MRS. JENNETT KYEN ATANGA II (NPI# 1053890004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053890004 |
| Entity Type | Individual |
| Full Name | MRS. JENNETT KYEN ATANGA II |
| Practice Address |
820 S Damen Ave Chicago IL 60612 |
| Mailing Address |
820 S Damen Ave Chicago IL 60612-3728 |
| Practice Telephone | 6305967113 |
| Mailing Telephone | 6305967113 |
| Mailing Fax Number | 3122266177 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209018017 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209018017 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
820 S DAMEN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679561260 | Jesse Brown Veterans Administration Hospital | General Acute Care Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2005-10-09 |
| 1528678463 | Jennifer Lee | Pharmacist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-08-05 |
| 1770101115 | Natalia Irena Szynalik | Pharmacist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-07-13 |
| 1568088706 | Benjamin Galloway | Podiatrist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-06-23 |
| 1588280937 | Laine Ferrill | Pharmacist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-06-22 |
| 1598380560 | Regan Kelley | Speech-Language Pathologist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-06-15 |
| 1609490531 | Jacob Conditt | Student in an Organized Health Care Education/Training Program | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-06-06 |
| 1023632551 | Stephen Macrowski | Dentist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-06-01 |
| 1588286256 | Nisha Utpal Patel | Dentist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-05-15 |
| 1568084804 | Tuhin Mukherjee | Podiatrist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
| 1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
| 1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
| 1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
| 1780129742 | Darice Linares | Nurse Practitioner | 830 S Wood St, Chicago, IL 60612-4325 | 2016-12-30 |
| 1942262134 | Donna Myers | Nurse Practitioner | 833 W Chicago Ave, #305, Chicago, IL 60622-5449 | 2006-04-04 |
| 1457324311 | Lidia Andruszyn | Nurse Practitioner | 6493 N Northwest Hwy Apt 411, Chicago, IL 60631-1893 | 2006-02-10 |
| 1609499060 | Kelly A Quaine | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-05-20 |
| 1942857081 | Dana Brenneman | Nurse Practitioner | 1740 W Taylor St, Chicago, IL 60612-7232 | 2019-08-22 |
| 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.