KRISTEN WENDELL (NPI# 1619219722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619219722 |
| Entity Type | Individual |
| Full Name | KRISTEN WENDELL |
| Practice Address |
8915 W Golf Rd Niles IL 60714 |
| Mailing Address |
25070 Network Pl Chicago IL 60673-1385 |
| Practice Telephone | 8478279060 |
| Practice Fax Number | 8478277196 |
| Mailing Telephone | 8475857000 |
| Mailing Fax Number | 8472409093 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036138731 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1775 Ballard Rd, Park Ridge, IL 600681005 | 8473189340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326457763 | Kristen Rose Wendell | Pharmacist | 17727 E Burnside St, Portland, OR 97233-4803 | 2014-08-11 |
| Street Address |
8915 W GOLF RD |
| City | NILES |
| State | IL |
| Zip Code | 60714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255328878 | Leonard M Klein | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2005-09-29 |
| 1326548678 | Laboratory Corporation of America | Clinical Medical Laboratory | 8915 W Golf Rd, Niles, IL 60714-5905 | 2018-02-13 |
| 1922530856 | Steve Chan | Pharmacist | 8915 W Golf Rd, Niles, IL 60714-5905 | 2017-03-30 |
| 1861864175 | Catherine Majcher | Nurse Practitioner | 8915 W Golf Rd, Niles, IL 60714-5905 | 2015-10-26 |
| 1891038204 | Sonia Christian | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714 | 2013-04-03 |
| 1295910800 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 8915 W Golf Rd, Niles, IL 60714-5905 | 2008-01-02 |
| 1649343864 | Illinois Cancer Specialists | Pharmacy | 8915 W Golf Rd, Niles, IL 60714-5905 | 2006-11-16 |
| 1689762502 | Joel Schwartz | Radiology | 8915 W Golf Rd, Niles, IL 60714-5905 | 2006-10-10 |
| 1164483913 | Illinois Cancer Specialists | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2006-03-31 |
| 1003805375 | Susan G Brown | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2005-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
| 1669904124 | Ralph N. Robbins D.d.s., Ltd. | Dentist | 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 | 2017-04-03 |
| 1962947010 | The Thresholds | Community/Behavioral Health | 8842 Prospect Ave, Niles, IL 60714 | 2016-12-28 |
| 1548632367 | Kristine Pallarca | Pharmacist | 9000 W. Golf Rd, Niles, IL 60714 | 2015-10-21 |
| 1326421082 | Zuber Koya | Optometrist | 5762 W Touhy Ave, Niles, IL 60714 | 2015-06-30 |
| 1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
| 1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1285062356 | Benjamin Trukman | Physical Therapist | 8269 West Golf Rd, Niles, IL 60714 | 2013-10-28 |
| 1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
| Find all providers in zip 60714 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255328878 | Leonard M Klein | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2005-09-29 |
| 1578979415 | Lakeland Medical Practices | Internal Medicine | 42 N Saint Joseph Ave, Suite 302, Niles, MI 49120-2203 | 2014-07-10 |
| 1891038204 | Sonia Christian | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714 | 2013-04-03 |
| 1912027434 | Oncology Specialists,sc | Internal Medicine | 7900 N Milwaukee Ave, Suite 16, Niles, IL 60714-3159 | 2007-03-29 |
| 1295874014 | Michiana Hematology Oncology of Michigan, P.C. | Internal Medicine | 4 Longmeadow Drive, Suite 1, Niles, MI 49120 | 2007-02-06 |
| 1164483913 | Illinois Cancer Specialists | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2006-03-31 |
| 1003805375 | Susan G Brown | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2005-10-19 |
| 1407843857 | Leonard A Kosova | Internal Medicine | 8915 W Golf Rd, 3rd Floor, Niles, IL 60714-5905 | 2005-09-30 |
| 1174510523 | John W Eklund | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2005-09-30 |
| 1972590347 | David Hakimian | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2005-09-30 |
| Find all providers in NILES | ||||
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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.