JENANNE LUSE


Address: 3048 N Wilton Ave, Chicago, IL 60657-6710
Phone: 7732967580

JENANNE LUSE (NPI# 1114535135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114535135
Entity Type Individual
Full Name JENANNE LUSE
Practice Address 3048 N Wilton Ave
Chicago
IL 60657-6710
Practice Telephone 7732967580
Enumeration Date 2020-07-15
Last Update Date 2020-07-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN281392 GA Nursing Service Providers
N 163W00000X Registered Nurse 041495826 IL Nursing Service Providers
Y 363L00000X Nurse Practitioner 209021527 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NCC 104979702 01
AANP 1859305 01

Office Location

Street Address 3048 N WILTON AVE
City CHICAGO
State IL
Zip Code 60657-6710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407801665 Catherine Ann Kallal Internal Medicine 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 2006-05-24
1568824068 Julie Eisenberg Pediatrics 3048 N Wilton Ave, Chicago, IL 60657 2016-03-23
1528447166 Karen Wennerberg Advanced Practice Midwife 3048 N Wilton Ave, 3rd Floor, Nurse-midwifery Service, Chicago, IL 60657-6710 2015-05-28
1891174983 Advocate Medical Group Advanced Practice Midwife 3048 N Wilton Ave, 3rd Floor, Nurse-midwifery Service, Chicago, IL 60657-6710 2015-05-22
1083040786 Illinois Masonic Hospital General Acute Care Hospital 3048 N Wilton Ave, 3rd Floor, Chicago, IL 60657-6710 2013-09-25
1265726780 Heartland International Health Center Clinic/Center 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 2011-06-01
1164751376 Heartland International Health Center Clinic/Center 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 2009-12-17
1114170545 Linda A. Masini Nurse Practitioner 3048 N Wilton Ave, Chicago, IL 60657-6710 2008-10-29
1578712238 Efren Jason Jaurigue Jorge Internal Medicine 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 2008-09-17
1558517714 Advocate Illinois Masonic Medical Center Internal Medicine 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 2008-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992303887 Simone Paes Behavior Technician 3141 N Sheffield Ave, Chicago, IL 60657 2020-10-13
1821613175 Samridhi Khatri Internal Medicine 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 2020-06-12
1467074617 Dewolfe Aesthetic Services Sc Surgery 3357 N. Southport Aveune, Chicago, IL 60657 2020-05-11
1790304657 Mehr Amer Mjeed Student in an Organized Health Care Education/Training Program Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 2020-04-10
1457997561 Jasleen Mohini Singh Physician Assistant 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 2019-11-24
1306493408 Art of Sight Eyecare, LLC Optometrist 2915 N. Broadway, Chicago, IL 60657 2019-08-22
1992359277 Joseph Michael Rochford IIi Counselor 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 2019-07-25
1487116240 Conrad Petersen Dermatology Sc Dermatology 2845 N Sheridan, Chicago, IL 60657 2019-04-02
1003388810 Evolve Wellness S.c. Counselor 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 2018-12-19
1639657414 Advocate North Side Health Network Psychiatric Unit 836 W Wellington Ave., Chicago, IL 60657 2018-08-02
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477151272 Yolanda K Bradford Nurse Practitioner 2700 S California Ave, Chicago, IL 60608-5108 2020-10-14
1073125431 Faith M Langtiw Nurse Practitioner 2704 W Catalpa Ave, Chicago, IL 60625-3216 2020-08-18
1871114025 Quickcare, Pllc Nurse Practitioner 6419 W Touhy Ave Apt 4a, Chicago, IL 60646-1040 2020-04-29
1376170894 Julia Jekli Nurse Practitioner 365 N Halsted St Apt 3009, Chicago, IL 60661-1379 2020-03-25
1821623281 Rina Delapena Nurse Practitioner 5630 N Sheridan Rd Apt 319, Chicago, IL 60660-4810 2020-03-06
1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
1962032813 Sonia Ivelis Fernandez Nurse Practitioner 6129 N Campbell Ave Apt 1, Chicago, IL 60659-2809 2020-01-20
1164060257 Julie Ann Daniels Nurse Practitioner 5808 W Eddy St, Chicago, IL 60634-4351 2019-12-19
1720625593 Bogdana Gryniv Nurse Practitioner 5758 S Maryland Ave Ste 5a, Chicago, IL 60637-1426 2019-11-29
1023669835 Carlette Bailey Nurse Practitioner 6700 S Oglesby Ave Apt 1204, Chicago, IL 60649-1373 2019-09-23
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Competitor

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City CHICAGO
Zip Code 60657

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Dataset Information

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.

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