KELLY A QUAINE (NPI# 1609499060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609499060 |
| Entity Type | Individual |
| Full Name | KELLY A QUAINE |
| Practice Address |
1701 W Superior St Chicago IL 60622-5646 |
| Mailing Address |
2333 W Cortez St Apt 2 Chicago IL 60622-3580 |
| Practice Telephone | 3214324372 |
| Mailing Telephone | 5173759062 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
27494 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
27494 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1701 W SUPERIOR ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-5646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164461935 | Edith H Harte | Obstetrics & Gynecology | 1701 W Superior St, Erie Family Health Center, Chicago, IL 60622-5646 | 2006-06-06 |
| 1093331837 | Ana K Perez | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-06-17 |
| 1760008502 | Lucy Marie Amaro | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-06-17 |
| 1871119743 | Allee Mcdaniel | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-06-17 |
| 1639798366 | Erica Mcnealey | Advanced Practice Midwife | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-04-13 |
| 1114563756 | Laboratory Corporation of America | Clinical Medical Laboratory | 1701 W Superior St, Chicago, IL 60622-5646 | 2019-11-19 |
| 1396389540 | Patricia Luevano | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2019-10-31 |
| 1447808647 | Giovanni Michele Perottino | Student in an Organized Health Care Education/Training Program | 1701 W Superior St, Chicago, IL 60622-5646 | 2019-08-30 |
| 1215442884 | Anna Ruth Blauw | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2017-12-05 |
| 1275058687 | Cynthia L Stoffel | Advanced Practice Midwife | 1701 W Superior St, Chicago, IL 60622-5646 | 2017-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
| 1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
| 1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
| 1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
| 1780129742 | Darice Linares | Nurse Practitioner | 830 S Wood St, Chicago, IL 60612-4325 | 2016-12-30 |
| 1942262134 | Donna Myers | Nurse Practitioner | 833 W Chicago Ave, #305, Chicago, IL 60622-5449 | 2006-04-04 |
| 1457324311 | Lidia Andruszyn | Nurse Practitioner | 6493 N Northwest Hwy Apt 411, Chicago, IL 60631-1893 | 2006-02-10 |
| 1942857081 | Dana Brenneman | Nurse Practitioner | 1740 W Taylor St, Chicago, IL 60612-7232 | 2019-08-22 |
| 1073160651 | Andrea Warzyniec | Nurse Practitioner | 676 N Saint Clair St Ste 21-100, Chicago, IL 60611-2927 | 2019-08-20 |
| 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.