MRS. LAURA FETZER (NPI# 1346378148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346378148 |
| Entity Type | Individual |
| Full Name | MRS. LAURA FETZER |
| Credential | NURSE PRACTITIONER |
| Practice Address |
5841 S Maryland Ave # 2050 Depatrtment of Gynecology Chicago IL 60637-1447 |
| Mailing Address |
5841 S. Maryland Avenue, Mc 2050 Depatrtment of Gynecology Chicago IL 60637 |
| Practice Telephone | 7738341792 |
| Practice Fax Number | 7737025159 |
| Mailing Telephone | 7738341792 |
| Mailing Fax Number | 7737025159 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5841 S MARYLAND AVE # 2050 DEPATRTMENT OF GYNECOLOGY |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356443147 | Melissa Lynn Gilliam | Obstetrics & Gynecology | 5841 S Maryland Ave # 2050, Chicago, IL 60637-1447 | 2006-09-02 |
| 1730640301 | Naima Ross | Obstetrics & Gynecology | 5841 S Maryland Ave # 2050, Chicago, IL 60637-1443 | 2019-03-27 |
| 1194253831 | Rachel Neal | Obstetrics & Gynecology | 5841 S Maryland Ave # 2050, Chicago, IL 60637-1447 | 2017-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959864 | Jennifer Marie Nieves | Nurse Practitioner | 34 E Oak St Ste 6, Chicago, IL 60611-1231 | 2020-03-29 |
| 1093340275 | Nicole Price | Nurse Practitioner | 3717 N Ravenswood Ave Ste 213, Chicago, IL 60613-4098 | 2020-03-07 |
| 1497318372 | Rachael Elizabeth Thomas | Nurse Practitioner | 333 S Desplaines St Ste 201, Chicago, IL 60661-5514 | 2019-04-17 |
| 1922499102 | Jenna Rezzardi | Nurse Practitioner | 1827 N Clybourn Ave, Apt 2, Chicago, IL 60614-8951 | 2015-02-10 |
| 1174954069 | Cheryl Mandell | Nurse Practitioner | 1250 N Maplewood Ave, Chicago, IL 60622-2857 | 2013-12-03 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1932409489 | Catherine Shannon Dezynski | Nurse Practitioner | 5215 N California Ave Fl 7, Chicago, IL 60625-7014 | 2010-11-01 |
| 1447477401 | Annette Sue Ramsburg | Nurse Practitioner | 5086 Elston Ave., Chicago, IL 60630 | 2007-04-19 |
| 1962625756 | Evelyn Angel Aztlan-keahey | Nurse Practitioner | 659 W. Washington Blvd, Chicago, IL 60661 | 2007-04-10 |
| 1083793616 | Sally Helene Lemke | Nurse Practitioner | 600 S. Paulina Aac 1080, Rush University Medical Center, Chicago, IL 60612 | 2006-11-03 |
| 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.