MS. ANUM HAQ (NPI# 1760998280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760998280 |
| Entity Type | Individual |
| Full Name | MS. ANUM HAQ |
| Credential | PA-C |
| Practice Address |
45 W 111th St Chicago IL 60628-4200 |
| Mailing Address |
17w750 Lowell Ln Villa Park IL 60181-3726 |
| Practice Telephone | 7739953000 |
| Mailing Telephone | 6308258870 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085006392 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
45 W 111TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222454 | Carl Vancol | Family Medicine | 45 W 111th St, Suite 304, Chicago, IL 60628-4200 | 2005-08-16 |
| 1740897149 | Healthcare Alternative Systems, Inc. | Clinic/Center | 45 W 111th St, Chicago, IL 60628-4200 | 2020-09-29 |
| 1659988053 | Healthcare Alternative Systems, Inc. | Clinic/Center | 45 W 111th St, Chicago, IL 60628-4200 | 2020-09-29 |
| 1003371717 | Shakira Ayanlaja | Nurse Practitioner | 45 W 111th St, Chicago, IL 60628-4200 | 2019-02-06 |
| 1265997142 | Roseland Community Hospital Association | Dentist | 45 W 111th St, Chicago, IL 60628-4200 | 2019-02-05 |
| 1063918555 | Brenda Beben | Dietitian, Registered | 45 W 111th St, Chicago, IL 60628-4200 | 2018-04-03 |
| 1730687591 | Tranisha Lynette Lucas | Nurse Practitioner | 45 W 111th St, Chicago, IL 60628-4200 | 2018-01-26 |
| 1386152395 | Rjm Wellness Corp | Internal Medicine | 45 W 111th St, Chicago, IL 60628-4200 | 2018-01-12 |
| 1780110346 | Roxanne Spurlark | Nurse Practitioner | 45 W 111th St, Chicago, IL 60628-4200 | 2017-05-02 |
| 1619417979 | Roseland Community Hospital Association | Pharmacy | 45 W 111th St, Chicago, IL 60628-4200 | 2017-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| Find all providers in zip 60628 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1245858117 | Emily Victoria Headley | Physician Assistant | 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 | 2020-07-08 |
| 1548884547 | Crystal Afua Amoah | Physician Assistant | 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 | 2020-06-04 |
| 1841814274 | Zubair Aslam Khan | Physician Assistant | 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 | 2020-06-01 |
| 1659991818 | Taylor Nicole Anderson | Physician Assistant | 25 W Randolph St Apt 603, Chicago, IL 60601-3514 | 2020-04-17 |
| 1720616444 | Melanie Doretti | Physician Assistant | 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 | 2020-03-29 |
| 1154958544 | Joerissa Gearlds | Physician Assistant | 5645 W Addison St Rm 353, Chicago, IL 60634-4403 | 2020-03-25 |
| 1932736816 | Taylor Evan Fisher | Physician Assistant | 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 | 2020-03-23 |
| 1285260844 | Krista A Saum | Physician Assistant | 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 | 2020-03-16 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| 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.