NESSRIN ISMAIL (NPI# 1962902007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962902007 |
| Entity Type | Individual |
| Full Name | NESSRIN ISMAIL |
| Credential | MHP |
| Practice Address |
4753 N Broadway St Ste 700 Chicago IL 60640-4995 |
| Practice Telephone | 7732938430 |
| Practice Fax Number | 7737284751 |
| Mailing Telephone | 7732938430 |
| Mailing Fax Number | 7737284751 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
4753 N BROADWAY ST STE 700 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-4995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023272903 | Falguni A Shah | Counselor | 4753 N Broadway St Ste 700, Chicago, IL 60640-4995 | 2008-07-10 |
| 1518502400 | Stephen An | Clinic/Center | 4753 N Broadway St Ste 700, Chicago, IL 60640-4995 | 2019-11-14 |
| 1073013488 | Sarina Soeun | Clinic/Center | 4753 N Broadway St Ste 700, Chicago, IL 60640-4995 | 2018-02-13 |
| 1861992190 | Donglim Koh | Clinic/Center | 4753 N Broadway St Ste 700, Chicago, IL 60640-4995 | 2018-02-13 |
| 1174022578 | Nana A Ahmed | Clinic/Center | 4753 N Broadway St Ste 700, Chicago, IL 60640-4995 | 2018-02-12 |
| 1275031528 | Tammy Dang | Clinic/Center | 4753 N Broadway St Ste 700, Chicago, IL 60640-4995 | 2018-01-31 |
| 1861990129 | Esperansa Alatorre | Counselor | 4753 N Broadway St Ste 700, Chicago, IL 60640-4995 | 2018-01-31 |
| 1285132712 | Anum Kasim | Counselor | 4753 N Broadway St Ste 700, Chicago, IL 60640-4995 | 2018-01-30 |
| 1437657913 | Pei Shan Yu | Clinic/Center | 4753 N Broadway St Ste 700, Chicago, IL 60640-4995 | 2018-01-30 |
| 1568960169 | Pingyip Lam | Clinic/Center | 4753 N Broadway St Ste 700, Chicago, IL 60640-4995 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on NESSRIN ISMAIL.
| 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.