ANGELA WILLIS (NPI# 1821454729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821454729 |
| Entity Type | Individual |
| Full Name | ANGELA WILLIS |
| Credential | NP |
| Practice Address |
4440 W 95th St Oak Lawn IL 60453-2600 |
| Practice Telephone | 7086845777 |
| Mailing Telephone | 7086845777 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209013715 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IL LICENSE | 209013715 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699950089 | Angela Kay Willis | Social Worker | 244 S Chestnut St, Barnesville, OH 43713-1323 | 2008-01-03 |
| 1013043298 | Angela H. Willis | Contractor | 10102 State Highway 6, Fresno, TX 77545-2022 | 2007-02-24 |
| 1700347119 | Angela Willis | Behavior Technician | 634 N 12th St, Murray, KY 42071-1651 | 2019-03-28 |
| 1366911927 | Angela Soyad Willis | Nurse Practitioner | 43455 Schoenherr Rd Ste 2, Sterling Heights, MI 48313-1972 | 2018-11-13 |
| 1508382284 | Angela Marie Willis | Case Manager/Care Coordinator | 701 Jefferson Ave, Toledo, OH 43604-6955 | 2017-08-15 |
| 1750775607 | Angela Willis | Nurse Practitioner | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2015-03-27 |
| 1942544952 | Angela Sue Willis | Licensed Practical Nurse | 500 3rd St, West Des Moines, IA 50265-4614 | 2012-11-15 |
| 1548419195 | Angela Ingrid Willis | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2008-09-18 |
| 1356569008 | Angela L Willis | Counselor | 5220 W Washington Blvd, Suite 101, Los Angeles, CA 90016-1331 | 2007-04-20 |
| 1497884118 | Angela Willis | Social Worker | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2007-03-06 |
| Street Address |
4440 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805666 | Kenneth S. Toth | Anesthesiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2005-07-15 |
| 1821697392 | Marissa Vavra | Occupational Therapist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-25 |
| 1215535638 | Jarrod Siek Georgacakis | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-16 |
| 1396350708 | Crystal Oehmen | Radiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-09-11 |
| 1255943999 | Kristen Michele Hill | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-08-22 |
| 1033735295 | Thomas Panicucci | Registered Nurse | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-23 |
| 1538785407 | Amanda Thompson | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-17 |
| 1508481250 | Amy Marie Fader | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-09 |
| 1528680139 | Nader Hamzeh Darwish | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-18 |
| 1003438920 | Anna Manilla | Speech-Language Pathologist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834435 | Phyllis Eggleston | Nurse Practitioner | 10201 S Cicero Ave Ste C, Oak Lawn, IL 60453-4672 | 2020-06-02 |
| 1750842522 | Aida Altagracia Chicon | Nurse Practitioner | 4815 W 95th St, Oak Lawn, IL 60453-2501 | 2019-03-26 |
| 1104390475 | Barbara Kowalczyk | Nurse Practitioner | 9216 S. Moody Ave., Oak Lawn, IL 60453-6045 | 2019-01-18 |
| 1881162774 | Caitlin Maureen Rocha | Nurse Practitioner | 4301 W 95th St Ste 1, Oak Lawn, IL 60453-2698 | 2018-11-08 |
| 1235631763 | Rebecca Passananti Powers | Nurse Practitioner | 10705 S Kildare Ave, Oak Lawn, IL 60453-5359 | 2018-02-28 |
| 1720589385 | Candice L Gunderson | Nurse Practitioner | 4440 W. 95th St, Opp 6th Floor Heart Failure Clinic, Oak Lawn, IL 60453-6045 | 2018-02-27 |
| 1114438249 | Lynn St. Victor-luckett | Nurse Practitioner | 9712 S Keeler Ave, Oak Lawn, IL 60453-3407 | 2017-10-16 |
| 1700254703 | Kathleen Kamba | Nurse Practitioner | 9145 Crescent Ct, Oak Lawn, IL 60453-1452 | 2015-09-08 |
| 1588801732 | Diane Zimmer | Nurse Practitioner | 9940 Harnew Road East, Oak Lawn, IL 60453 | 2009-01-09 |
| 1346853587 | Sheila Marie Burns | Nurse Practitioner | 4301 W 95th St Ste 1, Oak Lawn, IL 60453-2698 | 2020-08-27 |
| Find all providers in OAK LAWN | ||||
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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.