AMANDA M. SCHALLMAN (NPI# 1629470315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629470315 |
| Entity Type | Individual |
| Full Name | AMANDA M. SCHALLMAN |
| Credential | PA-C |
| Practice Address |
9711 Skokie Blvd Suite J Skokie IL 60077-1384 |
| Practice Telephone | 8476759711 |
| Mailing Telephone | 8476759711 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085-005169 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS LICENSE | 085-005169 | 01 |
| Street Address |
9711 SKOKIE BLVD SUITE J |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-1384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932198322 | Jennifer Centore-lober | Physician Assistant | 9711 Skokie Blvd, Skokie, IL 60077-1384 | 2005-10-18 |
| 1801311329 | Susan Millner Therapeutic Services LLC | Clinic/Center | 9711 Skokie Blvd, Skokie, IL 60077-1384 | 2017-08-04 |
| 1942757299 | First Hand Rehabilitation Inc. | Physical Therapist | 9711 Skokie Blvd, Suite F, Skokie, IL 60077-1384 | 2016-09-03 |
| 1255603049 | Resurrection Services | General Practice | 9711 Skokie Blvd, Suite A, Skokie, IL 60077-1384 | 2012-02-08 |
| 1336461987 | North Shore Physicians Group, LLC | Internal Medicine | 9711 Skokie Blvd, Suite A, Skokie, IL 60077-1384 | 2010-02-24 |
| 1497084420 | Revive Chiropractic & Rehabilitation Care Ltd. | Chiropractor | 9711 Skokie Blvd, Ste. #f, Skokie, IL 60077-1384 | 2009-12-22 |
| 1891920898 | Illinois Dermatology Institute, LLC | Dermatology | 9711 Skokie Blvd, Suite J., Skokie, IL 60077-1384 | 2009-05-19 |
| 1063659001 | Sara Dickie | Surgery | 9711 Skokie Blvd, Suite J, Skokie, IL 60077-1384 | 2009-01-13 |
| 1821240383 | Melanie S Levine | Psychologist | 9711 Skokie Blvd, Suite H, Skokie, IL 60077-1384 | 2008-10-16 |
| 1083835052 | Michael Mcguire, Md, LLC | Urology | 9711 Skokie Blvd, Suite H, Skokie, IL 60077-1384 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| 1629695333 | Alli Joy Chemmachel | Physician Assistant | 4925 Dobson St, Skokie, IL 60077-2820 | 2020-06-29 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| 1720109424 | Ian V Mackey | Physician Assistant | 9669 Kenton Ave Ste 209, Skokie, IL 60076-1226 | 2007-04-02 |
| 1750369914 | Thomas S Hans Jr. | Physician Assistant | 9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006 | 2006-01-06 |
| 1770112302 | Danielle Gomez | Physician Assistant | 9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006 | 2020-04-06 |
| 1710510391 | Michaela Rose Mackey | Physician Assistant | 9977 Woods Dr Ste 100, Skokie, IL 60077-1057 | 2020-02-21 |
| 1114557717 | Kevin J Lapp | Physician Assistant | 9650 Gross Point Rd, Skokie, IL 60076-5080 | 2020-01-22 |
| 1346888989 | Annie Zupan | Physician Assistant | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-12-13 |
| 1568003655 | Lauren Ashley Zaucha | Physician Assistant | 9650 Gross Point Rd., Skokie, IL 60076 | 2019-10-01 |
| Find all providers in SKOKIE | ||||
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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.