MARY JANE WELCH (NPI# 1073801189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073801189 |
Entity Type | Individual |
Full Name | MARY JANE WELCH |
Credential | NP |
Practice Address |
2150 W Harrison St Chicago IL 60612-3706 |
Practice Telephone | 3129423112 |
Practice Fax Number | 3129422874 |
Mailing Telephone | 3129423112 |
Mailing Fax Number | 3129422874 |
Enumeration Date | 2011-07-11 |
Last Update Date | 2011-07-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
209-002406 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
1316035561 | Mary Kathryn Welch | Speech-Language Pathologist | 110 Pennsylvania Ave, White House, TN 37188-9238 | 2006-10-11 |
1417944372 | Mary Byrne Welch | Nurse Practitioner | 2810 Long Beach Bl, Todd Cancer Institute At Long Beach Memorial, Long Beach, CA 90806 | 2005-10-05 |
1134570146 | Mary Ellen Welch | Social Worker | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2016-06-30 |
1861776817 | Mary E Welch | Emergency Medicine | 400 N Pepper Ave, Colton, CA 92324-1801 | 2011-10-07 |
1679724819 | Mary Osing Welch | Registered Nurse | 8383 Ne Sandy Blvd, Suite 205, Portland, OR 97220-4948 | 2008-10-07 |
1356592406 | Mary Roberta Welch | Psychiatry & Neurology | 710 W 168th St, New York, NY 10032-3726 | 2008-10-07 |
1114102308 | Mary Ruth Welch | Student in an Organized Health Care Education/Training Program | 37 Belmont St, Brockton, MA 02301-5299 | 2008-01-07 |
1427257732 | Mary E Welch | Obstetrics & Gynecology | 11511 Ne 10th Street, Bellevue, WA 98004 | 2007-07-16 |
1316086978 | Mary B. Welch | Physician Assistant | 1229 E Seminole St, Springfield, MO 65804-2227 | 2007-02-06 |
Street Address |
2150 W HARRISON ST |
City | CHICAGO |
State | IL |
Zip Code | 60612-3706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598875999 | S Ann Hartlage | Psychologist | 2150 W Harrison St, Rush University Medical Center - Dept of Psychiatry, Chicago, IL 60612-3706 | 2006-08-30 |
1295351401 | Jacob Robert Cross | Psychiatry & Neurology | 2150 W Harrison St, Chicago, IL 60612-3706 | 2020-06-23 |
1740805886 | James Cody Naughton | Psychiatry & Neurology | 2150 W Harrison St, Chicago, IL 60612-3706 | 2020-06-15 |
1770145914 | Neal Lowell Swartz | Psychiatry & Neurology | 2150 W Harrison St, Chicago, IL 60612-3706 | 2019-07-08 |
1003375981 | Dominika Anne Winiarski | Psychologist | 2150 W Harrison St, Chicago, IL 60612-3706 | 2019-03-19 |
1639691090 | Kelly Rhodes | Student in an Organized Health Care Education/Training Program | 2150 W Harrison St, Rm. 256, Chicago, IL 60612 | 2017-07-07 |
1952831018 | Greg Gaffud | Nurse Practitioner | 2150 W Harrison St, Chicago, IL 60612-3706 | 2017-06-12 |
1023547486 | Hannah Grace Statz | Student in an Organized Health Care Education/Training Program | 2150 W Harrison St, Chicago, IL 60612 | 2017-06-08 |
1922537927 | Amanda Beatriz Wellmann | Student in an Organized Health Care Education/Training Program | 2150 W Harrison St, Chicago, IL 60612-3706 | 2017-06-05 |
1063940401 | Dhruthi Sai Kalangi | Student in an Organized Health Care Education/Training Program | 2150 W Harrison St, Chicago, IL 60612-3706 | 2017-05-30 |
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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 |
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Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376102814 | Rl Group | Clinical Nurse Specialist | 2008 N Lawler Ave, Chicago, IL 60639-3136 | 2019-06-09 |
1467624775 | Laureen Lewis | Clinical Nurse Specialist | 4750 N Sheridan Rd, #434, Chicago, IL 60640-7528 | 2008-03-26 |
1508038092 | Lois Marie Platt | Clinical Nurse Specialist | 35 E Wacker Dr, Ste 1764, Chicago, IL 60601-2314 | 2008-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184090847 | Logan Health & Healing Center, Inc | Clinical Nurse Specialist | 5844 Elaine Dr, Suite B, Rockford, IL 61108-2494 | 2015-08-18 |
1669620480 | Cynthia Hodson Kerber | Clinical Nurse Specialist | 1 Westbrook Corporate Ctr Ste 300, Westchester, IL 60154-5709 | 2008-09-04 |
1114197324 | Rhonda Fried | Clinical Nurse Specialist | 265 Stonegate Rd Ste 102, Algonquin, IL 60102-5614 | 2008-03-04 |
1689603177 | Ellen Maxson | Clinical Nurse Specialist | Hines Veterans Administration, Hines, IL 60141-9910 | 2006-06-30 |
1669472379 | Mary Lee Dunning | Clinical Nurse Specialist | 126 S Lincoln Blvd, Centralia, IL 62801-3654 | 2005-07-22 |
1710519335 | Linq Care Inc | Clinical Nurse Specialist | 50 S Main St Ste 200, Naperville, IL 60540-5485 | 2020-02-11 |
1215365036 | Joyce Azzaline | Clinical Nurse Specialist | 1401 Lakewood Dr, Ste A, Morris, IL 60450-3352 | 2013-10-15 |
1356625966 | Vine Street Clinical Associates, LLC | Clinical Nurse Specialist | 3225 Hedley Rd, Springfield, IL 62711-6248 | 2011-09-30 |
1043458011 | Kathy S Lee | Clinical Nurse Specialist | 710 N 8th St, Springfield, IL 62702-6324 | 2009-01-29 |
1316147317 | Carol A Wood | Clinical Nurse Specialist | 151 N Main St, Decatur, IL 62523-1206 | 2007-07-19 |
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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.