EVELYN ANGEL AZTLAN-KEAHEY (NPI# 1962625756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962625756 |
| Entity Type | Individual |
| Full Name | EVELYN ANGEL AZTLAN-KEAHEY |
| Other Name | EVELYN ANGEL JAMES |
| Credential | N.P. |
| Practice Address |
659 W. Washington Blvd Chicago IL 60661 |
| Practice Telephone | 3127078988 |
| Practice Fax Number | 3127079223 |
| Mailing Telephone | (312) 707-8988 |
| Mailing Fax Number | 3127079223 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
209-012889 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
16838 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | 209-012888 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
659 W. WASHINGTON BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1174003644 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661 | 2018-08-15 |
| 1154835932 | Kathleen Emery | Psychologist | 555 W Jackson Blvd Ste 700, Chicago, IL 60661 | 2017-11-30 |
| 1407384886 | Dana M Trotta | Physical Therapist | 500 W Madison St # C024, Chicago, IL 60661 | 2017-05-30 |
| 1003356874 | Carcena Harvey-burns | Nurse Practitioner | 549 W Randolph St, Chicago, IL 60661 | 2017-02-27 |
| 1962949610 | H & U of West Loop LLC | Dentist | 207 S. Halsted St., Chicago, IL 60661 | 2017-01-19 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306114699 | Telos Therapy, LLC | Physical Therapist | 651 W Washington Blvd Ste 305, Chicago, IL 60661 | 2011-12-01 |
| 1912288622 | Peter Cuauhtemoc Shinnick | Pharmacist | 111 S Halsted, Chicago, IL 60661 | 2011-09-08 |
| 1619292570 | Ramandeep Kaur | Family Medicine | 1717 W. Congress Parkway Kellogg Suite 1125, Rush University Medical Center, Chicago, IL 60661 | 2010-04-05 |
| Find all providers in zip 60661 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959864 | Jennifer Marie Nieves | Nurse Practitioner | 34 E Oak St Ste 6, Chicago, IL 60611-1231 | 2020-03-29 |
| 1093340275 | Nicole Price | Nurse Practitioner | 3717 N Ravenswood Ave Ste 213, Chicago, IL 60613-4098 | 2020-03-07 |
| 1497318372 | Rachael Elizabeth Thomas | Nurse Practitioner | 333 S Desplaines St Ste 201, Chicago, IL 60661-5514 | 2019-04-17 |
| 1922499102 | Jenna Rezzardi | Nurse Practitioner | 1827 N Clybourn Ave, Apt 2, Chicago, IL 60614-8951 | 2015-02-10 |
| 1174954069 | Cheryl Mandell | Nurse Practitioner | 1250 N Maplewood Ave, Chicago, IL 60622-2857 | 2013-12-03 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1932409489 | Catherine Shannon Dezynski | Nurse Practitioner | 5215 N California Ave Fl 7, Chicago, IL 60625-7014 | 2010-11-01 |
| 1447477401 | Annette Sue Ramsburg | Nurse Practitioner | 5086 Elston Ave., Chicago, IL 60630 | 2007-04-19 |
| 1083793616 | Sally Helene Lemke | Nurse Practitioner | 600 S. Paulina Aac 1080, Rush University Medical Center, Chicago, IL 60612 | 2006-11-03 |
| 1558449942 | Fran Bender | Nurse Practitioner | 3059 W 26th St, Chicago, IL 60623 | 2006-11-01 |
| 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.