CARLY L KORANDA (NPI# 1811469497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811469497 |
| Entity Type | Individual |
| Full Name | CARLY L KORANDA |
| Other Name | CARLY L ROSCOE |
| Credential | DNP, APN, PNP-PC |
| Practice Address |
1723 Howard St Evanston IL 60202-3735 |
| Mailing Address |
1121 N Leavitt St Chicago IL 60622-3502 |
| Practice Telephone | 2243078550 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 041410422 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1723 HOWARD ST |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194179721 | Access Community Health Network | Clinic/Center | 1723 Howard St, Evanston, IL 60202-3735 | 2016-04-20 |
| 1619442084 | Michelle Olasimbo | Registered Nurse | 1723 Howard St, Evanston, IL 60202-3735 | 2018-10-11 |
| 1164976817 | Michelle Ubau | Nurse Practitioner | 1723 Howard St, Evanston, IL 60202-3735 | 2016-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649624644 | Zachary Alessandro Marcus | Pediatrics | 1000 Central St Ste 765, Evanston, IL 60201 | 2016-04-16 |
| 1982084372 | Frank J Steinberg | Pediatrics | 807 Davis St Unit 1705, Evanston, IL 60201-7102 | 2015-06-01 |
| 1952621302 | Melanie Thomas | Pediatrics | 1950 Dempster St, Evanston, IL 60202-1016 | 2010-06-08 |
| 1013184118 | Rosita Stephen Pildes | Pediatrics | 1319 Ridge Ave, Evanston, IL 60201 | 2008-05-08 |
| 1245399898 | Bernhard H Allgaier | Pediatrics | 2650 Ridge Ave Ste 1505, Evanston, IL 60201-1718 | 2006-12-08 |
| 1811948243 | Vincent F Biank | Pediatrics | 1000 Central St Ste 800, Evanston, IL 60201-1780 | 2006-05-12 |
| 1487640835 | Shana N Christian | Pediatrics | 2530 Ridge Ave, Evanston, IL 60201-2492 | 2005-09-21 |
| 1831184548 | Depalma Pediatrics Dba Evanston Pediatrics | Pediatrics | 195 Feather Way, Evanston, WY 82930-9227 | 2005-09-19 |
| 1336133065 | Irina Trosman | Pediatrics | 3451 Church St, Evanston, IL 60203-1621 | 2005-09-08 |
| 1639179179 | Irwin Benuck | Pediatrics | 1325 Howard St, Suite 203, Evanston, IL 60202-3766 | 2005-07-27 |
| Find all providers in EVANSTON | ||||
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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.