FIONA DAGOSTINO


Address: 1029 E 130th St, Chicago, IL 60628-6908
Phone: 7739956300

FIONA DAGOSTINO (NPI# 1851812291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851812291
Entity Type Individual
Full Name FIONA DAGOSTINO
Credential PA-C
Practice Address 1029 E 130th St
Chicago
IL 60628-6908
Practice Telephone 7739956300
Mailing Telephone 7739956300
Enumeration Date 2017-07-06
Last Update Date 2018-02-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1029 E 130TH ST
City CHICAGO
State IL
Zip Code 60628-6908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184757353 Tca Health Inc Nfp Clinic/Center 1029 E 130th St, Chicago, IL 60628-6908 2007-03-14
1346887387 Ashley Elizabeth Rogers Physician Assistant 1029 E 130th St, Chicago, IL 60628-6908 2019-12-10
1336685494 7739956300 Social Worker 1029 E 130th St, Chicago, IL 60628-6908 2017-01-13
1548705155 Julie Shevrin Social Worker 1029 E 130th St, Chicago, IL 60628-6908 2017-01-05
1104370287 Tammie Silas Nurse Practitioner 1029 E 130th St, Chicago, IL 60628-6908 2016-08-07
1508219403 Meghan Elizabeth Wendland Dentist 1029 E 130th St, Chicago, IL 60628-6908 2016-07-15
1437500311 Karyn J Britt Public Health or Welfare 1029 E 130th St, Chicago, IL 60628-6908 2016-06-22
1659735975 Careplus Discount Pharmacy Dg Inc Pharmacy 1029 E 130th St, Chicago, IL 60628-6908 2016-04-12
1710303235 Corinne Westing Advanced Practice Midwife 1029 E 130th St, Chicago, IL 60628-6908 2014-03-07
1548696347 Tca Health, Inc Clinic/Center 1029 E 130th St, Chicago, IL 60628-6908 2013-09-25
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City CHICAGO
Zip Code 60628

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Dataset Information

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.

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