ANDREW SUPLICKI (NPI# 1881220150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881220150 |
Entity Type | Individual |
Full Name | ANDREW SUPLICKI |
Practice Address |
635 N Dearborn St Chicago IL 60654-4618 |
Mailing Address |
2334 Meadowood Blvd Twinsburg OH 44087-1371 |
Practice Telephone | 3126942273 |
Enumeration Date | 2020-03-19 |
Last Update Date | 2020-11-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Street Address |
635 N DEARBORN ST |
City | CHICAGO |
State | IL |
Zip Code | 60654-4618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952393860 | Christina Marie Taufen | Family Medicine | 635 N Dearborn St, Chicago, IL 60654-4618 | 2005-08-17 |
1821645110 | Madelyn Geary | Student in an Organized Health Care Education/Training Program | 635 N Dearborn St, Chicago, IL 60654-4618 | 2019-08-21 |
1477013407 | Edward John Supan | Physician Assistant | 635 N Dearborn St, Chicago, IL 60654-4618 | 2019-03-25 |
1003342700 | Maria Uhler | Physician Assistant | 635 N Dearborn St, Chicago, IL 60654-4618 | 2017-05-02 |
1235680877 | Jessalyn N Rashid | Physician Assistant | 635 N Dearborn St, Chicago, IL 60654-4618 | 2016-10-19 |
1700260171 | Nikoo Turpin | Physician Assistant | 635 N Dearborn St, Chicago, IL 60654-4618 | 2015-07-16 |
1619351434 | Diana Skukan Medved | Nurse Practitioner | 635 N Dearborn St, Chicago, IL 60654-4618 | 2015-07-10 |
1598158271 | Kelly Jo Nelson | Nurse Practitioner | 635 N Dearborn St, Chicago, IL 60654-4618 | 2015-03-05 |
1295132199 | Alyssa Britton | Physician Assistant | 635 N Dearborn St, Chicago, IL 60654-4618 | 2014-11-21 |
1770891756 | Lee A Frerker | Physician Assistant | 635 N Dearborn St, Chicago, IL 60654-4618 | 2010-09-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
Find all providers in zip 60654 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
1003385535 | Midwest Express Care 2 Inc | Clinic/Center | 3258 W 111th St, Chicago, IL 60655-2729 | 2018-11-14 |
1215302971 | Medspring of Texas, Pa | Clinic/Center | 779 Adams, Chicago, IL 60661-0000 | 2015-12-07 |
1255722120 | Medspring of Texas, Pa | Clinic/Center | 3301 N Ashland Ave, Chicago, IL 60657-2127 | 2015-02-12 |
1942690672 | Northwestern Memorial Healthcare | Clinic/Center | 1030 N Wolcott Ave, Chicago, IL 60622-5986 | 2015-02-03 |
1376941849 | Medspring of Texas, Pa | Clinic/Center | 219 W Chicago Ave, Chicago, IL 60654-5600 | 2014-12-15 |
1790030385 | Hometown Urgent Care of Michigan, P.C. | Clinic/Center | 7483 Solutions Ctr, Chicago, IL 60677-7004 | 2012-07-19 |
1811256043 | Immediate M.d., LLC | Clinic/Center | 2037 N Clybourn Ave, Chicago, IL 60614-4003 | 2012-05-08 |
1003084112 | South Loop Urgent Care, LLC | Clinic/Center | 1430 S Michigan Ave, C2, Chicago, IL 60605-2960 | 2008-02-12 |
1316136955 | American Current Care of Illinois PC | Clinic/Center | 1230 West Lake Street, Chicago, IL 60607-1602 | 2007-10-19 |
Find all providers in CHICAGO |
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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.