MRS. JONELLA RENEE BLACK (NPI# 1215252036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215252036 |
| Entity Type | Individual |
| Full Name | MRS. JONELLA RENEE BLACK |
| Credential | PT |
| Practice Address |
1000 Central St Suite 101 Evanston IL 60201-1777 |
| Mailing Address |
1503 Madison Street Evanston IL 60202 |
| Practice Telephone | 8475701260 |
| Mailing Telephone | 8478645740 |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
070005649 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1000 CENTRAL ST SUITE 101 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-1777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907247 | Ella Komarovsky | Psychiatry & Neurology | 1000 Central St, Evanston, IL 60201-1777 | 2005-07-28 |
| 1194247726 | Steve Uliana | Speech-Language Pathologist | 1000 Central St, Evanston, IL 60201-1777 | 2017-07-14 |
| 1275066060 | Shayna Purcell | Genetic Counselor, MS | 1000 Central St, Suite 620, Evanston, IL 60201-1777 | 2017-04-07 |
| 1013361807 | Brittany Jo Madden | Genetic Counselor, MS | 1000 Central St, Suite #620, Evanston, IL 60201-1777 | 2016-04-18 |
| 1124489794 | Amy Michele Robke | Speech-Language Pathologist | 1000 Central St, Suite 101, Evanston, IL 60201-1777 | 2016-03-10 |
| 1245690742 | Elizabeth Hodits | Speech-Language Pathologist | 1000 Central St, Evanston, IL 60201-1777 | 2016-02-26 |
| 1235598038 | Meghann Olive | Speech-Language Pathologist | 1000 Central St, Evanston, IL 60201-1777 | 2016-02-22 |
| 1588083257 | Shilpa Shankar | Pediatrics | 1000 Central St, Evanston, IL 60201-1777 | 2014-04-10 |
| 1164848040 | Adele Maday | Physical Therapist | 1000 Central St, Evanston, IL 60201-1777 | 2014-03-15 |
| 1003230251 | Erin Mohip | Specialist | 1000 Central St, Suite 101, Evanston, IL 60201-1777 | 2014-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205461191 | Emily Fogler | Physical Therapist | 355 E Erie St # C, Chicago, IL 60611-3167 | 2020-03-11 |
| 1285962043 | Sakina Valika | Physical Therapist | 3140 Finley Rd Ste 400d, Downers Grove, IL 60515-1376 | 2009-12-05 |
| 1982879847 | Rehab Team. Inc | Physical Therapist | 9441 Georgetown Sq, Orland Park, IL 60467-5623 | 2008-04-22 |
| 1649458175 | Kristin Ann Maresca | Physical Therapist | 24648 Kingston St, Plainfield, IL 60544-2439 | 2008-02-06 |
| 1750412474 | Sheila A. Taylor | Physical Therapist | 997 N Corporate Cir, Grayslake, IL 60030-7822 | 2007-03-07 |
| 1073668810 | Ann Wilborn Jackson | Physical Therapist | 18860 Hamlin Ave, Flossmoor, IL 60422-1046 | 2007-01-24 |
| 1871136028 | Margaret Frank | Physical Therapist | 2180 Pfingsten Rd, Glenview, IL 60026-1339 | 2019-10-21 |
| 1629624473 | Allison Marie Fortney | Physical Therapist | 2180 Pfingsten Rd, Glenview, IL 60026-1339 | 2019-08-16 |
| 1114581204 | Sherri Lynn Alvarez | Physical Therapist | 800 Ne Glen Oak Ave, Peoria, IL 61603-3255 | 2019-04-24 |
| 1275089310 | Angela Mackowiak | Physical Therapist | 2100 Pfingsten Rd, Glenview, IL 60026-1301 | 2016-08-29 |
| Find all providers with the same taxonomy | ||||
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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.