EVELYN UKPOLO (NPI# 1891198628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891198628 |
| Entity Type | Individual |
| Full Name | EVELYN UKPOLO |
| Credential | NP |
| Practice Address |
148 S Bolingbrook Dr Bolingbrook IL 60440-2852 |
| Mailing Address |
217 Christine Way Bolingbrook IL 60440-6138 |
| Practice Telephone | 6309145373 |
| Mailing Telephone | 7735406231 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.011860 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
148 S BOLINGBROOK DR |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659642510 | Bolingbrook Urgent Care LLC | Clinic/Center | 148 S Bolingbrook Dr, Bolingbrook, IL 60440-2852 | 2012-01-24 |
| 1871193698 | Pioneer Physicians S C | Clinic/Center | 148 S Bolingbrook Dr, Bolingbrook, IL 60440-2852 | 2020-10-30 |
| 1770197758 | Jacek Wesolowski | Nurse Practitioner | 148 S Bolingbrook Dr, Bolingbrook, IL 60440-2852 | 2020-09-07 |
| 1447680558 | Tamara M Poole | Nurse Practitioner | 148 S Bolingbrook Dr, Bolingbrook, IL 60440-2852 | 2013-11-26 |
| 1821359464 | Bollingbrook Urgent Care S.c | Clinic/Center | 148 S Bolingbrook Dr, Bolingbrook, IL 60440-2852 | 2012-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517236 | Cynthia Lucio | Nurse Practitioner | 6 Dorchester Ct, Bolingbrook, IL 60440-1110 | 2020-08-01 |
| 1174165096 | Michael Boladas Aligno | Nurse Practitioner | 727 Countryside Dr, Bolingbrook, IL 60490-5459 | 2019-10-11 |
| 1225692080 | Jacinta Chinyere Igbo | Nurse Practitioner | 412 Ingleside Dr, Bolingbrook, IL 60490-3106 | 2019-04-26 |
| 1952808081 | Resmi A George | Nurse Practitioner | 398 S Palmer Dr, Bolingbrook, IL 60490-2040 | 2018-04-06 |
| 1275049694 | Isoken Franca Ogbomo | Nurse Practitioner | 1522 Schafer Ave, Bolingbrook, IL 60490-3230 | 2017-12-21 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1063949840 | Treesa J Thomas | Nurse Practitioner | 574 Warbler Dr, Bolingbrook, IL 60440-4200 | 2017-05-11 |
| 1639521669 | Natalie Joann Kalvoda | Nurse Practitioner | 420 Remington Blvd Ste 125, Bolingbrook, IL 60440-4950 | 2016-07-01 |
| 1669845434 | Geraldine Bemabou Ntum | Nurse Practitioner | 1617 Trails End Ln, Bolingbrook, IL 60490-3291 | 2015-11-03 |
| 1518103134 | Helen Mary Muddamalle | Nurse Practitioner | 1900 Marne Rd, Bolingbrook, IL 60490-4597 | 2009-01-02 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on EVELYN UKPOLO.
| 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.