CHAKINA BRUNSON (NPI# 1861813784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861813784 |
Entity Type | Individual |
Full Name | CHAKINA BRUNSON |
Credential | APN, CPNP |
Practice Address |
6501 S Promontory Dr Chicago IL 60649-1003 |
Mailing Address |
6142 S Woodlawn Ave 3n Chicago IL 60637-2865 |
Practice Telephone | 7732565746 |
Enumeration Date | 2013-12-18 |
Last Update Date | 2016-03-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
041356343 | IL | Nursing Service Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209011327 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6501 S PROMONTORY DR |
City | CHICAGO |
State | IL |
Zip Code | 60649-1003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447261524 | Jennifer Lynn Miller | Pediatrics | 6501 S Promontory Dr, Chicago, IL 60649-1003 | 2006-08-11 |
1154920122 | Saja Froukh | Dietitian, Registered | 6501 S Promontory Dr, Chicago, IL 60649-1002 | 2020-10-21 |
1982201463 | Leilani Reyes | Nurse Practitioner | 6501 S Promontory Dr, Chicago, IL 60649-1002 | 2020-10-07 |
1417572603 | Mixi Lopez-corbin | Social Worker | 6501 S Promontory Dr, Chicago, IL 60649-1003 | 2020-06-12 |
1639798242 | Erika Joy Meier | Dietitian, Registered | 6501 S Promontory Dr, Chicago, IL 60649-1002 | 2020-04-14 |
1033757349 | Arianna Timko | Counselor | 6501 S Promontory Dr, Chicago, IL 60649-1002 | 2019-12-17 |
1992347637 | Allison Rosen | Occupational Therapist | 6501 S Promontory Dr, Chicago, IL 60649-1002 | 2019-10-15 |
1780236687 | Andrea Rehr | Physical Therapist | 6501 S Promontory Dr, Chicago, IL 60649-1003 | 2019-07-10 |
1821562810 | Haleigh Alexandria Nierman | Occupational Therapist | 6501 S Promontory Dr, Chicago, IL 60649-1003 | 2019-01-14 |
1700350766 | Codi Lesniewski | Physical Therapist | 6501 S Promontory Dr, Chicago, IL 60649-1002 | 2019-01-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
Find all providers in zip 60649 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
1487160586 | Meghan Doepke Sullivan | Nurse Practitioner | 1030 N Clark St Ste 400, Chicago, IL 60610-5468 | 2017-12-27 |
1366955940 | Debra Chana Goldstein | Nurse Practitioner | 2732 W Chase Ave, Chicago, IL 60645-1313 | 2017-11-06 |
1588189260 | Larissa Marie Schulze | Nurse Practitioner | 737 N Michigan Ave Ste 820, Chicago, IL 60611-6659 | 2017-08-03 |
1164887295 | Meredith Murphy Mcintee | Nurse Practitioner | 5841 S Maryland Ave # Mc4065, Chicago, IL 60637-1443 | 2015-12-16 |
1215345442 | Tara Seider | Nurse Practitioner | 2707 W Ainslie St, Unit #3, Chicago, IL 60625-2715 | 2014-07-31 |
1447697982 | Emily Thurn | Nurse Practitioner | 225 E Chicago Ave Box 29, Chicago, IL 60611-2605 | 2013-05-23 |
1518231505 | Julianne Deschler Bertalmio | Nurse Practitioner | 1460 N. Halsted Street, Suite 402, Chicago, IL 60642 | 2012-03-08 |
1932478765 | Julie Elizabeth Martin | Nurse Practitioner | 225 E Chicago, 4 Ne, Chicago, IL 60611-2605 | 2011-12-22 |
1245532480 | Alexandra Wilson Benz | Nurse Practitioner | 225 E Chicago Ave # 93, Chicago, IL 60611-2991 | 2010-11-20 |
Find all providers in CHICAGO |
Please comment or provide details below to improve the information on CHAKINA BRUNSON.
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.