IMELDA SAMSON HILDEBRECHT (NPI# 1922337922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922337922 |
Entity Type | Individual |
Full Name | IMELDA SAMSON HILDEBRECHT |
Credential | NP-C, CWOCN |
Practice Address |
777 Park Ave W Highland Park IL 60035-2433 |
Practice Telephone | 8479265806 |
Mailing Telephone | 8479265806 |
Enumeration Date | 2009-12-22 |
Last Update Date | 2009-12-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209007602 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
777 PARK AVE W |
City | HIGHLAND PARK |
State | IL |
Zip Code | 60035-2433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609817220 | Northshore University Healthsystem | General Acute Care Hospital | 777 Park Ave W, Highland Park, IL 60035-2433 | 2006-06-08 |
1891325486 | Erin Kathryn Kieny | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2020-01-22 |
1982243036 | Jennifer Carolyn Peterson | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2020-01-06 |
1386288660 | Erika Tone | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2019-10-30 |
1811543937 | Lauren Rose Boivin | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2019-08-14 |
1255831426 | Andrea Fonacier | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2018-02-14 |
1518470657 | Jacqueline Yen Lam | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-11-12 |
1578088852 | Jessica Marie Zinnen | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-08-08 |
1699205724 | Claire Emery Hailey | Pediatrics | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-06-12 |
1164959342 | Karyn Michelle Gerstle | Pediatrics | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-05-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
Find all providers in zip 60035 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861601700 | Carole J Klepper | Nurse Practitioner | 1850 Beverly Pl, Highland Park, IL 60035-2372 | 2007-05-21 |
1932532256 | Michelle Lynn Churchill | Nurse Practitioner | 777 Park Ave W, Highland Park, IL 60035-2433 | 2013-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851998553 | Melissa Litwin | Nurse Practitioner | 9127 Burlington Ave, Brookfield, IL 60513-1939 | 2020-10-06 |
1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
1518506625 | Lila Macalinga Rivera | Nurse Practitioner | 17w335 16th St, Oakbrook Terrace, IL 60181-4030 | 2020-01-06 |
1922642495 | Christine Nacar | Nurse Practitioner | 1232 Le Moyne Ave, Romeoville, IL 60446-4180 | 2019-10-29 |
1144871344 | Wensheng Tracy Wu | Nurse Practitioner | 1555 Barrington Rd Ste 1200, Hoffman Estates, IL 60169-5036 | 2019-09-27 |
1881245314 | Mkbb LLC | Nurse Practitioner | 1212 E Algonquin Rd, Algonquin, IL 60102-5446 | 2019-09-25 |
1225681455 | Jinu Joss | Nurse Practitioner | 9939 N Warren Oval, Niles, IL 60714-1044 | 2019-07-17 |
1659830057 | Ginger Dean | Nurse Practitioner | 2843 Chicago Rd, South Chicago Heights, IL 60411-4736 | 2019-03-15 |
1770048910 | Amanda K Honchell I | Nurse Practitioner | 401 W Madison St, Mount Carroll, IL 61053-9485 | 2019-02-01 |
1548725799 | Grace Nwaka Wabomnor | Nurse Practitioner | 17 E Grandview Dr, South Holland, IL 60473-1099 | 2019-02-01 |
Find all providers with the same taxonomy |
City | HIGHLAND PARK |
Zip Code | 60035 |
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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.