MS. GWENAN WILBUR (NPI# 1235401563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235401563 |
| Entity Type | Individual |
| Full Name | MS. GWENAN WILBUR |
| Credential | RN, IBCLC |
| Practice Address |
6647 N Talman Ave Chicago IL 60645-5008 |
| Practice Telephone | 7734652766 |
| Mailing Telephone | 7734652766 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
041332219 | IL | Nursing Service Providers |
| Street Address |
6647 N TALMAN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60645-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306210117 | Brenda Ann Jarred | Massage Therapist | 6510 N Claremont Ave, 3rd Floor, Chicago, IL 60645 | 2015-11-17 |
| 1568850881 | Kathryn A Pusateri | Counselor | 6554 North Rockwell Street, Suite 2, Chicago, IL 60645 | 2015-01-09 |
| 1447671169 | Miriam Belsky | Speech-Language Pathologist | 6524 N Mozart St Apt 3, Chicago, IL 60645 | 2013-12-23 |
| 1972880912 | Harold B Shrifter | Internal Medicine | 6450 N. California Ave., Chicago, IL 60645 | 2011-11-04 |
| 1306159710 | Amy M Carl | Social Worker | 3003 W Touhy, Council for Jewish Elderly, Chicago, IL 60645 | 2010-07-15 |
| 1699919043 | Boguslawa Romanowska | Physical Therapist | 6211 N. Milwaukee, Chicago, IL 60645 | 2009-04-29 |
| 1851539522 | Yoela Tamara Holman | Speech-Language Pathologist | 3056 W. Sherwin Ave., Chicago, IL 60645 | 2009-02-03 |
| 1285884577 | Ingrid Forsberg | Nurse Practitioner | 7510 N Western, Chicago, IL 60645 | 2008-09-24 |
| 1881842581 | S Fatima Md Sc | Internal Medicine | 7133 North Ridge Blvd., Chicago, IL 60645 | 2008-09-05 |
| 1013173467 | A Place for Children | Early Intervention Provider Agency | 2425 W Pratt, Chicago, IL 60645 | 2008-08-05 |
| Find all providers in zip 60645 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728322 | Nicola Ann Genelly | Registered Nurse | 4545 W Hutchinson St, Chicago, IL 60641-1989 | 2018-01-19 |
| 1164935102 | Jaudon Rogers | Registered Nurse | 1905 W Foster Ave # 2, Chicago, IL 60640-1025 | 2017-11-13 |
| 1821520800 | Elyse Fagan | Registered Nurse | 10430 S Spaulding Ave, Chicago, IL 60655-2427 | 2017-03-29 |
| 1457765075 | Summer Glynn Kelly | Registered Nurse | 4828 N Neenah Ave, Chicago, IL 60656-4018 | 2014-06-12 |
| 1447525449 | Elizabeth Susan Sjoblom | Registered Nurse | 2448 W Bloomingdale Ave, Unit 2w, Chicago, IL 60647-6285 | 2012-03-09 |
| 1629218227 | Laura Coulter | Registered Nurse | 4538 N Hermitage Ave, Chicago, IL 60640-5304 | 2009-02-23 |
| 1538370994 | Martha Petering Johnson | Registered Nurse | 4138 N Harding Ave, Chicago, IL 60618-1943 | 2007-05-25 |
| 1568680312 | Elizabeth Kelly | Registered Nurse | 4925 N Leavitt St, Chicago, IL 60625-1308 | 2007-04-24 |
| 1194101220 | Third Coast Lactation LLC | Registered Nurse | 4925 N Leavitt St, Chicago, IL 60625-1308 | 2015-07-30 |
| 1306252358 | Windy City Baby LLC | Registered Nurse | 4828 N Neenah Ave, Chicago, IL 60656-4018 | 2014-07-10 |
| 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.