MRS. MARY KATHERINE BISAGA (NPI# 1891856324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891856324 |
| Entity Type | Individual |
| Full Name | MRS. MARY KATHERINE BISAGA |
| Credential | N.P. |
| Practice Address |
4700 W 95th St Suite 303 Oak Lawn IL 60453-2533 |
| Mailing Address |
4700 W 95th St Oak Lawn IL 60453-2533 |
| Practice Telephone | 7088577230 |
| Practice Fax Number | 7084255779 |
| Mailing Telephone | 7088577230 |
| Mailing Fax Number | 7084255779 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 0091640661 | 01 |
| IL | BCBSIL | 0091640664 | 01 |
| Street Address |
4700 W 95TH ST SUITE 303 |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205826708 | Dzung X Nguyen | Optometrist | 4700 W 95th St, Suite 102, Oak Lawn, IL 60453-2533 | 2005-10-26 |
| 1902385990 | Elizabeth Peoples | Physician Assistant | 4700 W 95th St, Oak Lawn, IL 60453-2533 | 2018-08-09 |
| 1720539471 | Advocate Health and Hospital Corp | Counselor | 4700 W 95th St, Ste Ll5, Oak Lawn, IL 60453-2533 | 2016-10-18 |
| 1083164347 | Schaelyn Mcfadden | Psychologist | 4700 W 95th St, Ste Ll5, Oak Lawn, IL 60453-2533 | 2016-10-11 |
| 1356700744 | Oak Lawn Health Mart Pharmacy Inc | Pharmacy | 4700 W 95th St, Oak Lawn, IL 60453-2533 | 2016-02-15 |
| 1992172464 | Advocate Healthcare | Counselor | 4700 W 95th St, Ste Ll5, Oak Lawn, IL 60453-2533 | 2015-08-31 |
| 1639546468 | Erin Katherine Hagerty | Counselor | 4700 W 95th St, Suite Ll5, Oak Lawn, IL 60453-2533 | 2015-08-27 |
| 1902288566 | Patricia Zielinski | Optometrist | 4700 W 95th St, Suite 102, Oak Lawn, IL 60453-2533 | 2015-06-19 |
| 1982092193 | Vanessa Houdek | Psychologist | 4700 W 95th St, Suite Ll5, Oak Lawn, IL 60453-2533 | 2014-12-23 |
| 1093067589 | Jenna Mary Felczak-berberich | Psychologist | 4700 W 95th St, Suite Lower Level 5, Oak Lawn, IL 60453-2533 | 2012-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487936415 | Anna J Mikos | Nurse Practitioner | 4700 W 95th St Ste 303, Oak Lawn, IL 60453-2572 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396308458 | Alexandra H Pape | Nurse Practitioner | 10260 191st St Ste 100, Mokena, IL 60448-8802 | 2019-04-15 |
| 1306313754 | Klaudia Dorota Niedzwiecki | Nurse Practitioner | 654 W Veterans Pkwy Ste A, Yorkville, IL 60560-2510 | 2018-10-24 |
| 1295226728 | Cortney Elizabeth Patrick | Nurse Practitioner | 2900 Frank Scott Pkwy W Ste 966, Belleville, IL 62223-5000 | 2018-05-21 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1124464110 | Michelle Yonkus | Nurse Practitioner | 500 E 22nd St Ste A, Lombard, IL 60148-6102 | 2013-05-16 |
| 1457600306 | Julie Duff | Nurse Practitioner | 5425 W. Addison, Chicago, IL 60641 | 2012-09-06 |
| 1891067765 | Cynthia Ann Wildemuth | Nurse Practitioner | 2112 25th Avenue, Rock Island, IL 61201 | 2012-02-07 |
| 1174803753 | Patricia J Fiorito | Nurse Practitioner | 801 S Milwaukee Ave # 110, Libertyville, IL 60048-3204 | 2011-08-26 |
| 1619102456 | Vickie Eileen Ellis | Nurse Practitioner | 201 W. Kenyon Rd, Champaign, IL 61820-7892 | 2009-05-22 |
| 1942465554 | Maryann Ulery | Nurse Practitioner | 3 Austrian Ct, Lake In The Hills, IL 60156-6515 | 2008-07-23 |
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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.