IMELDA SAMSON HILDEBRECHT


Address: 777 Park Ave W, Highland Park, IL 60035-2433
Phone: 8479265806

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 777 PARK AVE W
City HIGHLAND PARK
State IL
Zip Code 60035-2433

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City HIGHLAND PARK
Zip Code 60035

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Dataset Information

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.

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