MRS. ELEANOR HARWARD (NPI# 1891140554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891140554 |
| Entity Type | Individual |
| Full Name | MRS. ELEANOR HARWARD |
| Other Name | MS. ELEANOR NICKLAS |
| Credential | PA-C |
| Practice Address |
301 Madison St Suite 280 Joliet IL 60435-6549 |
| Mailing Address |
2650 Warrenville Rd Suite 280 Downers Grove IL 60515-1748 |
| Practice Telephone | 6303247915 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
301 MADISON ST SUITE 280 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-6549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477511863 | Woo Chan Kim | Anesthesiology | 301 Madison St, Joliet, IL 60435-6557 | 2006-05-03 |
| 1194355685 | Jerry Shelby | Nurse Practitioner | 301 Madison St, Joliet, IL 60435-6549 | 2020-01-23 |
| 1982246229 | Jennifer Thompson | Nurse Practitioner | 301 Madison St, Joliet, IL 60435-6549 | 2019-10-08 |
| 1073067583 | Annette Bennett-otto | Nurse Practitioner | 301 Madison St, Joliet, IL 60435-6549 | 2016-08-12 |
| 1477918613 | Sheryl Burcenski | Nurse Practitioner | 301 Madison St, Suite 300, Joliet, IL 60435-6549 | 2015-12-15 |
| 1356716989 | Kelly Morris | Nurse Practitioner | 301 Madison St, Suite 300, Joliet, IL 60435 | 2015-12-08 |
| 1659740033 | Presence Hospitals Prv | Pediatrics | 301 Madison St, Suite 302, Joliet, IL 60435-6549 | 2015-09-16 |
| 1467859454 | Amanda Rae Benjamin | Nurse Practitioner | 301 Madison St, #300, Joliet, IL 60435-6549 | 2014-11-19 |
| 1568861094 | Laurel K. Alexander | Registered Nurse | 301 Madison St, Suite 207, Joliet, IL 60435-6549 | 2014-08-20 |
| 1770907289 | Women's Health and Wellness, LLC | Obstetrics & Gynecology | 301 Madison St, Suite 120, Joliet, IL 60435-6549 | 2014-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1275618639 | Chad Kovash | Physician Assistant | 1300 Copperfield Ave Ste 3070, Joliet, IL 60432-2065 | 2006-10-26 |
| 1831199587 | Dawn Carroll Roman | Physician Assistant | 1051 Essington Rd, Suite 280, Joliet, IL 60435-2801 | 2005-07-22 |
| 1649728874 | Emily Alvis | Physician Assistant | 823 N 129th Infantry Dr, Suite 103, Joliet, IL 60435-8346 | 2016-09-16 |
| 1194188383 | Ryan Lewis | Physician Assistant | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2016-04-04 |
| 1134530090 | Mariedel Haramija | Physician Assistant | 333 Madison St, Joliet, IL 60435-8200 | 2014-05-14 |
| 1063467934 | Sheri Joyce Lask | Physician Assistant | 951 Essington Rd, Joliet, IL 60435-8427 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
| 1407331184 | David Reyes | Physician Assistant | 2800 N Sheridan Rd Ste 209, Chicago, IL 60657-6157 | 2018-09-28 |
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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.