JENNY YOHANNAN (NPI# 1871109876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871109876 |
| Entity Type | Individual |
| Full Name | JENNY YOHANNAN |
| Credential | FNP-BC |
| Practice Address |
1600 Dempster St Ste 120 Park Ridge IL 60068-1171 |
| Mailing Address |
1277 E Thacker St Apt 203 Des Plaines IL 60016-8617 |
| Practice Telephone | 8472997888 |
| Mailing Telephone | 8152952468 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209022043 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
041388347 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 DEMPSTER ST STE 120 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497083430 | Susan K Burrowes Md LLC | Internal Medicine | 1600 Dempster St Ste 120, Park Ridge, IL 60068-1171 | 2009-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548873391 | Swapna C Kappan | Nurse Practitioner | 1875 W Dempster St Ste 605, Park Ridge, IL 60068-1168 | 2020-08-30 |
| 1114543055 | Michael Castaneda | Nurse Practitioner | 1875 Dempster St Ste 110, Park Ridge, IL 60068-1125 | 2020-06-16 |
| 1659935336 | Meera Sharma | Nurse Practitioner | 1875 W Dempster St Ste 180, Park Ridge, IL 60068-1144 | 2019-04-27 |
| 1720596166 | Leticia Mendez | Nurse Practitioner | 1875 Dempster St Ste 265, Park Ridge, IL 60068-1126 | 2018-01-19 |
| 1649791195 | Kenneth Torres Lazaro | Nurse Practitioner | 1775 Dempster St Rm E592b, Park Ridge, IL 60068-1143 | 2017-07-05 |
| 1942602461 | Daniel Glon | Nurse Practitioner | 1775 Dempster Street Advocate Lutheran General Hospital, Park Ridge, IL 60668 | 2014-09-17 |
| 1457650285 | Marian Catalano | Nurse Practitioner | 1675 Dempster St # Y3-254, Park Ridge, IL 60068-1110 | 2011-03-18 |
| 1477665784 | Maria Cataldo | Nurse Practitioner | 1000 Greendale Ave, Park Ridge, IL 60068-2053 | 2006-08-31 |
| 1245847656 | Susie Annette Gonzalez | Nurse Practitioner | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2020-09-29 |
| 1922565191 | Erica Lerum | Nurse Practitioner | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2019-02-25 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
Please comment or provide details below to improve the information on JENNY YOHANNAN.
| 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.