ASHLEY SUE MANTERNACH (NPI# 1538628250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538628250 |
| Entity Type | Individual |
| Full Name | ASHLEY SUE MANTERNACH |
| Credential | AGACNP-DNP |
| Practice Address |
676 N Saint Clair St Ste 2210 Chicago IL 60611-2922 |
| Practice Telephone | 3126956200 |
| Mailing Telephone | 5634513764 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209.019076 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1404 N Mohawk St Apt 2, Chicago, IL 606103578 | 5634513764 |
| Street Address |
676 N SAINT CLAIR ST STE 2210 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639303761 | Kristen C Karczynski | Nurse Practitioner | 676 N Saint Clair St Ste 2210, Chicago, IL 60611-2922 | 2009-05-04 |
| 1366072985 | Nicholas Musgrave | Student in an Organized Health Care Education/Training Program | 676 N Saint Clair St Ste 2210, Chicago, IL 60611-2922 | 2020-01-23 |
| 1699287821 | Karyn Schmidt | Nurse Practitioner | 676 N Saint Clair St Ste 2210, Chicago, IL 60611-2922 | 2017-10-27 |
| 1467871657 | Danielle Marie Zielinski | Nurse Practitioner | 676 N Saint Clair St Ste 2210, Chicago, IL 60611-2922 | 2014-04-15 |
| 1235441015 | Northwestern Memorial Hospital | General Acute Care Hospital | 676 N Saint Clair St Ste 2210, Chicago, IL 60611-2922 | 2010-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 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 |
| 1750882742 | Racheal Coleman | Nurse Practitioner | 1725 W Harrison St Ste 1121, Chicago, IL 60612-3841 | 2018-02-24 |
| 1942725890 | Alissa L Faletti | Nurse Practitioner | 100 E Walton St Apt 39a, Chicago, IL 60611-1426 | 2017-08-11 |
| 1417483348 | Stephanie Denise Orr | Nurse Practitioner | 5115 S University Ave Apt 3, Chicago, IL 60615-3961 | 2017-05-11 |
| 1255870796 | Thaddeus Trejo | Nurse Practitioner | 4211 N Pulaski Rd, Chicago, IL 60641-2331 | 2017-02-16 |
| 1124570742 | Angela Fiorelli | Nurse Practitioner | 1942 W Cortland St, Chicago, IL 60622-1040 | 2016-10-31 |
| 1023481744 | Michelle Audrey Calvario | Nurse Practitioner | 250 E Superior St Ste 5-2322, Chicago, IL 60611-2914 | 2015-11-03 |
| 1104294834 | Elizabeth Mclaughlin | Nurse Practitioner | 5315 N Lockwood Ave, Chicago, IL 60630-1409 | 2015-09-11 |
| 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.