MRS. JANZE MARIUM ISSAC (NPI# 1912462870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912462870 |
| Entity Type | Individual |
| Full Name | MRS. JANZE MARIUM ISSAC |
| Other Name | JANZE MARIUM KOSHY |
| Credential | ANP |
| Practice Address |
1550 S Indiana Ave Ste 100 Chicago IL 60605-4835 |
| Mailing Address |
650 S River Rd Unit 404 Des Plaines IL 60016-8430 |
| Practice Telephone | 8454802862 |
| Mailing Telephone | 8454802862 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209017708 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 650 S River Rd Unit 404, Des Plaines, IL 600168430 | 8454802862 |
| Street Address |
1550 S INDIANA AVE STE 100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60605-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659759660 | Laura Marie Cremonesi | Occupational Therapist | 1550 S Indiana Ave Ste 100, Chicago, IL 60605-4835 | 2015-05-11 |
| 1821522293 | Syeda Gavina | Nurse Practitioner | 1550 S Indiana Ave Ste 100, Chicago, IL 60605 | 2017-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074219 | Kheri Dunkins | Counselor | 1136 S Delano Ct, Suite B201, Chicago, IL 60605 | 2020-08-22 |
| 1134739196 | Erin Odonnell | Physical Therapist | 1255 Soputh State Street, Unit 6, Chicago, IL 60605 | 2020-08-05 |
| 1225658032 | Rita Haber | Speech-Language Pathologist | 1255 S Michigan Avenue, 207, Chicago, IL 60605 | 2020-04-21 |
| 1285288753 | My Travel Guy, Inc. | Transportation Broker | 1300 S. Wabash Ave. Suite # 205, Chicago, IL 60605 | 2019-08-01 |
| 1699230417 | Iesha Marsh | Home Health Aide | 820 S Park Terrance, Apt813, Chicago, IL 60605 | 2019-02-06 |
| 1538633482 | Sara Miller | Counselor | 401 S. Lasalle St. Suite 800h, Chicago, IL 60605 | 2019-01-14 |
| 1992203798 | Lorna Johnson | Nurse Practitioner | 1740 W Taylor St., 764e Uih, Mc 509, Chicago, IL 60605 | 2018-01-26 |
| 1790226207 | Undine and Associates | Social Worker | 410 S. Michigan Ave, Ste 943, Chicago, IL 60605 | 2017-03-16 |
| 1659811529 | Paul Parpart | Occupational Therapist | 1235 S Prairie, Chicago, IL 60605 | 2017-02-27 |
| 1144679879 | Osco Drug | Ambulance | 1529 S State St 6e, Chicago, IL 60605 | 2016-06-03 |
| Find all providers in zip 60605 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
| 1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
| 1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
| 1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
| 1780129742 | Darice Linares | Nurse Practitioner | 830 S Wood St, Chicago, IL 60612-4325 | 2016-12-30 |
| 1942262134 | Donna Myers | Nurse Practitioner | 833 W Chicago Ave, #305, Chicago, IL 60622-5449 | 2006-04-04 |
| 1457324311 | Lidia Andruszyn | Nurse Practitioner | 6493 N Northwest Hwy Apt 411, Chicago, IL 60631-1893 | 2006-02-10 |
| 1609499060 | Kelly A Quaine | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-05-20 |
| 1942857081 | Dana Brenneman | Nurse Practitioner | 1740 W Taylor St, Chicago, IL 60612-7232 | 2019-08-22 |
| 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.