RISKAT FADONOUGBO (NPI# 1154967230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154967230 |
| Entity Type | Individual |
| Full Name | RISKAT FADONOUGBO |
| Other Name | RISKAT JANKALAWI |
| Credential | PMHNP |
| Practice Address |
800 E 55th St Chicago IL 60615-4906 |
| Mailing Address |
6419 N Sacramento Ave Chicago IL 60645-4214 |
| Practice Telephone | 7737020660 |
| Mailing Telephone | 7736716853 |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
041399212 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 E 55TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560090 | Friend Family Health Center, Inc | Clinic/Center | 800 E 55th St, Chicago, IL 60615-4906 | 2005-06-30 |
| 1851930127 | Ashley B Deicher | Physician Assistant | 800 E 55th St, Chicago, IL 60615-4906 | 2020-01-03 |
| 1295376481 | Lauren Williams | Physician Assistant | 800 E 55th St, Chicago, IL 60615-4906 | 2019-09-30 |
| 1649824491 | Danielle D Cox | Social Worker | 800 E 55th St, Chicago, IL 60615-4906 | 2019-07-30 |
| 1689138448 | Surecare Discount Pharmacy 2 Inc | Pharmacy | 800 E 55th St, Chicago, IL 60615-4906 | 2019-01-25 |
| 1740752294 | Friend Family Health Center Inc | Case Management | 800 E 55th St, Chicago, IL 60615-4906 | 2018-12-21 |
| 1811473820 | Natalia Ruiz | Nurse Practitioner | 800 E 55th St, Chicago, IL 60615-4906 | 2018-07-12 |
| 1528553013 | Kayla Marchelle Jones | Nurse Practitioner | 800 E 55th St, Chicago, IL 60615-4906 | 2018-06-27 |
| 1477045763 | Andrea Williams | Dietitian, Registered | 800 E 55th St, Chicago, IL 60615-4906 | 2018-06-01 |
| 1952839755 | Gloria Ann Bell X | Social Worker | 800 E 55th St, Chicago, IL 60615 | 2017-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1114574886 | Hyde Park Mental Wellness | Nurse Practitioner | 1525 E 55th St Ste 205, Chicago, IL 60615-5584 | 2019-08-19 |
| 1689232522 | Sarah Ball Schrock | Nurse Practitioner | 3310 W Division St, Chicago, IL 60651-2301 | 2019-06-05 |
| 1982168407 | Richardson Psychiatric | Nurse Practitioner | 3660 N Lake Shore Dr Ste 201, Chicago, IL 60613-5302 | 2019-01-29 |
| 1386117232 | Prudent Alliance for Healthcare, LLC | Nurse Practitioner | 6159 W Eddy St, Chicago, IL 60634-4122 | 2019-01-03 |
| 1770068421 | Gian Bonador | Nurse Practitioner | 1134 W Granville Ave Apt 715, Chicago, IL 60660-5047 | 2018-09-28 |
| 1790115293 | Stacey Marie Meyers | Nurse Practitioner | 6439 N Sheridan Rd Ste 310, Chicago, IL 60626-5364 | 2013-11-19 |
| 1326385824 | Deborah Francine Bump | Nurse Practitioner | 6918 S Euclid Ave, Chicago, IL 60649-1512 | 2013-01-03 |
| 1104058221 | Lester Eugene Lamee Jr. | Nurse Practitioner | 251 E Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 | 2009-08-24 |
| 1720003577 | Janice E Stern | Nurse Practitioner | 1645 W Jackson Blvd Ste 602, Chicago, IL 60612 | 2006-07-13 |
| 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.