BROOKE MARSICO (NPI# 1861769176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861769176 |
| Entity Type | Individual |
| Full Name | BROOKE MARSICO |
| Credential | PA-C |
| Practice Address |
259 E Erie St Suite 12600 Chicago IL 60611-2987 |
| Mailing Address |
1376 N Dean St Apt 2 Chicago IL 60622-9103 |
| Practice Telephone | 3126952300 |
| Mailing Telephone | 5676740767 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2016-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085004183 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA056686 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
259 E ERIE ST SUITE 12600 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071293 | Kiran Nimmagadda | Internal Medicine | 259 E Erie St, Suite 2250, Chicago, IL 60611-2987 | 2005-08-30 |
| 1750948436 | Mark Timothy Steinhauser | Physician Assistant | 259 E Erie St, Chicago, IL 60611 | 2019-05-28 |
| 1871056283 | Abigail Joy Mckay | Nurse Practitioner | 259 E Erie St, Chicago, IL 60611-2987 | 2019-04-11 |
| 1013472406 | Gretchen York | Nurse Practitioner | 259 E Erie St, Chicago, IL 60611-2987 | 2019-02-10 |
| 1861963878 | Yin Gao | Internal Medicine | 259 E Erie St, Chicago, IL 60611-2987 | 2018-12-17 |
| 1407347867 | Masa Chalupa | Physical Therapist | 259 E Erie St, Chicago, IL 60611-2987 | 2018-05-22 |
| 1053813055 | Christina Nieto Quiroga | Registered Nurse | 259 E Erie St, Chicago, IL 60611-2987 | 2018-03-06 |
| 1417478744 | Oladipupo Odunewu | Physician Assistant | 259 E Erie St, Chicago, IL 60611-2987 | 2017-06-27 |
| 1801337589 | Bradley Pennington | Physician Assistant | 259 E Erie St, 13th Floor, Chicago, IL 60611-2987 | 2017-03-15 |
| 1164960001 | Abigail Conlon Pairitz | Registered Nurse | 259 E Erie St, Chicago, IL 60611-2987 | 2017-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1598238883 | Andrea Budzon | Physician Assistant | 2940 N Kimball Ave Apt 2, Chicago, IL 60618-6846 | 2019-01-09 |
| 1760995161 | Leena Abed Hamdan | Physician Assistant | 251 E Huron St Fl 1, Chicago, IL 60611-2908 | 2017-11-08 |
| 1134580079 | Joseph Smith II | Physician Assistant | 654 E 84th St, Chicago, IL 60619-5802 | 2016-03-18 |
| 1679950232 | Alexis Davidman | Physician Assistant | 20 S Clark St Ste, Chicago, IL 60603-1802 | 2015-05-04 |
| 1669861589 | Stewart David Harsant | Physician Assistant | 1702 N Milwaukee Ave, Chicago, IL 60647-5424 | 2015-01-15 |
| 1063817013 | Jenna Lynn Sniegowski | Physician Assistant | 675 N Saint Clair St Fl 21, Chicago, IL 60611-5975 | 2014-11-01 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306270137 | Brianne Patricia Randall | Physician Assistant | California Blvd. At 15th St., Chicago, IL 60608 | 2013-08-28 |
| Find all providers in CHICAGO | ||||
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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.