MRS. CAROL PALMER WARDLAW (NPI# 1194942029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194942029 |
| Entity Type | Individual |
| Full Name | MRS. CAROL PALMER WARDLAW |
| Credential | RN,APN |
| Practice Address |
13000 Maple Ave Blue Island IL 60406-2318 |
| Practice Telephone | 7083856100 |
| Practice Fax Number | 7083852051 |
| Mailing Telephone | 7083856100 |
| Mailing Fax Number | 7083852051 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2012-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
209002606 | IL | Nursing Service Providers |
| Street Address |
13000 MAPLE AVE |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598739377 | Ssm Home Care At St. Francis Blue Island | Home Health | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2006-02-16 |
| 1760913172 | Latoya Duncan | Nurse Practitioner | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2017-03-27 |
| 1831552884 | Roseline Chibuzo Nwokeji | Nurse Practitioner | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2016-03-29 |
| 1245588961 | Fallon Marquita Flowers | Registered Nurse | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2012-08-28 |
| 1356640593 | Blue Island Chiropractic, PC | Chiropractor | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2011-03-25 |
| 1699085381 | David Vallejo Jr. | Obstetrics & Gynecology | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2010-10-14 |
| 1386897700 | Susana Coralia Alvarez | Pediatrics | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2008-10-29 |
| 1932364551 | Erica E Taylor | Obstetrics & Gynecology | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2008-07-23 |
| 1639339583 | Msmc Hospice LLC | Hospice Care, Community Based | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2008-06-13 |
| 1962603837 | Theodore G James Mdsc | Family Medicine | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
| 1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
| 1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
| 1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
| 1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
| 1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
| 1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
| Find all providers in zip 60406 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245094 | Victoria M Bruns | Registered Nurse | 422 W Armitage Ave Unit B, Chicago, IL 60614-4513 | 2020-05-01 |
| 1982223707 | Elizabeth Pircon | Registered Nurse | 1914 W Crystal St Apt 2f, Chicago, IL 60622-3561 | 2020-04-12 |
| 1770102568 | Cecille Dizon | Registered Nurse | 1111 E Alder Ln, Mount Prospect, IL 60056-1403 | 2020-04-11 |
| 1104462738 | Nusha Sylaj Jackson | Registered Nurse | 1656 N. Wells, Chicago, IL 60614-3224 | 2019-11-19 |
| 1831108208 | Janette Sue Jones | Registered Nurse | 318 Walnut St, St Charles, IL 60174-2725 | 2006-08-05 |
| 1740812502 | Jennifer Joan Tang | Registered Nurse | 5700 S Maryland Ave, Chicago, IL 60637-1426 | 2020-02-10 |
| 1609326073 | Linda Gray | Registered Nurse | 805 N Broad St, Carlinville, IL 62626-1075 | 2016-10-10 |
| 1043760416 | Ashley Konneker | Registered Nurse | 805 N Broad St, Carlinville, IL 62626-1075 | 2016-10-10 |
| 1649728072 | Kelly Mclaughlin | Registered Nurse | 805 N Broad St, Carlinville, IL 62626-1075 | 2016-09-14 |
| 1902268410 | Tatiana Alexeev | Registered Nurse | 3633 W Lake Ave Ste 303, Glenview, IL 60026-5803 | 2016-03-23 |
| Find all providers with the same taxonomy | ||||
| City | BLUE ISLAND |
| Zip Code | 60406 |
Please comment or provide details below to improve the information on MRS. CAROL PALMER WARDLAW.
| 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.