60477-6767 | 2015-06-11 |
| 1912216458 | Catrina A Brucato | Physician Assistant | 18425 W Creek Dr, Suite F, Tinley Park, IL 60477-6767 | 2010-10-01 |
| 1427375278 | North Creek Dental Care | Clinic/Center | 18425 W Creek Dr, Tinley Park, IL 60477-6767 | 2010-05-03 |
| 1215177423 | Beth A Denler | Registered Nurse | 18425 W Creek Dr, Tinley Park, IL 60477-6767 | 2009-02-27 |
| 1912157108 | Suburban Pain Care Surgical Facility LLC | Specialist | 18425 W Creek Dr, Ste B, Tinley Park, IL 60477-6767 | 2008-09-24 |
| 1497968945 | Dermatology Associates Ltd | Non-Pharmacy Dispensing Site | 18425 W Creek Dr, Ste F, Tinley Park, IL 60477-6767 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043509607 | Seema R Mamtora | Physician Assistant | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2011-04-05 |
| 1912216458 | Catrina A Brucato | Physician Assistant | 18425 W Creek Dr, Suite F, Tinley Park, IL 60477-6767 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
Please comment or provide details below to improve the information on MICHELLE DAWN OVANDO.
| 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.