MS. SHALYN M VANDERBLOEMEN (NPI# 1861620114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861620114 |
| Entity Type | Individual |
| Full Name | MS. SHALYN M VANDERBLOEMEN |
| Credential | PA-C |
| Practice Address |
777 Park Ave W Highland Park IL 60035-2433 |
| Practice Telephone | 8474328000 |
| Mailing Telephone | 8474328000 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |
| 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 |
777 PARK AVE W |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609817220 | Northshore University Healthsystem | General Acute Care Hospital | 777 Park Ave W, Highland Park, IL 60035-2433 | 2006-06-08 |
| 1891325486 | Erin Kathryn Kieny | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2020-01-22 |
| 1982243036 | Jennifer Carolyn Peterson | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2020-01-06 |
| 1386288660 | Erika Tone | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2019-10-30 |
| 1811543937 | Lauren Rose Boivin | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2019-08-14 |
| 1255831426 | Andrea Fonacier | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2018-02-14 |
| 1518470657 | Jacqueline Yen Lam | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-11-12 |
| 1578088852 | Jessica Marie Zinnen | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-08-08 |
| 1699205724 | Claire Emery Hailey | Pediatrics | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-06-12 |
| 1164959342 | Karyn Michelle Gerstle | Pediatrics | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811543937 | Lauren Rose Boivin | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2019-08-14 |
| 1609143270 | Larry Leyderman | Physician Assistant | 777 Park Ave W, B-131-a, Highland Park, IL 60035-2433 | 2011-11-25 |
| 1366758096 | Elizabeth Ashley Hindman | Physician Assistant | 777 Park Ave W, Physician Assistant Office, Highland Park, IL 60035-2433 | 2010-08-18 |
| 1457681553 | Gabriel Anthony Rahhal | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2010-01-12 |
| 1700097300 | Andrea A. Carter | Physician Assistant | 767 Park Ave W, Consultants In General Surgery, Suite 320, Highland Park, IL 60035-2400 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
Please comment or provide details below to improve the information on MS. SHALYN M VANDERBLOEMEN.
| 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.