GIAN BONADOR (NPI# 1770068421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770068421 |
| Entity Type | Individual |
| Full Name | GIAN BONADOR |
| Credential | APN |
| Practice Address |
1134 W Granville Ave Apt 715 Chicago IL 60660-5047 |
| Practice Telephone | 3128103777 |
| Mailing Telephone | 3128103777 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209.018275 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1134 W GRANVILLE AVE APT 715 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672280 | Alexis Shelton | Behavior Technician | 6317 N Broadway, Chicago, IL 60660 | 2019-11-03 |
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1417492224 | Aynur Fataliyeva | Non-emergency Medical Transport (VAN) | 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 | 2017-01-03 |
| 1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1295134112 | Brent E Agran, Dds, LLC | Dentist | 5820 N. Clark St., 1s, Chicago, IL 60660 | 2014-08-15 |
| 1538573258 | Emily Eaton | Student in an Organized Health Care Education/Training Program | 5643 N. Magnolia Ave, Chicago, IL 60660 | 2014-06-20 |
| 1538572664 | Rozina Altaf Virani | Nurse Practitioner | 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 | 2014-06-05 |
| 1548673866 | Emily Mckernan | Social Worker | 5710 N Broadway Ave, Chicago, IL 60660 | 2014-06-04 |
| 1679902324 | Christopher Burgess | Psychologist | 1554 W Hollywood, #storefront, Chicago, IL 60660 | 2013-11-04 |
| Find all providers in zip 60660 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1114574886 | Hyde Park Mental Wellness | Nurse Practitioner | 1525 E 55th St Ste 205, Chicago, IL 60615-5584 | 2019-08-19 |
| 1689232522 | Sarah Ball Schrock | Nurse Practitioner | 3310 W Division St, Chicago, IL 60651-2301 | 2019-06-05 |
| 1982168407 | Richardson Psychiatric | Nurse Practitioner | 3660 N Lake Shore Dr Ste 201, Chicago, IL 60613-5302 | 2019-01-29 |
| 1386117232 | Prudent Alliance for Healthcare, LLC | Nurse Practitioner | 6159 W Eddy St, Chicago, IL 60634-4122 | 2019-01-03 |
| 1790115293 | Stacey Marie Meyers | Nurse Practitioner | 6439 N Sheridan Rd Ste 310, Chicago, IL 60626-5364 | 2013-11-19 |
| 1326385824 | Deborah Francine Bump | Nurse Practitioner | 6918 S Euclid Ave, Chicago, IL 60649-1512 | 2013-01-03 |
| 1104058221 | Lester Eugene Lamee Jr. | Nurse Practitioner | 251 E Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 | 2009-08-24 |
| 1720003577 | Janice E Stern | Nurse Practitioner | 1645 W Jackson Blvd Ste 602, Chicago, IL 60612 | 2006-07-13 |
| 1124628078 | Adeluisa Yranela | Nurse Practitioner | 6159 W Eddy St, Chicago, IL 60634-4122 | 2020-10-29 |
| 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.