JENEAL M DUFF


Address: 3860 W Ogden Ave, Chicago, IL 60623-2460
Phone: 8725883000

JENEAL M DUFF (NPI# 1346709052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346709052
Entity Type Individual
Full Name JENEAL M DUFF
Credential PA-C
Practice Address 3860 W Ogden Ave
Chicago
IL 60623-2460
Mailing Address 1100 E 55th St
Chicago
IL 60615-5112
Practice Telephone 8725883000
Mailing Telephone 3176702912
Enumeration Date 2019-03-13
Last Update Date 2019-03-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
085.006970 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3860 W OGDEN AVE
City CHICAGO
State IL
Zip Code 60623-2460

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174517411 Thomas D Huggett Family Medicine 3860 W Ogden Ave, Chicago, IL 60623-2460 2005-09-01
1730797754 Carly Elaine Hodge Student in an Organized Health Care Education/Training Program 3860 W Ogden Ave, Chicago, IL 60623-2460 2020-07-15
1619504586 Elisabeth D Lucien Social Worker 3860 W Ogden Ave, Chicago, IL 60623-2460 2020-03-23
1396386850 Matthew Hussey Psychologist 3860 W Ogden Ave, Chicago, IL 60623-2460 2019-10-04
1396391926 Nora Hernandez Nurse Practitioner 3860 W Ogden Ave, Chicago, IL 60623-2460 2019-08-09
1407412745 Ying Chun Mei Physician Assistant 3860 W Ogden Ave, Chicago, IL 60623-2460 2019-05-13
1538722079 Dennis Bourne Counselor 3860 W Ogden Ave, Chicago, IL 60623-2460 2019-04-19
1003380817 Anna Tornquist Counselor 3860 W Ogden Ave, Chicago, IL 60623-2460 2019-01-15
1689144164 Angela Mary Thomas Physician Assistant 3860 W Ogden Ave, Chicago, IL 60623 2018-11-28
1255801759 Nicole Milano Social Worker 3860 W Ogden Ave, Chicago, IL 60623-2460 2018-11-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629697917 East Oaks Dialysis LLC Clinic/Center 2950 W 26th St, Chicago, IL 60623 2020-04-16
1922543917 Montclare Senior Residences Slf of Lawndale LLC Assisted Living Facility 4339 West 18th Place, Chicago, IL 60623 2016-12-29
1679024376 Athletico Ltd. Physical Therapist 2632 W. Pershing Rd., Chicago, IL 60623 2016-10-18
1245691211 L A Jones Hair Restoration Center Prosthetic/Orthotic Supplier 1657 S. Troy, Chicago, IL 60623 2016-03-17
1982019204 Sonrisa Dental Little Village 26th Clinic/Center 3059 S 26th St, Chicago, IL 60623 2014-06-25
1992055487 Margaret C Johnson Nurse Practitioner 3860 W. Ogden Ave, Chicago, IL 60623 2012-09-12
1477851319 Elizabeth Bauer Physician Assistant 3256 W 24th St, Chicago, IL 60623 2011-03-01
1023328390 Rebecca Franco Advanced Practice Midwife 2875 W. 19th St, Chicago, IL 60623 2010-10-20
1447580899 Candace Nicole Hutchen Pharmacist 3434 West 13th Place, Chicago, IL 60623 2010-01-07
1689801680 Braceman P&o Inc. Prosthetic/Orthotic Supplier 2830 W. Cermak Rd., Chicago, IL 60623 2009-06-17
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518591759 Julie Jenkot Physician Assistant 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 2020-02-26
1457997561 Jasleen Mohini Singh Physician Assistant 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 2019-11-24
1598238883 Andrea Budzon Physician Assistant 2940 N Kimball Ave Apt 2, Chicago, IL 60618-6846 2019-01-09
1760995161 Leena Abed Hamdan Physician Assistant 251 E Huron St Fl 1, Chicago, IL 60611-2908 2017-11-08
1134580079 Joseph Smith II Physician Assistant 654 E 84th St, Chicago, IL 60619-5802 2016-03-18
1679950232 Alexis Davidman Physician Assistant 20 S Clark St Ste, Chicago, IL 60603-1802 2015-05-04
1669861589 Stewart David Harsant Physician Assistant 1702 N Milwaukee Ave, Chicago, IL 60647-5424 2015-01-15
1063817013 Jenna Lynn Sniegowski Physician Assistant 675 N Saint Clair St Fl 21, Chicago, IL 60611-5975 2014-11-01
1851700066 Lauren Lew Physician Assistant 555 West Madison St. Apt 4903, Chicago, IL 60661 2014-08-13
1306270137 Brianne Patricia Randall Physician Assistant California Blvd. At 15th St., Chicago, IL 60608 2013-08-28
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Competitor

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City CHICAGO
Zip Code 60623

Improve Information

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Dataset Information

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.

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