STACIE RAE WARD (NPI# 1275848244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275848244 |
| Entity Type | Individual |
| Full Name | STACIE RAE WARD |
| Credential | RN, MS, APN |
| Practice Address |
675 N Saint Clair St Ste 19-100 Northwestern Medical Group Chicago IL 60611-5969 |
| Mailing Address |
675 North Saint Clair 19-073 Northwestern Medical Group Chicago IL 60611-2908 |
| Practice Telephone | 3126954965 |
| Practice Fax Number | 3126950005 |
| Mailing Telephone | 3126954965 |
| Mailing Fax Number | 3126950005 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2014-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
209005000 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700323276 | Stacie Ward | Counselor | 9707 Nanticoke Cir, Seaford, DE 19973-8641 | 2017-01-23 |
| Street Address |
675 N SAINT CLAIR ST STE 19-100 NORTHWESTERN MEDICAL GROUP |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-5969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881707248 | Clyde Warren Yancy Jr. | Internal Medicine | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2006-08-17 |
| 1245866805 | Selby Marie Cherian | Registered Nurse | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2020-03-16 |
| 1871054601 | David Drullinsky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2019-03-26 |
| 1720552482 | Jenna Quill Mulroe | Nurse Practitioner | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2019-01-16 |
| 1134602071 | Karina Hinton | Nurse Practitioner | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611 | 2018-09-06 |
| 1154801819 | Christin Lund Sogge | Physician Assistant | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2018-08-21 |
| 1780102251 | Hannah Marie Toms | Physician Assistant | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611 | 2017-09-06 |
| 1932622529 | Hadi Toeg | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611 | 2017-07-25 |
| 1285163881 | Kathleen E. Casey | Physician Assistant | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2017-06-07 |
| 1033641279 | Kerry Shanklin | Nurse Practitioner | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2017-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 364SC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316153984 | Constance A Wright | Clinical Nurse Specialist | 5758 South Maryland, Chicago, IL 60637 | 2007-05-14 |
| 1215076153 | Elizabeth (beth) T Zimmermann | Clinical Nurse Specialist | 5839 So. Maryland Ave., Mc4062-ucch, Chicago, IL 60637 | 2007-02-06 |
| 1982918496 | Catherine Jean Ryan | Clinical Nurse Specialist | 845 S Damen Ave, Mc 802 Room 744, Chicago, IL 60612-3727 | 2010-07-27 |
| 1649475559 | Mary Therese Lyons | Clinical Nurse Specialist | 1901 W Harrison St, Chicago, IL 60612-3714 | 2007-06-19 |
| 1124240353 | Linda L. Morris | Clinical Nurse Specialist | 251 E Huron St, Feinberg Pavilion, Suite 8-330, Chicago, IL 60611-2908 | 2007-05-03 |
| 1548371230 | Kathleen Grady | Clinical Nurse Specialist | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-08-31 |
| 1801864806 | Mary Anne Dignan | Clinical Nurse Specialist | 820 S Damen Ave, Room 4230, Chicago, IL 60612-3728 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205332509 | Irene Copak | Clinical Nurse Specialist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2018-04-04 |
| 1831623636 | Sheri Moonan | Clinical Nurse Specialist | 4440 W 95th St, 6324p- Lung Transplant Office, Oak Lawn, IL 60453-2600 | 2017-04-18 |
| 1104272079 | Candice White | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2016-05-10 |
| 1982029856 | Jennifer Casey | Clinical Nurse Specialist | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2014-02-28 |
| 1336578582 | Pamela Heydorn | Clinical Nurse Specialist | 133 E Brush Hill Rd, Ste. 202, Elmhurst, IL 60126-5659 | 2013-11-08 |
| 1073956777 | Leslie Ann Collins | Clinical Nurse Specialist | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2013-04-11 |
| 1841539616 | Darla Jo Bradle | Clinical Nurse Specialist | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2013-02-13 |
| 1306183173 | Ann L Miller | Clinical Nurse Specialist | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2013-01-13 |
| 1831444082 | Ann Czarny | Clinical Nurse Specialist | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2012-07-13 |
| 1982938106 | Michelle E Nellett | Clinical Nurse Specialist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2009-09-21 |
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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.