JOSEPH ZILLUR RAHMAN (NPI# 1497259527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497259527 |
Entity Type | Individual |
Full Name | JOSEPH ZILLUR RAHMAN |
Credential | APN |
Practice Address |
2100 Manchester Rd Ste 1510 Wheaton IL 60187-4561 |
Practice Telephone | 6306531717 |
Mailing Telephone | 6306531717 |
Enumeration Date | 2018-03-22 |
Last Update Date | 2018-03-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209.017376 | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | APN LICENSE NUMBER | 209017376 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316988116 | Joseph Esaum Rahman | Internal Medicine | 1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312 | 2006-06-10 |
Street Address |
2100 MANCHESTER RD STE 1510 |
City | WHEATON |
State | IL |
Zip Code | 60187-4561 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124416854 | Katie Cockrell | Social Worker | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2015-01-05 |
1871103838 | Luke Tseng | Student in an Organized Health Care Education/Training Program | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2020-08-05 |
1386293595 | Anna Mcgregor | Counselor | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2019-09-10 |
1356903918 | Nicole Breanna Heniff | Counselor | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2019-07-03 |
1851952782 | Migdalia Vasquez | Counselor | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2019-06-21 |
1871098897 | Cindy Bandukwala | Social Worker | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2018-03-30 |
1013436906 | Sergio Martinez | Counselor | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2017-09-12 |
1467980953 | Ashton B Winslow | Student in an Organized Health Care Education/Training Program | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2017-05-26 |
1316391675 | Mateusz Dzikowski | Psychologist | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2016-04-22 |
1578922381 | Rachel George | Psychologist | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2016-02-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
Find all providers in zip 60187 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689959900 | Ketan Mahendra Shah | Nurse Practitioner | 422 N Prospect St, Wheaton, IL 60187-5839 | 2011-10-18 |
1619480159 | Tara Krisch | Nurse Practitioner | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2017-11-07 |
1114383213 | Maryellen Fleming-price | Nurse Practitioner | 1725 S Naperville Rd Ste 206, Wheaton, IL 60189-5855 | 2016-01-06 |
1528440930 | Susan Dunne | Nurse Practitioner | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2015-06-22 |
1821161886 | Sharon Diehl Beck | Nurse Practitioner | 1761 S Naperville Rd, Ste 200, Wheaton, IL 60189-5846 | 2006-11-16 |
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1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
1518585942 | Tabs Behavioral Health Inc | Nurse Practitioner | 13316 Vicarage Dr, Plainfield, IL 60585-5050 | 2020-07-13 |
1154946788 | Latisha Trenice Stennis | Nurse Practitioner | 8106 Carol Dr, East Saint Louis, IL 62203-1838 | 2020-06-09 |
1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
1104448968 | Abosede Rachel Babalola | Nurse Practitioner | 2214 Monarch St, Bourbonnais, IL 60914-2780 | 2020-05-14 |
1659909406 | Mudira Temilola Oyewole | Nurse Practitioner | 493 Leslie Ct, Des Plaines, IL 60016-8818 | 2020-03-28 |
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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.