CHARLOTTE A O'BRIEN (NPI# 1902123938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902123938 |
| Entity Type | Individual |
| Full Name | CHARLOTTE A O'BRIEN |
| Other Name | CHARLOTTE W ALLEN |
| Credential | CRNP |
| Practice Address |
7000 Cermak Rd Berwyn IL 60402-2112 |
| Mailing Address |
213 N Racine Ave Suite 100 Chicago IL 60607-1644 |
| Practice Telephone | 7084848090 |
| Practice Fax Number | 7084454444 |
| Mailing Telephone | 3127339730 |
| Mailing Fax Number | 7738668014 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2015-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209012174 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP010385 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7000 CERMAK RD |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063409035 | Frank R Perez | Physician Assistant | 7000 Cermak Rd, Berwyn, IL 60402-2112 | 2005-10-04 |
| 1477040467 | Rachel Elizabeth Vandyken | Physician Assistant | 7000 Cermak Rd, Berwyn, IL 60402-2112 | 2018-04-16 |
| 1073024501 | Dinora Flores | Nurse Practitioner | 7000 Cermak Rd, Berwyn, IL 60402-2112 | 2017-10-24 |
| 1699142711 | Sarah Cathrine Mathew | Nurse Practitioner | 7000 Cermak Rd, Berwyn, IL 60402-2112 | 2015-08-24 |
| 1104239664 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 7000 Cermak Rd, Suite 145, Berwyn, IL 60402-2112 | 2014-06-03 |
| 1669884771 | D2 Dental At Oak Street, P.C. | Dentist | 7000 Cermak Rd, Berwyn, IL 60402-2112 | 2014-05-22 |
| 1205116282 | Priscilla Rivera | Nurse Practitioner | 7000 Cermak Rd, 3rd Floor, Berwyn, IL 60402-2112 | 2011-08-23 |
| 1053527184 | Ron Chacko | Family Medicine | 7000 Cermak Rd, Berwyn, IL 60402-2112 | 2007-05-15 |
| 1164479788 | Gilmer Rodriguez | Internal Medicine | 7000 Cermak Rd, Berwyn, IL 60402-2112 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699142711 | Sarah Cathrine Mathew | Nurse Practitioner | 7000 Cermak Rd, Berwyn, IL 60402-2112 | 2015-08-24 |
| 1851771125 | Alexandra Ott | Nurse Practitioner | 901 Lancaster Ave, Berwyn, PA 19312-1710 | 2015-06-02 |
| 1205116282 | Priscilla Rivera | Nurse Practitioner | 7000 Cermak Rd, 3rd Floor, Berwyn, IL 60402-2112 | 2011-08-23 |
| 1336367036 | Ellen B Barton | Nurse Practitioner | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998553 | Melissa Litwin | Nurse Practitioner | 9127 Burlington Ave, Brookfield, IL 60513-1939 | 2020-10-06 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1518506625 | Lila Macalinga Rivera | Nurse Practitioner | 17w335 16th St, Oakbrook Terrace, IL 60181-4030 | 2020-01-06 |
| 1922642495 | Christine Nacar | Nurse Practitioner | 1232 Le Moyne Ave, Romeoville, IL 60446-4180 | 2019-10-29 |
| 1144871344 | Wensheng Tracy Wu | Nurse Practitioner | 1555 Barrington Rd Ste 1200, Hoffman Estates, IL 60169-5036 | 2019-09-27 |
| 1881245314 | Mkbb LLC | Nurse Practitioner | 1212 E Algonquin Rd, Algonquin, IL 60102-5446 | 2019-09-25 |
| 1225681455 | Jinu Joss | Nurse Practitioner | 9939 N Warren Oval, Niles, IL 60714-1044 | 2019-07-17 |
| 1659830057 | Ginger Dean | Nurse Practitioner | 2843 Chicago Rd, South Chicago Heights, IL 60411-4736 | 2019-03-15 |
| 1770048910 | Amanda K Honchell I | Nurse Practitioner | 401 W Madison St, Mount Carroll, IL 61053-9485 | 2019-02-01 |
| 1548725799 | Grace Nwaka Wabomnor | Nurse Practitioner | 17 E Grandview Dr, South Holland, IL 60473-1099 | 2019-02-01 |
| Find all providers with the same taxonomy | ||||
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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.