JESSICA NILSEN (NPI# 1184252850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184252850 |
| Entity Type | Individual |
| Full Name | JESSICA NILSEN |
| Credential | MD |
| Practice Address |
1675 Dempster St Park Ridge IL 60068-1110 |
| Practice Telephone | 8473189300 |
| Mailing Telephone | 8473189300 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 125.075872 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033772520 | Jessica Isario Nilsen | Specialist | 1133 Westchester Ave, White Plains, NY 10604-3516 | 2019-04-19 |
| Street Address |
1675 DEMPSTER ST |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417932526 | David G Thoele | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2005-12-12 |
| 1811594088 | Sara Schankerman | Occupational Therapist | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-10-01 |
| 1598394454 | Alyse Marie Kaml | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-04-03 |
| 1386273399 | Sharon Marie Figliulo | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-04-02 |
| 1033748181 | Joshua Raven | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-04-01 |
| 1043848310 | Justin Henry Arollado Figueroa | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-03-31 |
| 1043848344 | Elizabeth Emily Onishchenko | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-03-31 |
| 1992333496 | Catherine Siew | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1508494287 | Timothy Michael Marshall | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1649808304 | Maria Arianas | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164050670 | Sruti Uppuluri | Pediatrics | 1675 Dempster St Ste 330, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1255701090 | Aurea Thomas | Pediatrics | 1704 S Vine Ave, Park Ridge, IL 60068-5421 | 2015-10-06 |
| 1194981555 | Lisa Beth Gelman | Pediatrics | 1675 Dempster, Park Ridge, IL 60068-1110 | 2008-08-04 |
| 1306055033 | Donald H Wolmer | Pediatrics | 10 Fox Hollow, Park Ridge, NJ 07656-2602 | 2007-05-21 |
| 1740299288 | Kristin L. Lundblad | Pediatrics | 101 S. Washington, Suite 122, Park Ridge, IL 60068 | 2006-08-05 |
| 1225063977 | Frank William Belmonte | Pediatrics | 1674 W Dempster, First Floor, Park Ridge, IL 60068 | 2006-07-11 |
| 1336170554 | Elisabeth L Mehta | Pediatrics | 101 S Washington, Suite 122, Park Ridge, IL 60068 | 2006-07-05 |
| 1619936143 | Susan Elizabeth Crawford | Pediatrics | 1675 W Dempster St, Park Ridge, IL 60068-1110 | 2006-03-22 |
| 1417932526 | David G Thoele | Pediatrics | 1675 Dempster St, Park Ridge, IL 60068-1110 | 2005-12-12 |
| 1356342398 | Marc J Ovadia | Pediatrics | 1675 Dempster Street, Park Ridge, IL 60068 | 2005-08-01 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.