AMY BRUSSEE (NPI# 1033340153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033340153 |
| Entity Type | Individual |
| Full Name | AMY BRUSSEE |
| Credential | MS PA |
| Practice Address |
111 W Washington St Suite 903 Chicago IL 60602-2703 |
| Mailing Address |
Po Box 160 Matteson IL 60443-0160 |
| Practice Telephone | 3123729355 |
| Practice Fax Number | 3123729356 |
| Mailing Telephone | 7087475850 |
| Mailing Fax Number | 7087479991 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085003499 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 W WASHINGTON ST SUITE 903 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60602-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549427 | Lauren Domski | Nurse Practitioner | 111 W Washington St, Suite 901, Chicago, IL 60602-2703 | 2016-06-15 |
| 1083069199 | Dental Loft - The Loop | Dentist | 111 W Washington St, Suite 1350, Chicago, IL 60602-2703 | 2016-04-26 |
| 1538595434 | Ageless Men's Health Holdings, LLC | Specialist | 111 W Washington St, Suite 901, Chicago, IL 60602-2703 | 2013-09-24 |
| 1609899913 | Kevin E. Hunt | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-07-26 |
| 1578592069 | Brian P. Lavery | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-06-30 |
| 1104852722 | Anne M. Suh | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-06-24 |
| 1578509451 | Audrey M. Tatar | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-06-21 |
| 1154367167 | Arnold M. Tatar | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-06-20 |
| 1710932728 | Arnold M. Tatar, Md Sc | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-05-24 |
| 1366497026 | Chicago Nasal and Sinus Center S C | Otolaryngology | 111 W Washington St, Suite 903, Chicago, IL 60602-2703 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710539705 | Biyang Wang | Social Worker | 9 W Washington St, Chicago, IL 60602 | 2019-07-10 |
| 1538724349 | Megan Asta Sarasek | Social Worker | 134 N Lasalle Street, Suite 400, Chicago, IL 60602 | 2019-05-07 |
| 1659850691 | Sara Chen | Dentist | 105 West Madison, 3rd Floor, Chicago, IL 60602 | 2018-08-10 |
| 1942795059 | Pratiti Rajeshkumar Gandhi | Dentist | 33 N Dearborn St Ste 2400, Chicago, IL 60602 | 2018-06-30 |
| 1154833994 | Ywca Metropolitan Chicago | Counselor | 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 | 2017-11-02 |
| 1013434620 | Michelle Malters | Counselor | 30 N Michigan Ave Ste 1909, Chicago, IL 60602 | 2017-08-24 |
| 1740729474 | Jd Manikowski, D.d.s., LLC | Health Maintenance Organization | 30 N. Michigan Ave #1520, Chicago, IL 60602 | 2017-02-14 |
| 1568909943 | Pratiksha Agrawal | Dentist | 105 W Madison St Fl 3, Chicago, IL 60602 | 2017-01-24 |
| 1790221521 | Anastasia Scangas | Social Worker | 30 N Michigan Ave Ste 826, Chicago, IL 60602 | 2017-01-18 |
| 1194269837 | Jenna Peterson | Psychologist | 111 N Wabash Ave Ste 822, Chicago, IL 60602 | 2016-12-15 |
| Find all providers in zip 60602 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1245858117 | Emily Victoria Headley | Physician Assistant | 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 | 2020-07-08 |
| 1548884547 | Crystal Afua Amoah | Physician Assistant | 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 | 2020-06-04 |
| 1841814274 | Zubair Aslam Khan | Physician Assistant | 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 | 2020-06-01 |
| 1659991818 | Taylor Nicole Anderson | Physician Assistant | 25 W Randolph St Apt 603, Chicago, IL 60601-3514 | 2020-04-17 |
| 1720616444 | Melanie Doretti | Physician Assistant | 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 | 2020-03-29 |
| 1154958544 | Joerissa Gearlds | Physician Assistant | 5645 W Addison St Rm 353, Chicago, IL 60634-4403 | 2020-03-25 |
| 1932736816 | Taylor Evan Fisher | Physician Assistant | 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 | 2020-03-23 |
| 1285260844 | Krista A Saum | Physician Assistant | 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 | 2020-03-16 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| 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.