DR. AMANDA BEATRIZ WELLMANN (NPI# 1922537927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922537927 |
| Entity Type | Individual |
| Full Name | DR. AMANDA BEATRIZ WELLMANN |
| Credential | MD |
| Practice Address |
2150 W Harrison St Chicago IL 60612-3706 |
| Practice Telephone | (312) 563-1212 |
| Mailing Telephone | 3125631212 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2150 W HARRISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598875999 | S Ann Hartlage | Psychologist | 2150 W Harrison St, Rush University Medical Center - Dept of Psychiatry, Chicago, IL 60612-3706 | 2006-08-30 |
| 1295351401 | Jacob Robert Cross | Psychiatry & Neurology | 2150 W Harrison St, Chicago, IL 60612-3706 | 2020-06-23 |
| 1740805886 | James Cody Naughton | Psychiatry & Neurology | 2150 W Harrison St, Chicago, IL 60612-3706 | 2020-06-15 |
| 1770145914 | Neal Lowell Swartz | Psychiatry & Neurology | 2150 W Harrison St, Chicago, IL 60612-3706 | 2019-07-08 |
| 1003375981 | Dominika Anne Winiarski | Psychologist | 2150 W Harrison St, Chicago, IL 60612-3706 | 2019-03-19 |
| 1639691090 | Kelly Rhodes | Student in an Organized Health Care Education/Training Program | 2150 W Harrison St, Rm. 256, Chicago, IL 60612 | 2017-07-07 |
| 1952831018 | Greg Gaffud | Nurse Practitioner | 2150 W Harrison St, Chicago, IL 60612-3706 | 2017-06-12 |
| 1023547486 | Hannah Grace Statz | Student in an Organized Health Care Education/Training Program | 2150 W Harrison St, Chicago, IL 60612 | 2017-06-08 |
| 1063940401 | Dhruthi Sai Kalangi | Student in an Organized Health Care Education/Training Program | 2150 W Harrison St, Chicago, IL 60612-3706 | 2017-05-30 |
| 1518403526 | Geraldine Dugan | Nurse Practitioner | 2150 W Harrison St, Chicago, IL 60612-3706 | 2017-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1275146599 | Ryan Mather | Student in an Organized Health Care Education/Training Program | 155 N Michigan Ave Ste 566, Chicago, IL 60601-7799 | 2020-08-26 |
| 1831701010 | Alexandra Klonis | Student in an Organized Health Care Education/Training Program | 676 N Saint Clair St Ste 6-108, Chicago, IL 60611-2927 | 2020-08-19 |
| 1851903389 | Brittney Christine Evans | Student in an Organized Health Care Education/Training Program | 1901 N Clybourn Ave Ste 302&304, Chicago, IL 60614-5090 | 2020-08-17 |
| 1205446358 | Kai Lai Chu | Student in an Organized Health Care Education/Training Program | 600 N Fairbanks Ct Unit 3505, Chicago, IL 60611-5869 | 2020-08-04 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1407474463 | Madison Nicole Schulenberg | Student in an Organized Health Care Education/Training Program | 1111 W 14th Pl Unit 119, Chicago, IL 60608-2796 | 2020-07-07 |
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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.