KRYSTLE EKHOFF (NPI# 1790319630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790319630 |
| Entity Type | Individual |
| Full Name | KRYSTLE EKHOFF |
| Credential | RN, IBCLC |
| Practice Address |
9108 S Troy Ave Evergreen Park IL 60805-1628 |
| Practice Telephone | 7732414497 |
| Mailing Telephone | 7732414497 |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2020-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 041.453125 | IL | Nursing Service Providers |
| Street Address |
9108 S TROY AVE |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330233 | Candace D Younger | Licensed Practical Nurse | 507 Lickliter St, Benton, IL 62812-2219 | 2020-09-15 |
| 1063025781 | Austin Grant | Licensed Practical Nurse | 205 Joplin St, Benton, IL 62812-2023 | 2020-08-24 |
| 1518570233 | Titilayo Ayeni-sode | Licensed Practical Nurse | 23025 Amber Ln, Richton Park, IL 60471-1281 | 2020-08-24 |
| 1477164929 | Monique L Lee | Licensed Practical Nurse | 8528 S Exchange Ave # 2, Chicago, IL 60617-2541 | 2020-08-10 |
| 1619597291 | Robin Wilson | Licensed Practical Nurse | 842 S 18th Ave, Maywood, IL 60153-1706 | 2020-04-23 |
| 1932732237 | Robina Renee Williams | Licensed Practical Nurse | 16313 Turner Ave, Markham, IL 60428-5446 | 2020-02-15 |
| 1417589649 | Lataunja Parese Weaver | Licensed Practical Nurse | 7436 S Ellis Ave, Chicago, IL 60619-2032 | 2020-02-05 |
| 1124667621 | Jacquelyn Cooper | Licensed Practical Nurse | 230 N Lind Ave, Hillside, IL 60162-1538 | 2019-12-31 |
| 1699312587 | Kristi Ann Pittman-spero | Licensed Practical Nurse | 101 N Jefferson Ave, Bradley, IL 60915-1829 | 2019-12-10 |
| 1851935746 | Joseph Donkor | Licensed Practical Nurse | 539 Jordan Way, Bolingbrook, IL 60440-1376 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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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.