MARTHA L. HERZOG (NPI# 1275717654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275717654 |
| Entity Type | Individual |
| Full Name | MARTHA L. HERZOG |
| Credential | RN BSN |
| Practice Address |
1420 W Highland Ave Chicago IL 60660-1318 |
| Practice Telephone | 7733162349 |
| Mailing Telephone | 7733162349 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
IL | Nursing Service Providers |
| Street Address |
1420 W HIGHLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672280 | Alexis Shelton | Behavior Technician | 6317 N Broadway, Chicago, IL 60660 | 2019-11-03 |
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1417492224 | Aynur Fataliyeva | Non-emergency Medical Transport (VAN) | 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 | 2017-01-03 |
| 1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1295134112 | Brent E Agran, Dds, LLC | Dentist | 5820 N. Clark St., 1s, Chicago, IL 60660 | 2014-08-15 |
| 1538573258 | Emily Eaton | Student in an Organized Health Care Education/Training Program | 5643 N. Magnolia Ave, Chicago, IL 60660 | 2014-06-20 |
| 1538572664 | Rozina Altaf Virani | Nurse Practitioner | 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 | 2014-06-05 |
| 1548673866 | Emily Mckernan | Social Worker | 5710 N Broadway Ave, Chicago, IL 60660 | 2014-06-04 |
| 1679902324 | Christopher Burgess | Psychologist | 1554 W Hollywood, #storefront, Chicago, IL 60660 | 2013-11-04 |
| Find all providers in zip 60660 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975245 | Deborah Marie Moore-thompson | Registered Nurse | 9413 S Throop St, Chicago, IL 60620-3625 | 2020-06-08 |
| 1760017917 | Vince Jude Ehrenberg | Registered Nurse | 5536 N Virginia Ave, Chicago, IL 60625-3918 | 2020-03-09 |
| 1922641513 | Janthina Suzel Olascoaga | Registered Nurse | 3723 W 70th St, Chicago, IL 60629-4232 | 2019-10-25 |
| 1982188546 | Nancy Yee | Registered Nurse | 1332 N Burling St, Chicago, IL 60610-5265 | 2018-09-19 |
| 1386193464 | Adekunle Adeniji | Registered Nurse | 525 E 46th Pl, Chicago, IL 60653-4205 | 2016-09-29 |
| 1558765164 | Sulaimon Kehinde Oladipo | Registered Nurse | 9415 S Western Ave Ste 206, Chicago, IL 60643-6700 | 2014-10-10 |
| 1619254554 | Helene Cissell | Registered Nurse | 700 North Larrabee Street, Unit 801, Chicago, IL 60654-0101 | 2011-11-07 |
| 1689816803 | Lillian M Ortiz | Registered Nurse | 439 E 31st St Ste 215, Chicago, IL 60616-4000 | 2009-04-02 |
| 1477748150 | Christine Wright | Registered Nurse | 502 S Oakley Blvd, Chicago, IL 60612-3508 | 2007-09-06 |
| 1699969147 | Nakia Long | Registered Nurse | 719 W 61st St, Chicago, IL 60621-2855 | 2007-08-28 |
| 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.