MS. JACQUELINE ANN ROHALY-DAVIS (NPI# 1215224274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215224274 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE ANN ROHALY-DAVIS |
| Credential | MS, APRN, AOCN |
| Practice Address |
15750 Marian Dr Homer Glen IL 60491-6200 |
| Mailing Address |
15750 Marian Dr Oncology Homer Glen IL 60491-6200 |
| Practice Telephone | 7086453512 |
| Practice Fax Number | 7086453423 |
| Mailing Telephone | 7086453512 |
| Mailing Fax Number | 7086453423 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SX0200X |
Clinical Nurse Specialist Specialization: Oncology |
209003904 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15750 MARIAN DR |
| City | HOMER GLEN |
| State | IL |
| Zip Code | 60491-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326077819 | Melanie A Cerinich | Emergency Medicine | 15750 Marian Dr, Homer Glen, IL 60491-6200 | 2006-06-30 |
| 1285980573 | Kathryn Marie Cozzolino | Occupational Therapist | 15750 Marian Dr, Homer Glen, IL 60491-6200 | 2012-07-24 |
| 1093978181 | Kevin R Polsley | Internal Medicine | 15750 Marian Dr, Homer Glen, IL 60491-6200 | 2008-07-08 |
| 1881854669 | Emily Mccann Tuerk | Internal Medicine | 15750 Marian Dr, Loyola Center for Health At Homer Glen, Homer Glen, IL 60491-6200 | 2008-06-15 |
| 1992916605 | Herbert Deiters | Physical Therapist | 15750 Marian Dr, Homer Glen, IL 60491-6200 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417490681 | Kellie Calderon | Counselor | 14007 S Bell Rd Ste 183, Homer Glen, IL 60491 | 2016-11-21 |
| 1811249915 | Jasmina Peric | Registered Nurse | 14607 Stonegate Drive, Homer Glen, IL 60491 | 2012-10-12 |
| 1700137783 | Nicole Marie Karn | Physical Therapy Assistant | 14319 Twin Creek Lane, Homer Geln, IL 60491 | 2012-10-01 |
| 1992062061 | South Suburban Hearing, Inc | Hearing Instrument Specialist | 14316 S. Will-cook Rd, Homer Glen, IL 60491 | 2012-04-13 |
| 1336417385 | Crystal Knaack | Pharmacist | 13911 W 167th St, Homer Glen, IL 60491 | 2011-12-06 |
| 1891976429 | Toothworks Inc | Dentist | 12626 W 159th St, Homer Glen, IL 60491 | 2007-11-26 |
| 1972639441 | Barbara A Bayer | Social Worker | 13528 Marissa Ct, Homer Glen, IL 60491 | 2007-02-26 |
| 1093893117 | Daniel L Clark Do Ltd | Family Medicine | 14831 W 159th St, Harris Bank Building, Lockport, IL 60491 | 2006-11-02 |
| 1720006752 | Judith Polkow | Physical Therapist | 14821 S. Founders Crossing, Homer Glen, IL 60491 | 2006-07-17 |
| 1518902188 | Allen Ophthalmic Group | Ophthalmology | 15933 South Bell Road, Homer Glen, IL 60491 | 2006-06-18 |
| Find all providers in zip 60491 | ||||
| Taxonomy Code | 364SX0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Oncology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073714663 | Carole Sims Henn Martz | Clinical Nurse Specialist | 757 Park West, Highland Park Hospital, Highland Park, IL 60035 | 2007-05-30 |
| 1972684066 | Valerie Wodzinski | Clinical Nurse Specialist | 119 Northgate, Riverside, IL 60541 | 2006-10-17 |
| 1124629035 | Carla Sue Smith | Clinical Nurse Specialist | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-06 |
| 1346870177 | Margaret M Gregus | Clinical Nurse Specialist | 121 N Elm St, Hinsdale, IL 60521-3765 | 2020-01-21 |
| 1245742949 | Jill C Benedeck | Clinical Nurse Specialist | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2017-11-02 |
| 1497096853 | Mary Eileen Callaghan | Clinical Nurse Specialist | 250 E Superior St, Prentice 14-2226, Chicago, IL 60611-2914 | 2013-03-11 |
| 1902166754 | Kimberly Lisa Valachovic | Clinical Nurse Specialist | 676 N Saint Clair St, Suite 850, Chicago, IL 60611-2927 | 2012-05-25 |
| 1366768764 | Mary Colleen Welles | Clinical Nurse Specialist | 676 N Saint Clair St, Suite 2125, Chicago, IL 60611-2927 | 2010-04-12 |
| 1043449416 | Deborah A. Stlaske | Clinical Nurse Specialist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2009-07-07 |
| 1972746238 | Barbara Jean Gordon | Clinical Nurse Specialist | 5841 S Maryland Ave, Mc 5094 Room G-209, Chicago, IL 60637-1447 | 2009-04-15 |
| Find all providers with the same taxonomy | ||||
| City | HOMER GLEN |
| Zip Code | 60491 |
Please comment or provide details below to improve the information on MS. JACQUELINE ANN ROHALY-DAVIS.
| 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.