MS. JEANNINE MARIE CHEATHAM (NPI# 1871711283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871711283 |
| Entity Type | Individual |
| Full Name | MS. JEANNINE MARIE CHEATHAM |
| Credential | APN |
| Practice Address |
5841 S Maryland Ave # Mc4064 Room C146 Chicago IL 60637-1447 |
| Mailing Address |
180 Harvester Dr Suite 110 Burr Ridge IL 60527-7594 |
| Practice Telephone | 7737026178 |
| Practice Fax Number | 7738341444 |
| Mailing Telephone | 7737026178 |
| Mailing Fax Number | 7738341444 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2015-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
209-004185 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DEA | MC1087786 | 01 |
| Street Address |
5841 S MARYLAND AVE # MC4064 ROOM C146 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972846939 | Naema Chowdhury | Pediatrics | 5841 S Maryland Ave # Mc4064, Chicago, IL 60637 | 2013-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760646962 | Thelma P. Reed | Clinical Nurse Specialist | 326 .west 64th St., Suite 412, Chicago, IL 60621-1334 | 2008-07-16 |
| 1578649372 | Renee C.b. Manworren | Clinical Nurse Specialist | 225 E. Chicago Avenue, Box 47, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2991 | 2006-10-27 |
| 1679594014 | Therese Nancy Coha | Clinical Nurse Specialist | 2300 N Childrens Plz # 63, Chicago, IL 60614-3363 | 2006-07-21 |
| 1508381161 | Nicholette M Andrews | Clinical Nurse Specialist | 355 E Erie St, Chicago, IL 60611-3167 | 2017-08-04 |
| 1043684533 | Gabriel Campos | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2015-11-20 |
| 1376937474 | Rona Tiglao | Clinical Nurse Specialist | 1725 W Harrison St, Suite 710, Chicago, IL 60612-3841 | 2015-03-26 |
| 1922402387 | Bridget Mccarthy | Clinical Nurse Specialist | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2014-10-14 |
| 1255694568 | Marguerite A Wydra | Clinical Nurse Specialist | 1653 W. Congress Pkwy, 622 Murdock, Chicago, IL 60612 | 2012-06-21 |
| 1588956627 | Monica Gonzalez | Clinical Nurse Specialist | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2011-05-09 |
| 1083646467 | Joyce Ann Weishaar | Clinical Nurse Specialist | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2006-07-07 |
| 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.