RACHEL MARIE SUPPLE (NPI# 1821642455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821642455 |
| Entity Type | Individual |
| Full Name | RACHEL MARIE SUPPLE |
| Credential | PA-C |
| Practice Address |
2650 Ridge Ave Evanston IL 60201-1700 |
| Mailing Address |
1100 N Dearborn St Apt 1305 Chicago IL 60610-5028 |
| Practice Telephone | 8475702000 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2650 RIDGE AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476545 | Steven C Smart | Internal Medicine | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2005-06-09 |
| 1609477744 | Nicole Jeanine Strode | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-11-04 |
| 1609475243 | Fredrich Francis Raz | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-24 |
| 1548869209 | Ross Phillips | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-22 |
| 1760081673 | Lauren Elizabeth Todorova | Dietitian, Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-21 |
| 1245839364 | Christine B Lawlor | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-20 |
| 1386242956 | Jessica Elaine Rogers | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-15 |
| 1376141226 | Amanda Hemple | Registered Nurse | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-13 |
| 1710584297 | Natalia W Izquierdo | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-07 |
| 1558975078 | Lauren Grandi | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346721586 | Megan Rachael Butzke | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201 | 2018-08-26 |
| 1538655865 | Rachel Winkle | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1781 | 2018-07-10 |
| 1982134953 | Katherine Frawley | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2017-06-13 |
| 1396298311 | Stacey Lewis | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2016-07-26 |
| 1215391792 | Grazyna Urbanczyk | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2016-04-11 |
| 1922474824 | Alison Glinski | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2015-08-13 |
| 1750767919 | Taebee Chang | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2015-08-10 |
| 1245612548 | Katherine Anne Niekamp | Physician Assistant | 2650 Ridge Ave., Walgreen 2507, Evanston, IL 60201-1718 | 2015-06-23 |
| 1518376680 | Elizabeth Ahlgrimm | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2014-08-03 |
| 1760895601 | Lindsey Ann Hellwig | Physician Assistant | 2650 Ridge Ave, Evanstonhospital Dept of Surgery Walgreen's Bldg 2nd Fl, Evanston, IL 60201-1718 | 2014-06-09 |
| 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.