MR. ALLAN BOQUIREN (NPI# 1457896920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457896920 |
| Entity Type | Individual |
| Full Name | MR. ALLAN BOQUIREN |
| Credential | MSN |
| Practice Address |
4505 S Drexel Blvd Chicago IL 60653-4301 |
| Mailing Address |
222 E Pearson St Apt 1402 Chicago IL 60611-7419 |
| Practice Telephone | 7732850550 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209015304 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4505 S DREXEL BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679628705 | Autumn Healthcare of Illinois | Counselor | 4505 S Drexel Blvd, Chicago, IL 60653-4301 | 2007-01-25 |
| 1316559933 | Nina Marie Deffala | Speech-Language Pathologist | 4505 S Drexel Blvd, Chicago, IL 60653-4301 | 2020-08-17 |
| 1942830542 | Alan Lei | Occupational Therapist | 4505 S Drexel Blvd, Chicago, IL 60653-4301 | 2020-01-22 |
| 1609331966 | Jackelyn Sheree Jones | Occupational Therapist | 4505 S Drexel Blvd, Chicago, IL 60653-4301 | 2019-01-31 |
| 1396228227 | Callie Wilbat | Speech-Language Pathologist | 4505 S Drexel Blvd, Chicago, IL 60653-4301 | 2018-09-06 |
| 1669887394 | Estates of Hyde Park LLC | Skilled Nursing Facility | 4505 S Drexel Blvd, Chicago, IL 60653-4301 | 2014-06-20 |
| 1285956813 | Avenue Care Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 4505 S Drexel Blvd, Chicago, IL 60653-4301 | 2010-02-24 |
| 1558406926 | Avenue Care Center | Skilled Nursing Facility | 4505 S Drexel Blvd, Chicago, IL 60653-4301 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1073125431 | Faith M Langtiw | Nurse Practitioner | 2704 W Catalpa Ave, Chicago, IL 60625-3216 | 2020-08-18 |
| 1871114025 | Quickcare, Pllc | Nurse Practitioner | 6419 W Touhy Ave Apt 4a, Chicago, IL 60646-1040 | 2020-04-29 |
| 1376170894 | Julia Jekli | Nurse Practitioner | 365 N Halsted St Apt 3009, Chicago, IL 60661-1379 | 2020-03-25 |
| 1821623281 | Rina Delapena | Nurse Practitioner | 5630 N Sheridan Rd Apt 319, Chicago, IL 60660-4810 | 2020-03-06 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1962032813 | Sonia Ivelis Fernandez | Nurse Practitioner | 6129 N Campbell Ave Apt 1, Chicago, IL 60659-2809 | 2020-01-20 |
| 1164060257 | Julie Ann Daniels | Nurse Practitioner | 5808 W Eddy St, Chicago, IL 60634-4351 | 2019-12-19 |
| 1720625593 | Bogdana Gryniv | Nurse Practitioner | 5758 S Maryland Ave Ste 5a, Chicago, IL 60637-1426 | 2019-11-29 |
| 1023669835 | Carlette Bailey | Nurse Practitioner | 6700 S Oglesby Ave Apt 1204, Chicago, IL 60649-1373 | 2019-09-23 |
| Find all providers in CHICAGO | ||||
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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.