MS. KIMBERLY ANN MULLIGAN (NPI# 1780872788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780872788 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY ANN MULLIGAN |
| Other Name | MS. KIMBERLY ANN ZINK |
| Credential | PA-C |
| Practice Address |
2025 S Chicago St Joliet IL 60436 |
| Mailing Address |
1800 N Main St Wheaton IL 60187-3112 |
| Practice Telephone | 8157262200 |
| Practice Fax Number | 3145368783 |
| Mailing Telephone | 6306144960 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2018-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085003958 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 3711 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | 525200005 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225094857 | Kimberly A Mulligan | Anesthesiology | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-04-22 |
| Street Address |
2025 S CHICAGO ST |
| City | JOLIET |
| State | IL |
| Zip Code | 60436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407846298 | Kalpana Tushar Shah | Dentist | 2025 S Chicago St, Joliet, IL 60436-3172 | 2005-10-24 |
| 1295218238 | Lisa M Smith | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2018-09-14 |
| 1619480696 | Mutengwana Kasapu-mwaba | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2017-11-13 |
| 1437672656 | Laboratory Corporation of America | Clinical Medical Laboratory | 2025 S Chicago St, Joliet, IL 60436-3172 | 2017-07-19 |
| 1689118143 | Karen Shahan | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2016-12-16 |
| 1023488475 | Sumar Abushaqra | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2015-09-29 |
| 1538546791 | Mustafa Aladin | Internal Medicine | 2025 S Chicago St, Joliet, IL 60436-3172 | 2015-04-27 |
| 1003216557 | Jennifer M Panning | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2014-09-02 |
| 1619300977 | Lijun He | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2013-08-09 |
| 1710287818 | Paula Jean Hall | Dietitian, Registered | 2025 S Chicago St, 1051 Essington Rd., Joliet, IL 60436-3172 | 2010-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431345 | Tiffanie Mcnair | Nurse's Aide | 306 Romayne Ave, Joliet, IL 60436 | 2017-07-28 |
| 1366964215 | Pamela Coney | Licensed Practical Nurse | 916 Prairie Path Ln, Joliet, IL 60436 | 2017-07-12 |
| 1104375815 | Cynthia Sylvia | Licensed Practical Nurse | 211 S. Hunter Ave, Joliet, IL 60436 | 2016-09-23 |
| 1760804629 | Center for Disability Services | Day Training, Developmentally Disabled Services | 311 S Reed St, Joliet, IL 60436 | 2014-01-13 |
| 1215247093 | Sadra Rae West | Developmental Therapist | 807 Thorn Creek Drive, Joliet, IL 60436 | 2010-10-14 |
| 1033360136 | Tonya Hagenbaumer | Dietitian, Registered | 2025 S. Chicago Street, Joliet, IL 60436 | 2008-10-07 |
| 1699966051 | Kul Sood | General Practice | 95 S Chicago St, Joliet, IL 60436 | 2007-08-09 |
| 1053410407 | Yatin M Shah Md Sc | Medical Genetics, Ph.D. Medical Genetics | 2025 S Chicago Street, Joliet, IL 60436 | 2006-09-22 |
| 1821103755 | Victoria L Mancke | Nurse Practitioner | 2025s Chicago St, Joliet, IL 60436 | 2006-08-20 |
| 1790750412 | Maria L Ramirez | Occupational Therapist | 709 Margaret St, Rockdale, IL 60436 | 2006-02-17 |
| Find all providers in zip 60436 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821618257 | La Tanya Ringer Alford | Physician Assistant | 16830 S. Broadway Street, Joliet, IL 60434 | 2020-04-27 |
| 1952930547 | Laura Gillespie | Physician Assistant | 612 Catherine St, Joliet, IL 60435-5804 | 2020-04-06 |
| 1639649494 | Paulina Joanna Bosek | Physician Assistant | 2202 Essington Rd Ste 101, Joliet, IL 60435-1604 | 2018-12-04 |
| 1164898524 | Rachel Chessare | Physician Assistant | 800 N Larkin Ave, Joliet, IL 60435-3429 | 2015-08-19 |
| 1053648451 | Lisa Marie Brown | Physician Assistant | 333 North Madison St, Joliet, IL 60435-6595 | 2009-11-06 |
| 1851571830 | Riliwan Deinde Ojelade | Physician Assistant | 3515 Sumac Dr, Joliet, IL 60435-9019 | 2007-11-07 |
| 1275629420 | Sandra L. Coomes | Physician Assistant | 333 N Madison Street, Joliet, IL 60435 | 2006-10-05 |
| 1992745491 | Brenda Keener | Physician Assistant | 2100 Glenwood Avenue, Joliet, IL 60435 | 2006-06-07 |
| 1982255139 | Carly Nicole Giacomo | Physician Assistant | 333 Madison St, Joliet, IL 60435-8200 | 2019-09-27 |
| 1841764131 | Cassandra Basak | Physician Assistant | 2202 Essington Rd Ste 101, Joliet, IL 60435-1604 | 2019-01-19 |
| Find all providers in JOLIET | ||||
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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.