MR. COREY WENDELL SHUMATE (NPI# 1245758580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245758580 |
| Entity Type | Individual |
| Full Name | MR. COREY WENDELL SHUMATE |
| Credential | APN, PMHNP-BC |
| Practice Address |
2701 W 68th St Chicago IL 60629 |
| Mailing Address |
2701 W 68th St Chicago IL 60629-1882 |
| Practice Telephone | 7738849000 |
| Mailing Telephone | 7738847640 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2018-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209.016033 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789488 | Corey Ryan Shumate | Physical Therapist | 2200 Fort Roots Dr., North Little Rock, AR 72114 | 2020-10-30 |
| Street Address |
2701 W 68TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053552 | Marquette Radiology Associates LLC | Radiology | 2701 W 68th St, Chicago, IL 60629-1813 | 2005-06-16 |
| 1235771684 | Maria Pekic | Nurse Practitioner | 2701 W 68th St, Chicago, IL 60629-1813 | 2019-10-16 |
| 1366084386 | Hannah Cutts | Midwife | 2701 W 68th St, Chicago, IL 60629-1813 | 2019-10-10 |
| 1851941504 | Ruanda Mejia | Nurse Practitioner | 2701 W 68th St, Chicago, IL 60629-1813 | 2019-09-15 |
| 1184197410 | Mustapha O Olugbile | Nurse Practitioner | 2701 W 68th St, Chicago, IL 60629-1813 | 2019-01-09 |
| 1972080786 | Alexandra Steininger | Nurse Practitioner | 2701 W 68th St, Chicago, IL 60629-1813 | 2018-07-24 |
| 1265944961 | Alena Karpach | Nurse Practitioner | 2701 W 68th St, Chicago, IL 60629 | 2017-11-02 |
| 1164944369 | Cepamerica Illinois LLP | Emergency Medicine | 2701 W 68th St, Chicago, IL 60629-1813 | 2017-07-10 |
| 1558811026 | Matthew Coello | Physician Assistant | 2701 W 68th St, Chicago, IL 60629-1813 | 2016-10-09 |
| 1073069381 | Sarah Argentine | Nurse Practitioner | 2701 W 68th St, Chicago, IL 60629-1813 | 2016-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
| 1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
| 1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
| 1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
| 1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
| 1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
| Find all providers in zip 60629 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1114574886 | Hyde Park Mental Wellness | Nurse Practitioner | 1525 E 55th St Ste 205, Chicago, IL 60615-5584 | 2019-08-19 |
| 1689232522 | Sarah Ball Schrock | Nurse Practitioner | 3310 W Division St, Chicago, IL 60651-2301 | 2019-06-05 |
| 1982168407 | Richardson Psychiatric | Nurse Practitioner | 3660 N Lake Shore Dr Ste 201, Chicago, IL 60613-5302 | 2019-01-29 |
| 1386117232 | Prudent Alliance for Healthcare, LLC | Nurse Practitioner | 6159 W Eddy St, Chicago, IL 60634-4122 | 2019-01-03 |
| 1770068421 | Gian Bonador | Nurse Practitioner | 1134 W Granville Ave Apt 715, Chicago, IL 60660-5047 | 2018-09-28 |
| 1790115293 | Stacey Marie Meyers | Nurse Practitioner | 6439 N Sheridan Rd Ste 310, Chicago, IL 60626-5364 | 2013-11-19 |
| 1326385824 | Deborah Francine Bump | Nurse Practitioner | 6918 S Euclid Ave, Chicago, IL 60649-1512 | 2013-01-03 |
| 1104058221 | Lester Eugene Lamee Jr. | Nurse Practitioner | 251 E Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 | 2009-08-24 |
| 1720003577 | Janice E Stern | Nurse Practitioner | 1645 W Jackson Blvd Ste 602, Chicago, IL 60612 | 2006-07-13 |
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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.