NICOLE S. MANN (NPI# 1912091430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912091430 |
| Entity Type | Individual |
| Full Name | NICOLE S. MANN |
| Credential | MD |
| Practice Address |
2650 Ridge Avenue Division of Internal Medicine Rm 4324 Evanston IL 60201 |
| Mailing Address |
2650 Ridge Avenue Evanston Hospital Evanston IL 60201 |
| Practice Telephone | 8475701010 |
| Practice Fax Number | 8477335128 |
| Mailing Telephone | 8475701206 |
| Mailing Fax Number | 8475701248 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274716 | Nicole Elizabeth Mann | Nurse Practitioner | 8600 Hixson Pike, Hixson, TN 37343-1515 | 2020-08-03 |
| 1811450596 | Nicole Mann | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl # 1076, New York, NY 10029-6504 | 2019-04-10 |
| 1598249989 | Nicole Mann | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2018-09-20 |
| Street Address |
2650 RIDGE AVENUE DIVISION OF INTERNAL MEDICINE RM 4324 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043253784 | Lynn Boecler | Pharmacist | 2650 Ridge Avenue, Evanston Northwestern Healthcare, Evanston, IL 60201 | 2006-06-13 |
| 1104380336 | Sarajane W Giles | Social Worker | 2650 Ridge Avenue, Department of Psychiatry, Evanston, IL 60201-1718 | 2019-01-22 |
| 1114464625 | Mila Ter Saakyants | Registered Nurse | 2650 Ridge Avenue, Kellogg Cancer Center, Evanston, IL 60201 | 2017-01-22 |
| 1730535212 | Jun Lee | Internal Medicine | 2650 Ridge Avenue, Evanston, IL 60201 | 2016-05-13 |
| 1043507726 | Vivian Setsuko Snyder | Pathology | 2650 Ridge Avenue, Department of Pathology, Evanston, IL 60201 | 2011-07-01 |
| 1699098145 | Jeffrey Thomas Goletz | Radiology | 2650 Ridge Avenue, Evanston, IL 60201-1718 | 2010-03-11 |
| 1407088784 | Sidhartha Gupta | Internal Medicine | 2650 Ridge Avenue, Northshore University Healthsystem, Evanston, IL 60201 | 2009-08-20 |
| 1639301906 | Nisha N Patel | Internal Medicine | 2650 Ridge Avenue, Northshore University Healthsystem, Evanston, IL 60201 | 2009-08-19 |
| 1952556771 | Faisal Turkiy Alqoofi | Internal Medicine | 2650 Ridge Avenue, Evanston, IL 60201 | 2008-11-20 |
| 1386816031 | Susan Sarah Pyatetsky | Psychiatry & Neurology | 2650 Ridge Avenue, Evanston Hospital, Evanston, IL 60201 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1962023010 | Natasha Vyas | Internal Medicine | 2650 Ridge Ave Ste 1340, Evanston, IL 60201-1700 | 2020-04-29 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1750812103 | Daniel Harrison Cook | Internal Medicine | 2650 Ridge Ave # 1304, Evanston, IL 60201-1718 | 2017-03-27 |
| 1023497708 | Elias J. Baied | Internal Medicine | 2560 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 | 2015-05-27 |
| 1053715300 | Karandeep Singh | Internal Medicine | 335 Ridge Avenue, Evanston, IL 60202 | 2014-10-15 |
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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.