MR. PAOLO PETILLA MERCADO (NPI# 1447728183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447728183 |
| Entity Type | Individual |
| Full Name | MR. PAOLO PETILLA MERCADO |
| Credential | APN |
| Practice Address |
1324 N Sheridan Rd Waukegan IL 60085-2161 |
| Mailing Address |
3076 Nicklaus Ln Wadsworth IL 60083-8944 |
| Practice Telephone | 8473602860 |
| Practice Fax Number | 8476256057 |
| Mailing Telephone | 2243881215 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2018-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209018353 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1050 Red Oak Ln, Lindenhurst, IL 600464998 | 8473564746 | 8473564737 |
| Street Address |
1324 N SHERIDAN RD |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689673055 | Lake Shore Pathologists Sc | Pathology | 1324 N Sheridan Rd, Vista Medical Center East, Waukegan, IL 60085-2161 | 2005-07-19 |
| 1528689817 | Andrew Joseph Quinlan | Pharmacist | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2020-04-28 |
| 1891324281 | Tyler Stenger | Registered Nurse | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2020-04-07 |
| 1851936272 | Natalie Anne Butler | Nurse Practitioner | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2019-11-08 |
| 1720635170 | Kathleen Trinh | Nurse Practitioner | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2019-08-21 |
| 1386114858 | Krina D Patel | Nurse Practitioner | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2018-11-28 |
| 1427539279 | Robert R Cashen | Physician Assistant | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2018-08-28 |
| 1437667037 | Leigh Ann Jones | Physician Assistant | 1324 N Sheridan Rd, Waukegan, IL 60085 | 2018-01-17 |
| 1033635818 | Kathleen Elizabeth Ready | Dietitian, Registered | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2017-08-14 |
| 1184151193 | Haili M Campanella | Registered Nurse | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962434563 | Judith Ann Kress | Nurse Practitioner | 1370 S White Oak Dr, #117, Waukegan, IL 60085-8366 | 2006-07-06 |
| 1851936272 | Natalie Anne Butler | Nurse Practitioner | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2019-11-08 |
| 1720635170 | Kathleen Trinh | Nurse Practitioner | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2019-08-21 |
| 1932768983 | Brianna Marie Sanchez | Nurse Practitioner | 2222 14th St, Waukegan, IL 60085-7708 | 2019-06-12 |
| 1730645912 | Miriam Teresa Rodriguez | Nurse Practitioner | 2323 Grand Ave, Waukegan, IL 60085-3312 | 2019-02-13 |
| 1932625936 | Melanie Bonanno | Nurse Practitioner | 2400 Belvidere Rd, Waukegan, IL 60085-6165 | 2017-08-21 |
| 1447648134 | Monica Wover Hartmuller | Nurse Practitioner | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2015-01-02 |
| 1306244322 | Jennifer Anne Gassman | Nurse Practitioner | 2400 Belvidere Rd, Waukegan, IL 60085-6165 | 2014-12-08 |
| 1992089742 | Kimberly Ramirez-tasigchana | Nurse Practitioner | 2106 Grand Ave, Unit 2, Waukegan, IL 60085-3416 | 2011-09-28 |
| 1134409576 | Antoinette Green | Nurse Practitioner | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2011-08-17 |
| Find all providers in WAUKEGAN | ||||
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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.