TARA L MCMILLAN (NPI# 1689039562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689039562 |
| Entity Type | Individual |
| Full Name | TARA L MCMILLAN |
| Credential | FNP-C |
| Practice Address |
6545 W Archer Ave Chicago IL 60638-2555 |
| Mailing Address |
25207 W Indian Boundary Ct Plainfield IL 60544-7775 |
| Practice Telephone | 6309476131 |
| Mailing Telephone | 6308907481 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
277000113 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467019661 | Tara E Mcmillan | Massage Therapist | 14209 Regent Ct, Woodbridge, VA 22193-3762 | 2019-05-22 |
| Street Address |
6545 W ARCHER AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60638-2555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588775696 | Crystal A Peoples | Family Medicine | 6545 W Archer Ave, Chicago, IL 60638-2438 | 2006-08-31 |
| 1932715539 | Podiatric Management Systems LLC | Podiatrist | 6545 W Archer Ave, Chicago, IL 60638-2555 | 2020-09-18 |
| 1538546098 | Lindsey Ogle | Nurse Practitioner | 6545 W Archer Ave, Chicago, IL 60638-2555 | 2015-05-04 |
| 1093148835 | Adventist Health Partners, Inc | Internal Medicine | 6545 W Archer Ave, Chicago, IL 60638-2438 | 2013-08-15 |
| 1164724431 | Daniel J. Walters Dpm PC | Podiatrist | 6545 W Archer Ave, Chicago, IL 60638-2438 | 2010-11-18 |
| 1023166311 | Robert J Kash, M.d., S.c. | Internal Medicine | 6545 W Archer Ave, Chicago, IL 60638-2438 | 2007-01-05 |
| 1932277324 | Walter Rudek | Internal Medicine | 6545 W Archer Ave, Chicago, IL 60638-2438 | 2006-12-01 |
| 1598832552 | Daniel J. Walters | Podiatrist | 6545 W Archer Ave, Chicago, IL 60638 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931952 | Dawid Bula | Pharmacist | 7090 S Cicero Ave, Bedford Park, IL 60638 | 2020-10-30 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| 1891343711 | Marie Dipasquale | Technician | 5837 So. Natoma Ave, Chgo, IL 60638 | 2019-09-04 |
| 1316434400 | Ab Dental Professionals LLC | Dentist | 5672 South Archer Avenue, Chicago, IL 60638 | 2018-04-16 |
| 1427563204 | Bethany Elkington | Occupational Therapist | 5764 South Archer Ave, Chicago, IL 60638 | 2017-12-03 |
| 1952759854 | Ismael Gutierrez | Family Medicine | 6084 W Archer Ave, Chicago, IL 60638 | 2016-06-01 |
| 1336533314 | Claude Lucas King | Counselor | 6235 S Major Ave Apt 1, Chicago, IL 60638 | 2015-03-27 |
| 1538594395 | Mohammad Joudeh | Chiropractor | 4844 S Cicero Ave, Chicago, IL 60638 | 2013-09-11 |
| 1548602428 | Clearing Vision Professional Corporation | Optometrist | 5718 W. 63rd St., Chicago, IL 60638 | 2013-07-22 |
| 1184963134 | Raquel Ana Eguia | Physical Therapist | 5658 S. Parkside Ave, Chicago, IL 60638 | 2013-02-12 |
| Find all providers in zip 60638 | ||||
| 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.