ODESSA G UBONGEN (NPI# 1700210457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700210457 |
| Entity Type | Individual |
| Full Name | ODESSA G UBONGEN |
| Practice Address |
1910 Dempster St Evanston IL 60202-1016 |
| Mailing Address |
8804 Briar Ct Apt 2a Des Plaines IL 60016-5414 |
| Practice Telephone | 8478669233 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051296986 | IL | Pharmacy Service Providers |
| Street Address |
1910 DEMPSTER ST |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410549 | Grace Myhre | Pharmacist | 2650 Ridge Ave Rm G949, Evanston, IL 60201-1700 | 2019-07-29 |
| 1326552480 | Soheileh Hwang | Pharmacist | 800 Austin St Ste 101, Evanston, IL 60202-3450 | 2017-11-28 |
| 1720506728 | Kathryn Marie Schiavo | Pharmacist | 2650 Ridge Ave Rm G400, Evanston, IL 60201-1718 | 2017-08-30 |
| 1164951216 | Kia A Sutton | Pharmacist | 2485 Howard St, Evanston, IL 60202-3638 | 2017-06-11 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1235597295 | Steven Asbill | Pharmacist | 1890 Maple Ave, Apartment 1308e, Evanston, IL 60201-3159 | 2016-02-05 |
| 1902201437 | Theodora Kapos Jurichko | Pharmacist | 1018 Wesley Ave, Evanston, IL 60202-1161 | 2014-10-27 |
| 1518367259 | Lucas Sedlak | Pharmacist | 1616 Sherman Ave, Evanston, IL 60201 | 2014-08-29 |
| 1275817850 | Nasima Mir Coria | Pharmacist | 1111 Church St Apt 804, Evanston, IL 60201-3691 | 2011-09-30 |
| 1548541337 | Michael C Sims | Pharmacist | 2607 Noyes St, Evanston, IL 60201-2170 | 2011-09-07 |
| Find all providers in EVANSTON | ||||
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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.