ANNETTE NAOMI DIGGS


Address: 7638 S Evans Ave Ste B, Chicago, IL 60619-2519
Phone: 7735590393

ANNETTE NAOMI DIGGS (NPI# 1619270725) 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) 1619270725
Entity Type Individual
Full Name ANNETTE NAOMI DIGGS
Credential RN, PMHNP-BC
Practice Address 7638 S Evans Ave Ste B
Chicago
IL 60619-2519
Practice Telephone 7735590393
Mailing Telephone 7735590393
Enumeration Date 2010-12-10
Last Update Date 2020-10-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 041376323 IL Nursing Service Providers
N 363L00000X Nurse Practitioner 4704365395 MI Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 209.021291 IL Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
4704365395 MI Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
209.021291 IL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7350 S Phillips Ave, Apt.503, Chicago, IL 606493444 7735957515

Office Location

Street Address 7638 S EVANS AVE STE B
City CHICAGO
State IL
Zip Code 60619-2519

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417557968 Lake Shore Mental Health Services Inc. Psychiatry & Neurology 7638 S Evans Ave Ste B, Chicago, IL 60619-2519 2020-10-26

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60619

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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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