MISS KALANI RAQUEL WELLS (NPI# 1417214222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417214222 |
| Entity Type | Individual |
| Full Name | MISS KALANI RAQUEL WELLS |
| Credential | APN |
| Practice Address |
11824 Southwest Hwy Ste 100 Palos Heights IL 60463-1055 |
| Practice Telephone | 7083610222 |
| Practice Fax Number | 7083614536 |
| Mailing Telephone | 7083610222 |
| Mailing Fax Number | 7083614536 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209009509 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11824 SOUTHWEST HWY STE 100 |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831157494 | Neurologic Associates L.t.d. | Specialist | 11824 Southwest Hwy, Suite 100, Palos Heights, IL 60463-1055 | 2006-05-03 |
| 1891234290 | Clinical Associates of Palos Heights Sc | Family Medicine | 11824 Southwest Hwy, Suite 110, Palos Heights, IL 60463-1055 | 2017-02-17 |
| 1366804650 | Sarah Stoerman | Registered Nurse | 11824 Southwest Hwy, Palos Heights, IL 60463-1055 | 2016-03-24 |
| 1487026845 | Eileen Johnson | Counselor | 11824 Southwest Hwy, Suite 230, Palos Heights, IL 60463-1055 | 2015-10-26 |
| 1386020907 | Mark C. Bonen | Counselor | 11824 Southwest Hwy, Palos Heights, IL 60463-1055 | 2015-08-05 |
| 1306128285 | Susan T Dixon | Nurse Practitioner | 11824 Southwest Hwy, Suite 200, Palos Heights, IL 60463-1055 | 2011-09-15 |
| 1740501568 | Melissa Beth Rooney | Psychiatry & Neurology | 11824 Southwest Hwy, Suite 100, Palos Heights, IL 60463-1055 | 2010-06-15 |
| 1285870840 | Renee Spinella | Physical Therapist | 11824 Southwest Hwy, Palos Heights, IL 60463 | 2008-12-31 |
| 1861647620 | Nancy Javior | Occupational Therapist | 11824 Southwest Hwy, Suite 230, Palos Heights, IL 60463-1055 | 2008-11-20 |
| 1417124702 | Pulmonary & Critical Care Consultants LLC | Internal Medicine | 11824 Southwest Hwy, Suite 130, Palos Heights, IL 60463-1055 | 2008-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336534692 | Cody Cholewa | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463 | 2015-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759461 | Sarah Westerman | Nurse Practitioner | 721 Dover Ct, Pingree Grove, IL 60140-9181 | 2020-10-28 |
| 1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
| 1609484591 | Jennifer Kuczero | Nurse Practitioner | 4059 W 89th Pl, Hometown, IL 60456-1202 | 2020-07-16 |
| 1205452489 | Aneta Trybula | Nurse Practitioner | 10604 W 154th Pl, Orland Park, IL 60462-6025 | 2020-06-23 |
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 1588125116 | Sherryl Estorque | Nurse Practitioner | 9033 W Heathwood Cir, Niles, IL 60714-5807 | 2019-03-27 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
| 1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
| 1275024523 | Lateisha Nicole Fort | Nurse Practitioner | 1222 E 170th St, South Holland, IL 60473-3558 | 2018-05-22 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
Please comment or provide details below to improve the information on MISS KALANI RAQUEL WELLS.
| 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.