HEBA KAZOUN (NPI# 1235541335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235541335 |
Entity Type | Individual |
Full Name | HEBA KAZOUN |
Practice Address |
2656 N Elston Ave Chicago IL 60647-2019 |
Mailing Address |
100 E 14th St 2508 Chicago IL 60605-2889 |
Practice Telephone | 7732891012 |
Mailing Telephone | 7082782088 |
Enumeration Date | 2014-05-22 |
Last Update Date | 2014-05-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 051296764 | IL | Pharmacy Service Providers |
Street Address |
2656 N ELSTON AVE |
City | CHICAGO |
State | IL |
Zip Code | 60647-2019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225050032 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 2656 N Elston Ave, Chicago, IL 60647-2019 | 2006-07-24 |
1891324083 | Robert Stines | Registered Nurse | 2656 N Elston Ave, Chicago, IL 60647-2019 | 2020-04-08 |
1437794476 | Khrystyna Huzar | Nurse Practitioner | 2656 N Elston Ave, Chicago, IL 60647 | 2019-11-13 |
1275193062 | Jennifer C. Finch | Nurse Practitioner | 2656 N Elston Ave, Chicago, IL 60647-2019 | 2019-06-14 |
1972065423 | Matthew Yau | Registered Nurse | 2656 N Elston Ave, Chicago, IL 60647-2019 | 2019-04-03 |
1033624648 | Jamie E Wadas | Nurse Practitioner | 2656 N Elston Ave, Chicago, IL 60647-2019 | 2017-12-05 |
1861945057 | Susan Ngobi | Nurse Practitioner | 2656 N Elston Ave, Chicago, IL 60647-2019 | 2016-07-25 |
1962879403 | Danielle Taylor | Nurse Practitioner | 2656 N Elston Ave, Chicago, IL 60647-2019 | 2015-09-01 |
1871983494 | Shontina Gaines | Pharmacy Technician | 2656 N Elston Ave, Chicago, IL 60647-2019 | 2015-02-03 |
1508256124 | Eliza German | Pharmacy Technician | 2656 N Elston Ave, Chicago, IL 60647-2019 | 2015-02-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
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Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
1003416439 | Denise Venketramen | Pharmacist | 939 W Madison St Apt 310, Chicago, IL 60607-2656 | 2020-10-26 |
1427657063 | Sundis I Islefo | Pharmacist | 2647 W Rascher Ave Apt 2w, Chicago, IL 60625-3106 | 2020-10-24 |
1497353361 | Eleanor English | Pharmacist | 910 W Huron St Unit 1209, Chicago, IL 60642-5968 | 2020-10-13 |
1942808001 | Iris Esmeralda Gutierrez | Pharmacist | 3343 S Leavitt St, Chicago, IL 60608-6018 | 2020-10-12 |
1417564790 | Tara Airola | Pharmacist | 857 N Marshfield Ave Unit 1, Chicago, IL 60622-5132 | 2020-09-30 |
1174137129 | Tangtang Zhao | Pharmacist | 9148 S Commercial Ave, Chicago, IL 60617-4307 | 2020-09-06 |
1710591334 | Karolina Maculewicz | Pharmacist | 371 W Ontario St, Chicago, IL 60654-5716 | 2020-09-01 |
1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
1245844026 | Rachel Klepacz | Pharmacist | 101 N Clinton St, Chicago, IL 60661-1505 | 2020-08-31 |
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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.