ILARIA OLIVER MASTROSERIO


Address: 676 N Saint Clair St Ste 850, Chicago, IL 60611-3124
Phone: 3126954517

ILARIA OLIVER MASTROSERIO (NPI# 1376197590) 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) 1376197590
Entity Type Individual
Full Name ILARIA OLIVER MASTROSERIO
Credential PA-C
Practice Address 676 N Saint Clair St Ste 850
Chicago
IL 60611-3124
Mailing Address 675 N Saint Clair St Ste 21-100
Chicago
IL 60611-5970
Practice Telephone 3126954517
Mailing Telephone 3126950990
Enumeration Date 2019-07-25
Last Update Date 2019-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 676 N SAINT CLAIR ST STE 850
City CHICAGO
State IL
Zip Code 60611-3124

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699862706 Jeffrey Sosman Internal Medicine 676 N Saint Clair St Ste 850, Chicago, IL 60611-3124 2006-10-09
1184271538 Courtney Browne Physician Assistant 676 N Saint Clair St Ste 850, Chicago, IL 60611 2019-08-21
1093273831 Heidi L Olson Registered Nurse 676 N Saint Clair St Ste 850, Chicago, IL 60611-3124 2019-03-12
1942776406 Sara Abramovitz Physician Assistant 676 N Saint Clair St Ste 850, Chicago, IL 60611-3124 2018-10-22
1508348673 Emily Marie Gottemoller-mueller Physician Assistant 676 N Saint Clair St Ste 850, Chicago, IL 60611-3124 2018-09-05
1326300815 Stephane Doucet Student in an Organized Health Care Education/Training Program 676 N Saint Clair St Ste 850, Chicago, IL 60611-3124 2012-06-12
1124303383 Aisha Richelle Brownlee Nurse Practitioner 676 N Saint Clair St Ste 850, Chicago, IL 60611-3124 2011-10-19
1487968095 Joseph D Tariman Nurse Practitioner 676 N Saint Clair St Ste 850, Chicago, IL 60611-3124 2010-08-06
1083860282 Reem Karmali Internal Medicine 676 N Saint Clair St Ste 850, Chicago, IL 60611 2008-08-07
1689846834 David J Vanderweele Internal Medicine 676 N Saint Clair St Ste 850, Chicago, IL 60611 2008-03-27
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508470709 Bryan Ying Wong Physician Assistant 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 2020-09-04
1245858117 Emily Victoria Headley Physician Assistant 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 2020-07-08
1548884547 Crystal Afua Amoah Physician Assistant 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 2020-06-04
1841814274 Zubair Aslam Khan Physician Assistant 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 2020-06-01
1659991818 Taylor Nicole Anderson Physician Assistant 25 W Randolph St Apt 603, Chicago, IL 60601-3514 2020-04-17
1720616444 Melanie Doretti Physician Assistant 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 2020-03-29
1154958544 Joerissa Gearlds Physician Assistant 5645 W Addison St Rm 353, Chicago, IL 60634-4403 2020-03-25
1932736816 Taylor Evan Fisher Physician Assistant 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 2020-03-23
1285260844 Krista A Saum Physician Assistant 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 2020-03-16
1386278430 Adara Simonelli Physician Assistant 6317 S Lorel Avenue, Chicago, IL 60638 2020-02-27
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City CHICAGO
Zip Code 60611

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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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