ANNE JENISCH (NPI# 1699293936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699293936 |
| Entity Type | Individual |
| Full Name | ANNE JENISCH |
| Credential | APN |
| Practice Address |
2160 South First Avenue Building 110, Room 6201 Maywood IL 60523 |
| Mailing Address |
2160 S 1st Ave Maywood IL 60153-3328 |
| Practice Telephone | 7083272236 |
| Mailing Telephone | 6305320476 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
209.016453 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2160 SOUTH FIRST AVENUE BUILDING 110, ROOM 6201 |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891758777 | Bipan Chand | Surgery | 2160 South First Avenue, Ems Bldg. - Room 3224, Maywood, IL 60153 | 2006-04-11 |
| 1588124739 | Sovik Desirkar | Student in an Organized Health Care Education/Training Program | 2160 South First Avenue, Maywood, IL 60153 | 2019-03-23 |
| 1417480617 | Stephen James Mccracken | Anesthesiology | 2160 South First Avenue, Maywood, IL 60153 | 2017-04-05 |
| 1659803716 | Syed Karam Gardezi | Student in an Organized Health Care Education/Training Program | 2160 South First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2017-03-29 |
| 1104357375 | Matthew Steinberger | Student in an Organized Health Care Education/Training Program | 2160 South First Avenue, Loyola University Medical Center, Maywood, IL 60153-3328 | 2017-03-21 |
| 1952563546 | Albert Jae Song | Radiology | 2160 South First Avenue, Building 101, Room 1752, Maywood, IL 60153-3328 | 2008-06-26 |
| 1811927361 | Rita Vida Odegaard | Radiology | 2160 South First Avenue, Maywood, IL 60153 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358630 | Jennifer Renee Earnest | Counselor | 2526 Butterfield Road, Suite 138s, Oakbrook, IL 60523 | 2020-02-12 |
| 1881244614 | Meredith Elise Osborne | Pain Medicine | Joint Relief Institute, 600 22nd Street, Oak Brook, IL 60523 | 2019-09-13 |
| 1811450349 | Jessica A Kras | Physical Therapist | 2011 York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1356804876 | Derek M Jones | Physical Therapist | 2011 N. York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
| 1821537358 | The Anxiety Treatment Center - Western Suburbs, LLC | Counselor | 1100 Jorie Blvd, 227, Oak Brook, IL 60523 | 2017-02-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1154877850 | Sandhya Jayaram Shetty | Specialist/Technologist, Other | 1420 Kensington Rd., 201, Oak Brook, IL 60523 | 2016-09-01 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
| Find all providers in zip 60523 | ||||
| Taxonomy Code | 364SA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891978672 | Sara L Mccavitt | Clinical Nurse Specialist | 530 Ne Glen Oak Ave Ste G13, Peoria, IL 61637-0001 | 2007-12-14 |
| 1356352512 | Mary Digate | Clinical Nurse Specialist | 100 Spalding Dr Ste 400, Naperville, IL 60540-6554 | 2006-08-11 |
| 1427690700 | Schuyler A Perez De Salmeron | Clinical Nurse Specialist | 333 Madison St, Joliet, IL 60435-8200 | 2019-10-08 |
| 1437707825 | Tracy Laluma Montesa | Clinical Nurse Specialist | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2019-08-28 |
| 1174006290 | Mary Lyons | Clinical Nurse Specialist | 801 S Washington St, Naperville, IL 60540-7430 | 2018-09-13 |
| 1598284473 | Margaret Kearney | Clinical Nurse Specialist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2017-09-12 |
| 1700313202 | Carissa Waters | Clinical Nurse Specialist | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2017-05-15 |
| 1548706708 | Veronica Matticks | Clinical Nurse Specialist | 1200 S York St, Suite Number 1132, Elmhurst, IL 60126-5626 | 2017-01-12 |
| 1366987406 | Jennifer Yokopenic | Clinical Nurse Specialist | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2016-12-28 |
| 1487106647 | Mary Kirby | Clinical Nurse Specialist | 251 E Huron St, Chicago, IL 60611-2908 | 2016-11-03 |
| Find all providers with the same taxonomy | ||||
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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.