KATHLEEN J KORMAN (NPI# 1841705001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841705001 |
| Entity Type | Individual |
| Full Name | KATHLEEN J KORMAN |
| Practice Address |
12935 Gregory St Blue Island IL 60406-2428 |
| Practice Telephone | 7088244809 |
| Practice Fax Number | 7083899480 |
| Mailing Telephone | 7088244809 |
| Mailing Fax Number | 7083899480 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP2800X |
Clinical Nurse Specialist Specialization: Perioperative |
209008625 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12935 GREGORY ST |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076831 | Ssm Regional Health Services Owning and Operating St Francis Hospital | General Acute Care Hospital | 12935 Gregory St, Administration, Blue Island, IL 60406-2428 | 2005-07-12 |
| 1114400868 | Jasmine Johnson | Dietitian, Registered | 12935 Gregory St, Blue Island, IL 60406-2428 | 2018-09-10 |
| 1063922854 | Anthony Edward Falcon | Physician Assistant | 12935 Gregory St, Blue Island, IL 60406-2428 | 2017-10-05 |
| 1235654757 | Usacs Integrated Acute Care Services of Illinois, LLC | Internal Medicine | 12935 Gregory St, Blue Island, IL 60406-2428 | 2017-08-05 |
| 1083064299 | Steven Kluck | Physician Assistant | 12935 Gregory St, Blue Island, IL 60406-2428 | 2016-06-18 |
| 1376906164 | Whitney Michelle Dawson | Emergency Medicine | 12935 Gregory St, Blue Island, IL 60406 | 2016-03-30 |
| 1992166953 | Walgreen Co | Pharmacy | 12935 Gregory St, Ste A, Blue Island, IL 60406-2428 | 2016-03-17 |
| 1104285196 | Stevie Funk | Physician Assistant | 12935 Gregory St, Blue Island, IL 60406-2428 | 2016-02-18 |
| 1003280835 | Mildred Guillermo Franco | Nurse Anesthetist, Certified Registered | 12935 Gregory St, Blue Island, IL 60406-2428 | 2015-11-17 |
| 1447647110 | Nichelle M Bush | Registered Nurse | 12935 Gregory St, Blue Island, IL 60406-2428 | 2015-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
| 1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
| 1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
| 1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
| 1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
| 1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
| 1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
| Find all providers in zip 60406 | ||||
| Taxonomy Code | 364SP2800X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Perioperative |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396703815 | Elise E Schilb | Clinical Nurse Specialist | 2825 18th Street C, Moline, IL 61265-5255 | 2006-05-03 |
| City | BLUE ISLAND |
| Zip Code | 60406 |
Please comment or provide details below to improve the information on KATHLEEN J KORMAN.
| 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.