MARISSA LYNN WALSH (NPI# 1386115350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386115350 |
| Entity Type | Individual |
| Full Name | MARISSA LYNN WALSH |
| Credential | PA |
| Practice Address |
430 Pennsylvania Ave Glen Ellyn IL 60137-4464 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-1885 |
| Practice Telephone | 6305457855 |
| Mailing Telephone | 6304692000 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085006976 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205370657 | Marissa Walsh | Counselor | 4635 Lawn Ave, Suite 8, Western Springs, IL 60558-1554 | 2016-12-05 |
| Street Address |
430 PENNSYLVANIA AVE |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-4464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277724 | Arun Kumar Samy | Ophthalmology | 430 Pennsylvania Ave, 170, Glen Ellyn, IL 60137-4464 | 2005-07-05 |
| 1528675014 | Theresa Rose Christopher | Occupational Therapist | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2020-09-28 |
| 1740758317 | Ryan Militzer | Physical Therapist | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2018-11-12 |
| 1881148898 | Marissa Gill | Physical Therapist | 430 Pennsylvania Ave, Ste 210, Glen Ellyn, IL 60137-4464 | 2016-08-08 |
| 1285095455 | Julie Fischer | Physical Therapy Assistant | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2016-03-15 |
| 1659746980 | Silvana Perri | Physician Assistant | 430 Pennsylvania Ave, 350, Glen Ellyn, IL 60137-4464 | 2015-12-12 |
| 1508103136 | Brock A Gorman | Occupational Therapist | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2013-01-16 |
| 1407109739 | Kelli Lynn Madden | Specialist/Technologist, Other | 430 Pennsylvania Ave, Suite 350, Glen Ellyn, IL 60137-4464 | 2012-10-24 |
| 1467701011 | Julie P Kupisch | Physical Therapist | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2012-08-29 |
| 1144584988 | Christina Tram Huynh | Internal Medicine | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2012-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898026 | Holly Christine Stimac | Physician Assistant | 462 Raintree Dr Unit 1c, Glen Ellyn, IL 60137-6772 | 2020-03-30 |
| 1508334475 | Maria F Hussain | Physician Assistant | 1165 Londonberry Ln, Glen Ellyn, IL 60137-6109 | 2018-11-08 |
| 1952686057 | Michaela Elise Rickert | Physician Assistant | 430 Pennsylvania Ave # 320, Glen Ellyn, IL 60137-4464 | 2011-10-20 |
| 1598081812 | Christen Steinkuller | Physician Assistant | 23w230 Armitage Ave, Glen Ellyn, IL 60137-2817 | 2010-04-12 |
| 1952593956 | Meghan Looby Waintraub | Physician Assistant | 430 Pennsylvania Ave, Suite 240, Glen Ellyn, IL 60137-4464 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ELLYN |
| Zip Code | 60137 |
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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.