ERICA MINNION-KLYCE (NPI# 1205340080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205340080 |
| Entity Type | Individual |
| Full Name | ERICA MINNION-KLYCE |
| Credential | NP |
| Practice Address |
1715 E 95th St Chicago IL 60617-4708 |
| Practice Telephone | 7737684437 |
| Practice Fax Number | 7735643515 |
| Mailing Telephone | 7737684437 |
| Mailing Fax Number | 7735643515 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2018-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209016926 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE NUMBER | 209016926 | 01 |
| Street Address |
1715 E 95TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003082488 | Kevin Paul Malone | Podiatrist | 1715 E 95th St, Chicago, IL 60617-4708 | 2008-05-05 |
| 1215537790 | Emily Leos | Nurse Practitioner | 1715 E 95th St, Chicago, IL 60617-4708 | 2020-10-26 |
| 1063071819 | Abiodun Josephine Atomori | Nurse Practitioner | 1715 E 95th St, Chicago, IL 60617-4708 | 2019-06-06 |
| 1841777687 | Kathryn Allen | Physician Assistant | 1715 E 95th St, Chicago, IL 60617-4708 | 2018-07-24 |
| 1790297562 | Kristina Byrd | Social Worker | 1715 E 95th St, Chicago, IL 60617-4708 | 2017-11-01 |
| 1114463049 | Dymond Long | Nurse Practitioner | 1715 E 95th St, Chicago, IL 60617 | 2017-01-17 |
| 1063897155 | Nnebuife Nkem Johnson | Nurse Practitioner | 1715 E 95th St, Chicago, IL 60617-4708 | 2015-07-30 |
| 1770977662 | Kevin Stephens Jr. | Family Medicine | 1715 E 95th St, Chicago, IL 60617-4708 | 2015-03-27 |
| 1588076699 | D2 Dental At Oak Street, P.C. | Dentist | 1715 E 95th St, Chicago, IL 60617-4708 | 2014-05-22 |
| 1508120783 | Michelle Morrison | Family Medicine | 1715 E 95th St, Chicago, IL 60617-4708 | 2012-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
| 1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
| 1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
| 1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
| 1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
| 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.