MR. VINCE JUDE EHRENBERG


Address: 5536 N Virginia Ave, Chicago, IL 60625-3918
Phone: 7738493886

MR. VINCE JUDE EHRENBERG (NPI# 1760017917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760017917
Entity Type Individual
Full Name MR. VINCE JUDE EHRENBERG
Credential FOUNDER PERICHAIR LL
Practice Address 5536 N Virginia Ave
Chicago
IL 60625-3918
Practice Telephone 7738493886
Mailing Telephone 7738493886
Enumeration Date 2020-03-09
Last Update Date 2020-03-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
352671922 IL Nursing Service Providers

Office Location

Street Address 5536 N VIRGINIA AVE
City CHICAGO
State IL
Zip Code 60625-3918

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1376102202 Nita Gupta Student in an Organized Health Care Education/Training Program Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 2019-06-13
1841763471 Alexandra Taskier Counselor 5359 N Bowmanville Ave., Chicago, IL 60625 2019-01-07
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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457975245 Deborah Marie Moore-thompson Registered Nurse 9413 S Throop St, Chicago, IL 60620-3625 2020-06-08
1922641513 Janthina Suzel Olascoaga Registered Nurse 3723 W 70th St, Chicago, IL 60629-4232 2019-10-25
1982188546 Nancy Yee Registered Nurse 1332 N Burling St, Chicago, IL 60610-5265 2018-09-19
1386193464 Adekunle Adeniji Registered Nurse 525 E 46th Pl, Chicago, IL 60653-4205 2016-09-29
1558765164 Sulaimon Kehinde Oladipo Registered Nurse 9415 S Western Ave Ste 206, Chicago, IL 60643-6700 2014-10-10
1619254554 Helene Cissell Registered Nurse 700 North Larrabee Street, Unit 801, Chicago, IL 60654-0101 2011-11-07
1689816803 Lillian M Ortiz Registered Nurse 439 E 31st St Ste 215, Chicago, IL 60616-4000 2009-04-02
1275717654 Martha L. Herzog Registered Nurse 1420 W Highland Ave, Chicago, IL 60660-1318 2007-12-20
1477748150 Christine Wright Registered Nurse 502 S Oakley Blvd, Chicago, IL 60612-3508 2007-09-06
1699969147 Nakia Long Registered Nurse 719 W 61st St, Chicago, IL 60621-2855 2007-08-28
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Competitor

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City CHICAGO
Zip Code 60625

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Dataset Information

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.

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