JENELLE HELENE EZCURRA (NPI# 1548548357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548548357 |
Entity Type | Individual |
Full Name | JENELLE HELENE EZCURRA |
Credential | AUD |
Practice Address |
2300 N Childrens Plz Chicago IL 60614-3363 |
Practice Telephone | 7738804530 |
Mailing Telephone | 7738804530 |
Enumeration Date | 2011-07-27 |
Last Update Date | 2011-07-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | 147001386 | IL | Speech, Language and Hearing Service Providers |
Street Address |
2300 N CHILDRENS PLZ |
City | CHICAGO |
State | IL |
Zip Code | 60614-3363 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700880077 | Mari G Leahy | Pharmacist | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2005-06-02 |
1265707616 | Melanie Rae Berube | Social Worker | 2300 N Childrens Plz, Box 10, Chicago, IL 60614-3363 | 2012-03-19 |
1326310673 | Dana Marie Koehn | Specialist/Technologist | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2012-02-02 |
1255603908 | Peter Andrew Wagreich | Speech-Language Pathologist | 2300 N Childrens Plz, Box 142, Chicago, IL 60614-3363 | 2012-01-27 |
1467722090 | Laura Catherine Doyle | Nurse Practitioner | 2300 N Childrens Plz, #37, Chicago, IL 60614-3363 | 2012-01-12 |
1174890362 | Julie Farrell | Nurse Practitioner | 2300 N Childrens Plz, Emergency Department, Chicago, IL 60614-3363 | 2011-11-16 |
1508147935 | Heather A. Bryant | Pharmacist | 2300 N Childrens Plz, Suite J119, Walgreens, Chicago, IL 60614-3363 | 2011-08-30 |
1811278278 | Roopal Marlow | Pharmacist | 2300 N Childrens Plz, Suite J119, Chicago, IL 60614-3363 | 2011-08-30 |
1700175809 | Rebecca Jeanne Vana | Student in an Organized Health Care Education/Training Program | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2011-03-30 |
1558650614 | Tracy S Gertler | Student in an Organized Health Care Education/Training Program | 2300 N Childrens Plz, #18, Chicago, IL 60614-3363 | 2011-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
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Taxonomy Code | 231H00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Audiologist |
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730719337 | Juan Elias Vasquez | Audiologist | 920 W Cullom Ave Ph Unit, Chicago, IL 60613-1632 | 2020-01-22 |
1144866351 | Jamie Herskovitz | Audiologist | 5758 S Maryland Ave Rm 4754, Chicago, IL 60637-1426 | 2019-11-22 |
1437794005 | Maureen Louise Virts | Audiologist | 5857 S Maryland Ave, Chicago, IL 60637-1463 | 2019-11-07 |
1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
1164071346 | Madeleine Thomas | Audiologist | 211 S Laflin St, Chicago, IL 60607-5305 | 2019-09-10 |
1336797877 | Emily Dudley | Audiologist | 5600 W Addison St Ste 502, Chicago, IL 60634-4466 | 2019-08-28 |
1376062844 | Laura Buskirk | Audiologist | 142 E Ontario St Ste 1100, Chicago, IL 60611-2818 | 2017-09-15 |
1407221815 | Patthida Maroongroge | Audiologist | 645 N Michigan Ave Ste 410, Chicago, IL 60611-5800 | 2015-12-10 |
1962871566 | Sensaphonics | Audiologist | 660 N Milwaukee Ave, Chicago, IL 60642-8673 | 2015-09-24 |
1477969327 | Sarah Toohey | Audiologist | 6238 N Neva Ave, Chicago, IL 60631-2454 | 2014-07-10 |
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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.