JESSICA WUNDER


Address: 5025 N Paulina St, Chicago, IL 60640
Phone: 7732719040

JESSICA WUNDER (NPI# 1013306240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
5025 N Paulina St, Chicago, IL 606402772 7732719040

Office Location

Street Address 5025 N PAULINA ST
City CHICAGO
State IL
Zip Code 60640

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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Competitor

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City CHICAGO
Zip Code 60640

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Dataset Information

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.

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