KERRY SHANKLIN (NPI# 1033641279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033641279 |
| Entity Type | Individual |
| Full Name | KERRY SHANKLIN |
| Credential | FNP |
| Practice Address |
675 N Saint Clair St Ste 19-100 Chicago IL 60611-5969 |
| Mailing Address |
680 N Lake Shore Dr Chicago IL 60611-4546 |
| Practice Telephone | 3126643278 |
| Practice Fax Number | 3126955774 |
| Mailing Telephone | (312) 695-6868 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209015808 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
675 N SAINT CLAIR ST STE 19-100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-5969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881707248 | Clyde Warren Yancy Jr. | Internal Medicine | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2006-08-17 |
| 1245866805 | Selby Marie Cherian | Registered Nurse | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2020-03-16 |
| 1871054601 | David Drullinsky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2019-03-26 |
| 1720552482 | Jenna Quill Mulroe | Nurse Practitioner | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2019-01-16 |
| 1134602071 | Karina Hinton | Nurse Practitioner | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611 | 2018-09-06 |
| 1154801819 | Christin Lund Sogge | Physician Assistant | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2018-08-21 |
| 1780102251 | Hannah Marie Toms | Physician Assistant | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611 | 2017-09-06 |
| 1932622529 | Hadi Toeg | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611 | 2017-07-25 |
| 1285163881 | Kathleen E. Casey | Physician Assistant | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2017-06-07 |
| 1154724680 | Jordin J Van De Hey | Physician Assistant | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2014-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
| 1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
| 1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
| 1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
| 1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
| 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.