MRS. MUTENGWANA KASAPU-MWABA (NPI# 1619480696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619480696 |
| Entity Type | Individual |
| Full Name | MRS. MUTENGWANA KASAPU-MWABA |
| Practice Address |
2025 S Chicago St Joliet IL 60436-3172 |
| Mailing Address |
Po Box 746721 Atlanta GA 30374-6721 |
| Practice Telephone | 8157262200 |
| Mailing Telephone | 3127339730 |
| Mailing Fax Number | 7738668014 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.016680 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3725 W Nettle Creek Dr, Morris, IL 604508732 | 6785595065 |
| Street Address |
2025 S CHICAGO ST |
| City | JOLIET |
| State | IL |
| Zip Code | 60436-3172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407846298 | Kalpana Tushar Shah | Dentist | 2025 S Chicago St, Joliet, IL 60436-3172 | 2005-10-24 |
| 1295218238 | Lisa M Smith | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2018-09-14 |
| 1437672656 | Laboratory Corporation of America | Clinical Medical Laboratory | 2025 S Chicago St, Joliet, IL 60436-3172 | 2017-07-19 |
| 1689118143 | Karen Shahan | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2016-12-16 |
| 1023488475 | Sumar Abushaqra | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2015-09-29 |
| 1538546791 | Mustafa Aladin | Internal Medicine | 2025 S Chicago St, Joliet, IL 60436-3172 | 2015-04-27 |
| 1003216557 | Jennifer M Panning | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2014-09-02 |
| 1619300977 | Lijun He | Nurse Practitioner | 2025 S Chicago St, Joliet, IL 60436-3172 | 2013-08-09 |
| 1710287818 | Paula Jean Hall | Dietitian, Registered | 2025 S Chicago St, 1051 Essington Rd., Joliet, IL 60436-3172 | 2010-10-24 |
| 1215248067 | Niraj Yatin Shah | Internal Medicine | 2025 S Chicago St, Joliet, IL 60436-3172 | 2010-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431345 | Tiffanie Mcnair | Nurse's Aide | 306 Romayne Ave, Joliet, IL 60436 | 2017-07-28 |
| 1366964215 | Pamela Coney | Licensed Practical Nurse | 916 Prairie Path Ln, Joliet, IL 60436 | 2017-07-12 |
| 1104375815 | Cynthia Sylvia | Licensed Practical Nurse | 211 S. Hunter Ave, Joliet, IL 60436 | 2016-09-23 |
| 1760804629 | Center for Disability Services | Day Training, Developmentally Disabled Services | 311 S Reed St, Joliet, IL 60436 | 2014-01-13 |
| 1215247093 | Sadra Rae West | Developmental Therapist | 807 Thorn Creek Drive, Joliet, IL 60436 | 2010-10-14 |
| 1033360136 | Tonya Hagenbaumer | Dietitian, Registered | 2025 S. Chicago Street, Joliet, IL 60436 | 2008-10-07 |
| 1699966051 | Kul Sood | General Practice | 95 S Chicago St, Joliet, IL 60436 | 2007-08-09 |
| 1053410407 | Yatin M Shah Md Sc | Medical Genetics, Ph.D. Medical Genetics | 2025 S Chicago Street, Joliet, IL 60436 | 2006-09-22 |
| 1821103755 | Victoria L Mancke | Nurse Practitioner | 2025s Chicago St, Joliet, IL 60436 | 2006-08-20 |
| 1790750412 | Maria L Ramirez | Occupational Therapist | 709 Margaret St, Rockdale, IL 60436 | 2006-02-17 |
| Find all providers in zip 60436 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751963 | Giedre Pritchard | Nurse Practitioner | 1020 Pine View Dr, Joliet, IL 60432-0759 | 2019-07-10 |
| 1336707611 | Leigh Ann Ankeney | Nurse Practitioner | 1106 Addleman St, Joliet, IL 60431-8764 | 2019-06-03 |
| 1689238420 | Nisha Cyriac | Nurse Practitioner | 3077 W Jefferson St Ste 104, Joliet, IL 60435-5263 | 2019-04-26 |
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1245750579 | Rachael W Gathonjia | Nurse Practitioner | 815 N Larkin Ave Ste 105, Joliet, IL 60435-3454 | 2017-06-27 |
| 1912431248 | Raquel Welch | Nurse Practitioner | 330 Madison St Ste 202, Joliet, IL 60435-5683 | 2017-04-13 |
| 1578902839 | Jennifer Louise Hazard | Nurse Practitioner | 3200 Caton Farm Rd, Joliet, IL 60431-1202 | 2013-06-20 |
| 1932470770 | Carol Ann Smolik | Nurse Practitioner | 114 Barney Dr, Joliet, IL 60435-6404 | 2012-01-25 |
| 1821103755 | Victoria L Mancke | Nurse Practitioner | 2025s Chicago St, Joliet, IL 60436 | 2006-08-20 |
| 1538117445 | Mary E. Maragos | Nurse Practitioner | 500 Wilcox St, Joliet, IL 60435-6169 | 2006-05-04 |
| Find all providers in JOLIET | ||||
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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.