INTENSIVE KAREN LLC


Address: 612 Mulford St Apt 503, Evanston, IL 60202-3531
Phone: 8476361607

INTENSIVE KAREN LLC (NPI# 1609485424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609485424
Entity Type Organization
Organization Name INTENSIVE KAREN LLC
Practice Address 612 Mulford St Apt 503
Evanston
IL 60202-3531
Practice Telephone 8476361607
Mailing Telephone 8476361607
Enumeration Date 2020-07-28
Last Update Date 2020-07-28
Authorized Official Name KAREN L. KOPAN (NURSE PRACTITIONER)
Authorized Official Telephone 8476361607
Authorized Official Credential DNP, APRN, ACNP-
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 612 MULFORD ST APT 503
City EVANSTON
State IL
Zip Code 60202-3531

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417321134 Erica Sis Nurse Practitioner 1301 Central St, Evanston, IL 60201-1613 2015-11-18
1184901449 Sisay Bekele Mersha Nurse Practitioner 355 Ridge Avenue, Evanston, IL 60202 2011-11-14
1245839364 Christine B Lawlor Nurse Practitioner 2650 Ridge Ave, Evanston, IL 60201-1700 2020-10-20
1346612140 Malgorzata Balaban Nurse Practitioner 2650 Ridge Ave, # 1223, Evanston, IL 60201-1718 2015-10-20
1336528678 Frances Uy Nurse Practitioner 2650 Ridge Ave, Evanston, IL 60201-1718 2015-05-20
1528480399 Heather J Roppel Nurse Practitioner 2650 Ridge Ave, Evanston, IL 60201-1718 2014-01-14
1356772636 Francesco Joseph Umbriaco Nurse Practitioner 2650 Ridge Ave, Evanston, IL 60201-1718 2013-12-11
1124363049 Kristyn Thielen Nurse Practitioner 2650 Ridge Ave, Evanston, IL 60201 2012-12-04
1477897353 Kathleen Exner Nurse Practitioner 2650 Ridge Ave, Evanston, IL 60201-1718 2012-11-16
1821393208 Jennifer Novosel Nurse Practitioner 2650 Ridge Ave, Evanston, IL 60201-1718 2011-01-17
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Competitor

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City EVANSTON
Zip Code 60202

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Dataset Information

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.

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