MRS. EMILY NICOLE LISCIANDRO (NPI# 1962435263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962435263 |
Entity Type | Individual |
Full Name | MRS. EMILY NICOLE LISCIANDRO |
Credential | MS, RD, LDN |
Practice Address |
5841 S Maryland Ave Mc0988 Chicago IL 60637-1447 |
Mailing Address |
16717 Gentry Ln #201 Tinley Park IL 60477-7107 |
Practice Telephone | 7737020551 |
Mailing Telephone | 3126369604 |
Enumeration Date | 2006-07-09 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
IL | Dietary & Nutritional Service Providers |
Street Address |
5841 S MARYLAND AVE MC0988 |
City | CHICAGO |
State | IL |
Zip Code | 60637-1447 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700887296 | Rita Lynn Mcgill | Internal Medicine | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2005-08-09 |
1447851472 | Basirat Sulaiman | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-11-05 |
1982204061 | Martha Daniela Gorski | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-10-28 |
1841807179 | Jason Bugno | Pharmacist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-30 |
1942816798 | Emily Mancewicz | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-17 |
1841805546 | Anayeli Locascio | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-10 |
1336752856 | Rachel Barsella | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-25 |
1982215620 | Jennifer Risner | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-16 |
1134739857 | Moshe Bedziner | Physician Assistant | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-06 |
1427676899 | Brittney Blackwell | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-07-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
Find all providers in zip 60637 |
Taxonomy Code | 133VN1004X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Pediatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639553142 | Bianca Roe | Dietitian, Registered | 2630 W Bradley Pl Ste A, Chicago, IL 60618-4704 | 2015-07-14 |
1801022645 | Lauren Kime | Dietitian, Registered | 1747 N Cleveland Ave Apt 1f, Chicago, IL 60614-9250 | 2009-06-08 |
1366678153 | Mary M Niewinski | Dietitian, Registered | 5424 N Nashville Ave, Chicago, IL 60656-2209 | 2009-06-07 |
1154920122 | Saja Froukh | Dietitian, Registered | 6501 S Promontory Dr, Chicago, IL 60649-1002 | 2020-10-21 |
1255945838 | Patrice H. Swiontek | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-01 |
1770196776 | Katherine Jade Arduini | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-08-28 |
1740893072 | Jennifer Bathgate | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-08-26 |
1487279014 | Evolve Yoga & Fitness LLC | Dietitian, Registered | 7252 W Foster Ave, Chicago, IL 60656-3612 | 2020-06-09 |
1346890688 | Alexis Virlee | Dietitian, Registered | 1700 W Van Buren St Ste 425, Chicago, IL 60612-5500 | 2019-09-18 |
1548632136 | Stacie Renee Schaller | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2015-10-22 |
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.