MRS. KERMITT ALEXANDER (NPI# 1043878747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043878747 |
Entity Type | Individual |
Full Name | MRS. KERMITT ALEXANDER |
Credential | CERTIFIED HAIR LOSS |
Practice Address |
1575 Sibley Blvd Calumet City IL 60409-2304 |
Mailing Address |
451 Mackinaw Ave Calumet City IL 60409-2514 |
Practice Telephone | 7089554050 |
Mailing Telephone | 7089554050 |
Enumeration Date | 2019-05-29 |
Last Update Date | 2019-06-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
011.253751 | IL | Other Service Providers |
Street Address |
1575 SIBLEY BLVD |
City | CALUMET CITY |
State | IL |
Zip Code | 60409-2304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689159832 | Victory Pharmacy of Decatur Inc | Pharmacy | 1837 River Oaks Rd, Calumet City, IL 60409 | 2018-10-03 |
1801336961 | It's About Change Sober Living, Inc. | Community/Behavioral Health | 1604 Horbor St., Calumet City, IL 60409 | 2017-03-08 |
1750832986 | Jeffrey Mcneil | Social Worker | 660 Memorial Dr., Calumet City, IL 60409 | 2016-10-24 |
1578855219 | Cherechi V Onyenso | Nurse Practitioner | 1473 Ring Ring Road, Great Heights Family Medicine, Calumet City, IL 60409 | 2011-05-13 |
1205097607 | Michael Peter Weisberg | Ophthalmology | 1700 East West Road, Calumet City, IL 60409 | 2008-06-19 |
1861694333 | County of Cook | Local Education Agency (LEA) | 1255 Superior Ave, Calumet City, IL 60409 | 2007-06-05 |
1689875585 | Calumet City School District #155 | Local Education Agency (LEA) | Memorial Dr and Superior, Calumet City, IL 60409 | 2007-05-29 |
1932224185 | Micah K Swansey Sr. | Psychologist | 593 Burnham Avenue, Calumet City, IL 60409 | 2007-03-20 |
1184768210 | Beverly Williamson | Optometrist | 200 River Oaks Drive, Calumet City, IL 60409 | 2007-02-20 |
1205978863 | Dillons Dental Services LLC | Dentist | 2000 E 159th St, Calumet City, IL 60409 | 2007-02-12 |
Find all providers in zip 60409 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700358892 | Mikyla Adrianne Carter | Specialist | 500 Park Ave Apt 733, Calumet City, IL 60409-5052 | 2018-12-30 |
1366958993 | Myeesha L Sanders | Specialist | 324 166th St, Calumet City, IL 60409-6217 | 2017-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366059008 | Jena Young | Specialist | 19 Sapphire Ln, Fairview Heights, IL 62208-2641 | 2020-09-27 |
1164034633 | Michelle Coburn | Specialist | 8327 S Loomis Blvd, Chicago, IL 60620-3958 | 2020-08-17 |
1558988865 | Ebony Roberts | Specialist | 16541 Oak Park Ave, Tinley Park, IL 60477-1752 | 2020-07-02 |
1073135729 | Marquita Daniel | Specialist | 9295 159th St Ste 131, Orland Hills, IL 60487-5977 | 2020-05-15 |
1760021703 | Monica Bembry | Specialist | 552 N Mannheim Rd Ste B, Hillside, IL 60162-1121 | 2019-12-21 |
1164072831 | Brandi Fields | Specialist | 6400 W Main St Ste 3k, Belleville, IL 62223-3806 | 2019-09-16 |
1669029096 | Akossiwa Amenyo | Specialist | 625 S Lincoln Ave, O Fallon, IL 62269-2663 | 2019-08-21 |
1508421579 | Jorell Glass | Specialist | 456 Fulton St Ste 180, Peoria, IL 61602-1292 | 2019-05-06 |
1114582368 | Shundrea Neely | Specialist | 10301 Lincoln Trl, Fairview Heights, IL 62208-1829 | 2019-05-03 |
1730644568 | Ashley Nicole Morgan | Specialist | 7732 S Evans Ave, Chicago, IL 60619-2909 | 2019-02-06 |
Find all providers with the same taxonomy |
City | CALUMET CITY |
Zip Code | 60409 |
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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.