MRS. HEATHER A BOCKHOLD (NPI# 1700057528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700057528 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER A BOCKHOLD |
| Credential | APN |
| Practice Address |
5721 S Maryland Ave Chicago IL 60637-1425 |
| Mailing Address |
600 N Lake Shore Dr Apt 1409 Chicago IL 60611-3018 |
| Practice Telephone | 7737020817 |
| Mailing Telephone | 3124040002 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209.007005 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5721 S Maryland Ave, Chicago, IL 606371425 | 7737020817 |
| Street Address |
5721 S MARYLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942277322 | Jill Louise Olson De Jong | Pediatrics | 5721 S Maryland Ave, Comer Children's Hospital, Chicago, IL 60637-1425 | 2006-03-03 |
| 1245852730 | Stefanie Hayes | Registered Nurse | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2020-05-07 |
| 1598392169 | Ashley Mackey | Pediatrics | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2020-03-24 |
| 1205499423 | Margaret Elizabeth Mcguire | Nurse Practitioner | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2019-04-15 |
| 1134635147 | Margaret Connors | Nurse Practitioner | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2017-12-28 |
| 1164871844 | Emily Batton | Pediatrics | 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637-1425 | 2016-06-03 |
| 1043668098 | Ysabella Esteban | Pediatrics | 5721 S Maryland Ave, Mc 8016, K 155, Chicago, IL 60637-1425 | 2016-06-01 |
| 1801242367 | Elizabeth Watts Freeman | Pediatrics | 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637-1425 | 2016-05-13 |
| 1619358868 | Catherine Berger | Pediatrics | 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 60637 | 2015-06-13 |
| 1124409743 | Juan Ricardo Barron Alemany | Pediatrics | 5721 S Maryland Ave, Chicago, IL 60637-1425 | 2015-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1366926347 | Kimberly Snell Blanchard | Nurse Practitioner | 600 S Paulina St Ste 130, Chicago, IL 60612-3806 | 2018-09-17 |
| 1942796123 | Elizabeth R Reyna | Nurse Practitioner | 5841 S Maryland Ave # Mc7120, Chicago, IL 60637-1443 | 2018-07-10 |
| 1518475615 | Kyla Lynn Musser | Nurse Practitioner | 2525 S Michigan Ave Ste 12, Chicago, IL 60616-2315 | 2018-01-11 |
| 1942717418 | Madiha Khan | Nurse Practitioner | 3000 N Halsted St Ste 623, Chicago, IL 60657 | 2018-01-05 |
| 1952828980 | Paulina Petrishka | Nurse Practitioner | 1115 N Crosby St # C, Chicago, IL 60610-2405 | 2017-08-30 |
| 1831639384 | Ivory Rhymes | Nurse Practitioner | 8750 W Bryn Mawr Ave, Chicago, IL 60631-3655 | 2017-03-02 |
| 1265971204 | Venus Liezl Basnillo- San Diego | Nurse Practitioner | 1628 N Bell Ave, Apt 1, Chicago, IL 60647-5289 | 2017-02-22 |
| 1093253718 | Daniel Robert Mead | Nurse Practitioner | 1540 W Chicago Ave, Chicago, IL 60642-5236 | 2017-02-01 |
| 1992249585 | Karen Panganiban | Nurse Practitioner | 4605 N Elston Ave, 3a, Chicago, IL 60630-4373 | 2016-12-15 |
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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.