VERONICA MATTICKS (NPI# 1548706708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548706708 |
Entity Type | Individual |
Full Name | VERONICA MATTICKS |
Credential | APN |
Practice Address |
1200 S York St Suite Number 1132 Elmhurst IL 60126-5626 |
Practice Telephone | 3312213090 |
Mailing Telephone | 3312213090 |
Enumeration Date | 2017-01-12 |
Last Update Date | 2017-01-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
209.015262 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1200 S YORK ST SUITE NUMBER 1132 |
City | ELMHURST |
State | IL |
Zip Code | 60126-5626 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700871787 | Ligia N Rioja | Psychiatry & Neurology | 1200 S York St, Ste 3160, Elmhurst, IL 60126-5626 | 2005-09-15 |
1518586098 | Gabrielle Alexis Mendoza | Physical Therapist | 1200 S York St, Elmhurst, IL 60126-5626 | 2020-04-14 |
1215401591 | Ashley Verbus | Nurse Practitioner | 1200 S York St, Elmhurst, IL 60126-5626 | 2019-01-19 |
1093218836 | Robyn A Householder | Nurse Practitioner | 1200 S York St, Suite 2000, Elmhurst, IL 60126 | 2018-03-16 |
1972048775 | Aileen Waldschmidt | Dietitian, Registered | 1200 S York St, Suite 1240, Elmhurst, IL 60126-5626 | 2017-01-03 |
1023569183 | Kelly Abate Md LLC | Dermatology | 1200 S York St, Suite 3240, Elmhurst, IL 60126-5626 | 2016-10-24 |
1265982003 | Heather Bautista | Nutritionist | 1200 S York St, Suite 1132, Elmhurst, IL 60126-5626 | 2016-10-05 |
1336695899 | Kavita Gupta PC | Dentist | 1200 S York St, Ste 3110, Elmhurst, IL 60126-5626 | 2016-08-25 |
1033577762 | Jenna Ruth Haeberle | Advanced Practice Midwife | 1200 S York St, Suite 4120, Elmhurst, IL 60126-5626 | 2016-02-09 |
1275905648 | Megan Lynn Wascher | Physician Assistant | 1200 S York St, Suite 4220, Elmhurst, IL 60126 | 2015-10-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
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Taxonomy Code | 364SA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366987406 | Jennifer Yokopenic | Clinical Nurse Specialist | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2016-12-28 |
1144771239 | Jacqueline Timoleon | Clinical Nurse Specialist | 7901 Broadway, Elmhurst, NY 11373-1329 | 2016-10-24 |
1922019272 | Nancy Schwabauer | Clinical Nurse Specialist | 429 N York St, Elmhurst, IL 60126-2003 | 2006-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891978672 | Sara L Mccavitt | Clinical Nurse Specialist | 530 Ne Glen Oak Ave Ste G13, Peoria, IL 61637-0001 | 2007-12-14 |
1356352512 | Mary Digate | Clinical Nurse Specialist | 100 Spalding Dr Ste 400, Naperville, IL 60540-6554 | 2006-08-11 |
1427690700 | Schuyler A Perez De Salmeron | Clinical Nurse Specialist | 333 Madison St, Joliet, IL 60435-8200 | 2019-10-08 |
1437707825 | Tracy Laluma Montesa | Clinical Nurse Specialist | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2019-08-28 |
1174006290 | Mary Lyons | Clinical Nurse Specialist | 801 S Washington St, Naperville, IL 60540-7430 | 2018-09-13 |
1598284473 | Margaret Kearney | Clinical Nurse Specialist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2017-09-12 |
1699293936 | Anne Jenisch | Clinical Nurse Specialist | 2160 South First Avenue, Building 110, Room 6201, Maywood, IL 60523 | 2017-09-07 |
1700313202 | Carissa Waters | Clinical Nurse Specialist | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2017-05-15 |
1487106647 | Mary Kirby | Clinical Nurse Specialist | 251 E Huron St, Chicago, IL 60611-2908 | 2016-11-03 |
1023479508 | Manisa Baker | Clinical Nurse Specialist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2016-03-11 |
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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.