JENNIFER LAUREN NICHOLS (NPI# 1790028801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790028801 |
Entity Type | Individual |
Full Name | JENNIFER LAUREN NICHOLS |
Credential | M.D. |
Practice Address |
25 N Winfield Rd Ste 432 Winfield IL 60190-1222 |
Practice Telephone | 6309334056 |
Practice Fax Number | 6309334057 |
Mailing Telephone | 6309334056 |
Enumeration Date | 2013-03-27 |
Last Update Date | 2019-09-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036149010 | IL | Allopathic & Osteopathic Physicians |
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD181791 | OR | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598235319 | Jennifer Nichols | Speech-Language Pathologist | 8445 Spires Way Ste Cc, Frederick, MD 21701-5035 | 2018-12-05 |
1710346549 | Jennifer Nichols | Massage Therapist | 15410 Heintz Ave Se, Monroe, WA 98272-1629 | 2016-02-22 |
1699198820 | Jennifer Lindsy Nichols I | Massage Therapist | 2695 Patterson Rd, Grand Junction, CO 81506-8814 | 2014-01-23 |
1972924702 | Jennifer Nichols | Student in an Organized Health Care Education/Training Program | 669 W 34th St, Los Angeles, CA 90089-0067 | 2013-12-20 |
1639505993 | Jennifer Nichols | Speech-Language Pathologist | 1000 Saint Louis Ave Ste 102, Fort Worth, TX 76104-3377 | 2013-09-18 |
1003960451 | Jennifer A. Nichols | Dentist | 756 N College St, Harrodsburg, KY 40330-1019 | 2007-01-23 |
1871131482 | Jennifer A Nichols | Counselor | 200 Mason St Ste 11, Onalaska, WI 54650-7061 | 2019-12-13 |
1447757976 | Jennifer Nichols | Social Worker | 2000 East Lamar Blvd, Suite 500, Arlington, TX 76006 | 2018-04-11 |
1083118939 | Jennifer Marie Nichols | Student in an Organized Health Care Education/Training Program | 110 S Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201 | 2018-03-23 |
1740726017 | Jennifer Nichols | Nurse Practitioner | 600 Haverford Rd, Haverford, PA 19041-1139 | 2017-01-11 |
Street Address |
25 N WINFIELD RD STE 432 |
City | WINFIELD |
State | IL |
Zip Code | 60190-1222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366079907 | Colby Paul Wiley | Clinical Neuropsychologist | 25 N Winfield Rd Ste 432, Winfield, IL 60190-1379 | 2020-03-24 |
1659856946 | Chenise L Creggett | Nurse Practitioner | 25 N Winfield Rd Ste 432, Winfield, IL 60190-1222 | 2018-10-02 |
1053753129 | Anjali Gera Gopal | Internal Medicine | 25 N Winfield Rd Ste 432, Winfield, IL 60190-1222 | 2013-07-18 |
1013354760 | Diana Constanza Hengartner | Psychiatry & Neurology | 25 N Winfield Rd Ste 432, Winfield, IL 60190-1295 | 2013-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
Find all providers in zip 60190 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659690741 | Karina Mae Arkush | Psychiatry & Neurology | 25 N Winfield Rd Ste 424, Winfield, IL 60190-1222 | 2010-05-27 |
1083860613 | Sittanur Shoush | Psychiatry & Neurology | 25 N. Winfield Rd Ste 401, Winfield, IL 60190 | 2008-08-14 |
1477627396 | Dhruvil J Pandya | Psychiatry & Neurology | 25 N Winfield Rd Fl 3, Winfield, IL 60190-1222 | 2006-11-20 |
1013354760 | Diana Constanza Hengartner | Psychiatry & Neurology | 25 N Winfield Rd Ste 432, Winfield, IL 60190-1295 | 2013-06-03 |
1619233277 | Anjali Rita Garg | Psychiatry & Neurology | 25 N Winfield Rd Ste 424, Winfield, IL 60190-1222 | 2012-04-09 |
1396032298 | Kapil Sachdeva | Psychiatry & Neurology | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2011-06-30 |
1780818195 | Padmaja Vittal | Psychiatry & Neurology | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2009-05-13 |
1265694525 | Malathi Rao | Psychiatry & Neurology | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2008-06-27 |
1932387081 | Archana Shrivastava | Psychiatry & Neurology | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2008-01-31 |
1760547889 | Avi Mazumdar | Psychiatry & Neurology | 25 N Winfield Rd, Suite 500, Winfield, IL 60190-1295 | 2006-12-27 |
Find all providers in WINFIELD |
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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.