JESSICA WUNDER (NPI# 1013306240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013306240 |
Entity Type | Individual |
Full Name | JESSICA WUNDER |
Credential | PMHNP |
Practice Address |
5025 N Paulina St Chicago IL 60640 |
Mailing Address |
405 Amesbury Dr Smithville MO 64089-9625 |
Practice Telephone | 7732719040 |
Mailing Telephone | 4022168249 |
Enumeration Date | 2015-01-12 |
Last Update Date | 2018-06-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209012424 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5025 N Paulina St, Chicago, IL 606402772 | 7732719040 |
Street Address |
5025 N PAULINA ST |
City | CHICAGO |
State | IL |
Zip Code | 60640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396729554 | Roman F Niziolek | Emergency Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2005-12-01 |
1376071993 | Hana L Keil | Social Worker | 5025 N Paulina St, Chicago, IL 60640-2772 | 2017-05-26 |
1205264116 | Lindsay Brooke Abbott | Nurse Practitioner | 5025 N Paulina St, Chicago, IL 60640-2772 | 2013-10-31 |
1386993582 | Reet Wangerin | Anesthesiology | 5025 N Paulina St, Chicago, IL 60640-2772 | 2012-09-04 |
1558698589 | Bethany Homes and Methodist Hospital | Internal Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2009-11-12 |
1831365121 | Floarea Chis | Anesthesiology | 5025 N Paulina St, Chicago, IL 60640-2772 | 2008-05-06 |
1497942783 | Ailyn Tan Md Sc | Clinical Medical Laboratory | 5025 N Paulina St, Chicago, IL 60640-2772 | 2007-10-01 |
1174644389 | Lakeside Radiologists, Sc | Radiology | 5025 N Paulina St, Chicago, IL 60640-2772 | 2007-04-03 |
1790805778 | Zarina Z. Bandukwala | Emergency Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2007-03-31 |
1508980889 | Illinois Medical Care Ltd | Internal Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2007-03-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
Find all providers in zip 60640 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
1114574886 | Hyde Park Mental Wellness | Nurse Practitioner | 1525 E 55th St Ste 205, Chicago, IL 60615-5584 | 2019-08-19 |
1689232522 | Sarah Ball Schrock | Nurse Practitioner | 3310 W Division St, Chicago, IL 60651-2301 | 2019-06-05 |
1982168407 | Richardson Psychiatric | Nurse Practitioner | 3660 N Lake Shore Dr Ste 201, Chicago, IL 60613-5302 | 2019-01-29 |
1386117232 | Prudent Alliance for Healthcare, LLC | Nurse Practitioner | 6159 W Eddy St, Chicago, IL 60634-4122 | 2019-01-03 |
1770068421 | Gian Bonador | Nurse Practitioner | 1134 W Granville Ave Apt 715, Chicago, IL 60660-5047 | 2018-09-28 |
1790115293 | Stacey Marie Meyers | Nurse Practitioner | 6439 N Sheridan Rd Ste 310, Chicago, IL 60626-5364 | 2013-11-19 |
1326385824 | Deborah Francine Bump | Nurse Practitioner | 6918 S Euclid Ave, Chicago, IL 60649-1512 | 2013-01-03 |
1104058221 | Lester Eugene Lamee Jr. | Nurse Practitioner | 251 E Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 | 2009-08-24 |
1720003577 | Janice E Stern | Nurse Practitioner | 1645 W Jackson Blvd Ste 602, Chicago, IL 60612 | 2006-07-13 |
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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.