JULIANNE GRACE RUSSELL (NPI# 1780885541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780885541 |
Entity Type | Individual |
Full Name | JULIANNE GRACE RUSSELL |
Credential | CNP |
Practice Address |
1600 Dodge Ave Room H-101 Evanston IL 60201-3449 |
Mailing Address |
2650 Ridge Ave Evanston Hospital Evanston IL 60201-1718 |
Practice Telephone | 8474247265 |
Practice Fax Number | 8474925809 |
Mailing Telephone | 8475701206 |
Mailing Fax Number | 8475701248 |
Enumeration Date | 2007-05-30 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578906293 | Julianne Russell | Occupational Therapist | 1060 Twin Dolphin Dr, Suite 100, Redwood City, CA 94065-1133 | 2013-04-11 |
Street Address |
1600 DODGE AVE ROOM H-101 |
City | EVANSTON |
State | IL |
Zip Code | 60201-3449 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164440244 | Bruce Romain | Specialist/Technologist | 1600 Dodge Ave, Evanston, IL 60201-3449 | 2006-07-17 |
1295294635 | Channing Michelle Akinrinade | Speech-Language Pathologist | 1600 Dodge Ave, Evanston, IL 60201-3449 | 2019-03-15 |
1861992083 | Everett Craig Henderson Jr. | Specialist/Technologist | 1600 Dodge Ave, Evanston, IL 60201-3449 | 2018-02-14 |
1225433733 | Megan Smalley | Specialist/Technologist | 1600 Dodge Ave, Evanston, IL 60201-3449 | 2014-10-27 |
1285966473 | Evanston Township Hds 202 | Local Education Agency (LEA) | 1600 Dodge Ave, Evanston, IL 60201-3449 | 2010-02-12 |
1619178324 | Kathryn Dunn Swartwout | Nurse Practitioner | 1600 Dodge Ave, Room H-101, Evanston, IL 60201-3449 | 2007-05-30 |
1073659280 | Evanston Township High School Health Center | Clinic/Center | 1600 Dodge Ave, Room H-101, Evanston, IL 60201-3449 | 2007-01-29 |
1295892255 | Chad Eric Harris | Specialist/Technologist | 1600 Dodge Ave, Evanston, IL 60201-3449 | 2007-01-02 |
1912095746 | Lynn G Chehab | Pediatrics | 1600 Dodge Ave, School Based Health Center, H101, Evanston, IL 60201-3449 | 2006-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
Find all providers in zip 60201 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346579133 | Peggy Fitch Rubenstein | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2009-12-08 |
1841401205 | Barbara Hartz | Nurse Practitioner | 2650 Ridge Ave, Oupatient Department, Evanston, IL 60201-1718 | 2007-05-25 |
1215148820 | Barbara Lane Dickinson-sroka | Nurse Practitioner | 2650 Ridge Ave, Outpatient Department, Evanston, IL 60201-1718 | 2007-05-24 |
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 |
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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.