ELLEN CHACKUNKAL (NPI# 1922552611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922552611 |
| Entity Type | Individual |
| Full Name | ELLEN CHACKUNKAL |
| Practice Address |
1801 W Taylor St Suite 3c Chicago IL 60612-4795 |
| Mailing Address |
833 S Wood St Suite 164 Chicago IL 60612-7229 |
| Practice Telephone | 3123550117 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
051298546 | IL | Pharmacy Service Providers |
| Street Address |
1801 W TAYLOR ST SUITE 3C |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-4795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992790828 | Julia Corcoran | Surgery | 1801 W Taylor St, 3f Occ Mc 741, Chicago, IL 60612-4795 | 2005-09-16 |
| 1659986982 | Rebekah Nailor-zee | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2020-09-14 |
| 1245856442 | Tara Kristen Maga | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2020-06-23 |
| 1427678606 | Lauren Grieco | Physical Therapist | 1801 W Taylor St, Chicago, IL 60612-4795 | 2020-04-17 |
| 1255993887 | Katherine Josephine Cobian | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2019-07-03 |
| 1689130494 | Anna Titcomb | Dietitian, Registered | 1801 W Taylor St, Chicago, IL 60612-4795 | 2019-02-17 |
| 1740757012 | Jessica Spitelli | Nurse Practitioner | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-10-25 |
| 1255807400 | Alexus Ann Bushee | Physician Assistant | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-10-15 |
| 1114417995 | Madelyn Katz | Genetic Counselor, MS | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-05-16 |
| 1013413301 | Diana Lorena Bejarano Pineda | Student in an Organized Health Care Education/Training Program | 1801 W Taylor St, Chicago, IL 60612-4795 | 2018-04-04 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291690 | Kristina Ann Falk | Pharmacist | 5758 S Maryland Ave Ste 3c, Chicago, IL 60637-1426 | 2020-09-24 |
| 1639792476 | Katherine Mosio | Pharmacist | 722 W Maxwell St Ste 205, Chicago, IL 60607-5002 | 2020-05-27 |
| 1477074599 | Elizabeth Van Dril | Pharmacist | 700 N Larrabee St Apt 310, Chicago, IL 60654-7015 | 2017-06-28 |
| 1720530751 | Charnell Hall | Pharmacist | 1900 W Polk St # 1200, Chicago, IL 60612-3723 | 2016-10-25 |
| 1649729427 | Carlos Varela | Pharmacist | 430 E 50th Place, Chicago, IL 60615 | 2016-09-22 |
| 1073137451 | Sara Omar Nimer | Pharmacist | 2301 E 93rd St, Chicago, IL 60617-3913 | 2020-06-02 |
| 1003435926 | Kyle Corso Mork | Pharmacist | 840 S Wood St, Chicago, IL 60612-4325 | 2020-04-10 |
| 1578034914 | Kacie M Kuehn | Pharmacist | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2018-12-11 |
| 1154801660 | Danielle Smith | Pharmacist | 4318 S State St, Chicago, IL 60609 | 2018-08-15 |
| 1952895971 | Vaishali Shah | Pharmacist | 9831 S Western Ave, Chicago, IL 60643-1740 | 2018-06-22 |
| Find all providers in CHICAGO | ||||
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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.