MRS. DIANA SKUKAN MEDVED (NPI# 1619351434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619351434 |
| Entity Type | Individual |
| Full Name | MRS. DIANA SKUKAN MEDVED |
| Practice Address |
635 N Dearborn St Chicago IL 60654-4618 |
| Mailing Address |
6935 N Kenneth Ave Lincolnwood IL 60712-4708 |
| Practice Telephone | 3126942273 |
| Mailing Telephone | 7732066716 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.012831 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
635 N DEARBORN ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60654-4618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952393860 | Christina Marie Taufen | Family Medicine | 635 N Dearborn St, Chicago, IL 60654-4618 | 2005-08-17 |
| 1881220150 | Andrew Suplicki | Clinic/Center | 635 N Dearborn St, Chicago, IL 60654-4618 | 2020-03-19 |
| 1821645110 | Madelyn Geary | Student in an Organized Health Care Education/Training Program | 635 N Dearborn St, Chicago, IL 60654-4618 | 2019-08-21 |
| 1477013407 | Edward John Supan | Physician Assistant | 635 N Dearborn St, Chicago, IL 60654-4618 | 2019-03-25 |
| 1003342700 | Maria Uhler | Physician Assistant | 635 N Dearborn St, Chicago, IL 60654-4618 | 2017-05-02 |
| 1235680877 | Jessalyn N Rashid | Physician Assistant | 635 N Dearborn St, Chicago, IL 60654-4618 | 2016-10-19 |
| 1700260171 | Nikoo Turpin | Physician Assistant | 635 N Dearborn St, Chicago, IL 60654-4618 | 2015-07-16 |
| 1598158271 | Kelly Jo Nelson | Nurse Practitioner | 635 N Dearborn St, Chicago, IL 60654-4618 | 2015-03-05 |
| 1295132199 | Alyssa Britton | Physician Assistant | 635 N Dearborn St, Chicago, IL 60654-4618 | 2014-11-21 |
| 1770891756 | Lee A Frerker | Physician Assistant | 635 N Dearborn St, Chicago, IL 60654-4618 | 2010-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
| 1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
| 1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
| 1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
| 1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
| 1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
| Find all providers in zip 60654 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
| 1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
| 1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
| 1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
| 1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
| 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.