DR. MARA JILL ANDERSEN (NPI# 1891894010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891894010 |
| Entity Type | Individual |
| Full Name | DR. MARA JILL ANDERSEN |
| Credential | PHARMD |
| Practice Address |
5th Ave and Roosevelt Rd Hines IL 60141 |
| Practice Telephone | 7082028387 |
| Practice Fax Number | 7082022011 |
| Mailing Telephone | 7082028387 |
| Mailing Fax Number | 7082022011 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | IL | Pharmacy Service Providers |
| Street Address |
5TH AVE AND ROOSEVELT RD |
| City | HINES |
| State | IL |
| Zip Code | 60141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952356693 | Emily Heekin Garza | Physical Therapist | 5th Ave and Roosevelt Rd, Hines, IL 60141 | 2006-05-23 |
| 1780882472 | Michael R Smalara | Spec/Tech, Pathology | 5th Ave and Roosevelt Rd, Edward Hines Jr Hospital, Hines, IL 60141-5000 | 2007-07-05 |
| 1174696777 | George F Steffen Jr. | Physician Assistant | 5th Ave and Roosevelt Rd, Hines, IL 60141-5000 | 2006-11-15 |
| 1780760025 | Kathleen Marie Ambrose | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120d Hines Va Hospital, Hines, IL 60141 | 2006-10-30 |
| 1174609820 | David Cornell Ganch | Urology | 5th Ave and Roosevelt Rd, Hines, IL 60141 | 2006-10-27 |
| 1982789137 | Siobhan Mary Wallner | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120, Hines, IL 60141 | 2006-10-26 |
| 1114000486 | Carrie Hintzke | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120b, Hines, IL 60141 | 2006-10-23 |
| 1942380704 | Sharon Pauline Foley | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120d, Hines, IL 60141 | 2006-10-16 |
| 1407953854 | Karen L Dahlheimer | Specialist/Technologist | 5th Ave and Roosevelt Rd, Hines, IL 60141 | 2006-09-20 |
| 1285738419 | Deborah Dean | Specialist/Technologist | 5th Ave and Roosevelt Rd, Bldg 113, Hines, IL 60463 | 2006-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700293800 | Kc Lee | Pharmacist | 629 Highway 20 N, Hines, OR 97738-9435 | 2014-07-21 |
| 1467788166 | Benson Mathai | Pharmacist | 5th Ave. & Roosevelt Rd., Bldg 37, Hines, IL 60141-5221 | 2009-10-30 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| 1215193842 | Martin A Libert | Pharmacist | Great Lakes Cmop 5th Avenue Roosevelt Road, Bldg 37 West, Hines, IL 60141 | 2008-08-04 |
| 1003071424 | Lorraine Margaret Roloff | Pharmacist | 5th Av. & Roosevelt Rd., Great Lakes Cemop, Hines, IL 60141-9981 | 2008-07-24 |
| 1770748576 | May Lo Bewley | Pharmacist | Fifth Ave and Roosevelt, Bldg 37, Cmop, Hines, IL 60141-5221 | 2008-07-22 |
| 1588829519 | Jennifer Terese Selvage | Pharmacist | 500 South Fifth Avenue, Hines, IL 60141 | 2008-07-18 |
| 1508020868 | Ellen J Larson | Pharmacist | 5th and Roosevelt Roads, Hines, IL 60141 | 2008-07-16 |
| 1801050216 | Gregory A Pechous | Pharmacist | 5th Street and Roosevelt, Hines, IL 60141 | 2008-07-15 |
| 1972766962 | Christine Dawn Liazuk | Pharmacist | 5th Ave & Roosevelt Bldg 37 Nw, Hines, IL 60141 | 2008-07-09 |
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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.